151
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Michonneau D, Petrella T, Ortonne N, Ingen-Housz-Oro S, Franck N, Barete S, Battistella M, Beylot-Barry M, Vergier B, Maynadié M, Bodemer C, Hermine O, Bagot M, Brousse N, Fraitag S. Subcutaneous Panniculitis-like T-cell Lymphoma: Immunosuppressive Drugs Induce Better Response than Polychemotherapy. Acta Derm Venereol 2017; 97:358-364. [PMID: 27722764 DOI: 10.2340/00015555-2543] [Citation(s) in RCA: 46] [Impact Index Per Article: 6.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Subcutaneous panniculitis-like T-cell lymphoma (SPTCL) is a rare condition usually considered to have a favourable prognosis. However, it is not known whether polychemotherapy or immunosuppressive-based therapy is the best approach for treating SPTCL. Using data collected between 2000 and 2012 in France, we analysed clinical, biological and pathological data of 27 patients with SPTCL. Medical history revealed that 40% of patients had been previously diagnosed with an autoimmune disorder and 22% with inflammatory panniculitis. Haemophagocytic syndrome was present in 37% of cases. Autoantibodies were positive in 65% of cases. Complete remission (CR) was reached in 74% of cases. Immunosuppressive drug treatment was given in 69.5% of patients (group 1) and polychemotherapy in 30.5% (group 2). CR was 81.2% and 28.5% (p?=?0.025), respectively. Progression rate was 6.2% and 42.8% (p?=?0.067), respectively. This study suggests that immunosuppressive drugs should be considered as the first-line treatment for SPTCL.
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Affiliation(s)
- David Michonneau
- Service d'anatomie pathologique, Hôpital Necker-Enfants Malades, Paris, APHP, Université Paris Descartes, Sorbonne Paris Cité, France
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152
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Bouthemy C, Beldi-Ferchiou A, Ortonne N, Delfau-Larue MH, Ingen-Housz-Oro S, Molinier-Frenkel V. [The value of blood immunophenotyping and clonality testing in the management of cutaneous T-cell lymphomas]. Ann Dermatol Venereol 2017; 144:315-322. [PMID: 28242099 DOI: 10.1016/j.annder.2016.12.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Revised: 12/12/2016] [Accepted: 12/19/2016] [Indexed: 10/20/2022]
Affiliation(s)
- C Bouthemy
- Laboratoire d'immunologie biologique, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
| | - A Beldi-Ferchiou
- Laboratoire d'immunologie biologique, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
| | - N Ortonne
- Département de pathologie, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
| | - M-H Delfau-Larue
- Laboratoire d'immunologie biologique, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
| | - S Ingen-Housz-Oro
- Service de dermatologie, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France.
| | - V Molinier-Frenkel
- Laboratoire d'immunologie biologique, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil cedex, France
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153
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Sobocinski V, Dridi SM, Bisson C, Jeanne S, Gaultier F, Prost-Squarcioni C, Bernard P, Pascal F, Lefevre B, Weber P, Abasq C, Agbo-Godeau S, Joly P, Ingen-Housz-Oro S, Duvert-Lehembre S. [Oral care recommendations for patients with oral autoimmune bullous diseases]. Ann Dermatol Venereol 2016; 144:182-190. [PMID: 28011091 DOI: 10.1016/j.annder.2016.09.680] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2016] [Revised: 08/14/2016] [Accepted: 09/23/2016] [Indexed: 11/16/2022]
Abstract
BACKGROUND Autoimmune bullous diseases (AIBD) may cause chronic oral lesions that progress insidiously. AIMS To provide recommendations for optimal oral-dental management of patients presenting AIBD with oral involvement. PATIENTS AND METHODS In the absence of scientific studies with high levels of proof, these recommendations have been drawn up at two meetings by a committee of experts on AIBD comprising 7 dermatologists, 1 stomatologist, 1 maxillofacial surgeon, 2 odontologists and 4 parodontologists. RESULTS The oral lesions associated with AIBD may be classified into three grades of severity: severe (generalised erosive gingivitis affecting at least 30% of dental sites), moderate (localised erosive gingivitis affecting less than 30% of dental sites) and controlled (no erosive oral lesions). Good oral-dental hygiene suited to the severity of the oral lesions, must be practised continually by these patients so as to avoid the formation of dental plaque, which aggravates symptoms. Dental and parodontal care must be considered in accordance with the severity grade of the oral lesions: in severe cases, the dental plaque must be eliminated manually with a curette, but several types of care (descaling, treatment for tooth decay, non-urgent extractions, etc.) must be suspended until the grade of severity is moderate or until the disease is stabilised.
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Affiliation(s)
- V Sobocinski
- Clinique dermatologique, hôpital Charles-Nicolle, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France.
| | - S-M Dridi
- Service d'odontologie, hôpital Henri-Mondor, 51, avenue du maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | - C Bisson
- Service d'odontologie, CHRU de Nancy, 29, avenue de Lattre-de-Tassigny, 54000 Nancy, France
| | - S Jeanne
- Service d'odontologie, CHRU de Rennes, 2, rue Henri-Le-Guilloux, 35000 Rennes, France
| | - F Gaultier
- Service d'odontologie, hôpital Henri-Mondor, 51, avenue du maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | - C Prost-Squarcioni
- Service de dermatologie, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France
| | - P Bernard
- Service de dermatologie, hôpital Robert-Debré, rue du général-Koening, 51100 Reims, France
| | - F Pascal
- Service de dermatologie, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France
| | - B Lefevre
- Service d'odontologie, hôpital Robert-Debré, rue du général-Koening, 51100 Reims, France
| | - P Weber
- Service de dermatologie, hôpital Avicenne, 125, rue de Stalingrad, 93000 Bobigny, France
| | - C Abasq
- Service de dermatologie, hôpital Morvan, 2, avenue maréchal-Foch, 29200 Brest, France
| | - S Agbo-Godeau
- Service de stomatologie et chirurgie maxillo-faciale, hôpital Pitié-Salpêtrière, 47-83 boulevard de l'Hôpital, 75013 Paris, France
| | - P Joly
- Clinique dermatologique, hôpital Charles-Nicolle, CHU de Rouen, 1, rue de Germont, 76031 Rouen cedex, France
| | - S Ingen-Housz-Oro
- Service de dermatologie, hôpital Henri-Mondor, 51, avenue du maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | - S Duvert-Lehembre
- Service de dermatologie, hôpital de Dunkerque, 130, avenue Louis-Herbeaux, 59240 Dunkerque, France
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154
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Karkouche R, Bernigaud C, Fontugne J, Zehou O, Bellaud G, N'Diaye M, Cherif K, Wolkenstein P, Chosidow O, Ortonne N, Ingen-Housz-Oro S. Cold-associated perniosis of the thighs histopathologically mimicking lupus. Six observations. J Eur Acad Dermatol Venereol 2016; 31:1029-1032. [DOI: 10.1111/jdv.13969] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2016] [Accepted: 08/05/2016] [Indexed: 11/29/2022]
Affiliation(s)
- R. Karkouche
- Département de pathologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
| | - C. Bernigaud
- Service de dermatologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
| | - J. Fontugne
- Département de pathologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
| | - O. Zehou
- Service de dermatologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
| | - G. Bellaud
- Service de maladies infectieuses; Hôpital Tenon; Assistance Publique-Hôpitaux de Paris; Paris France
| | - M. N'Diaye
- Service de dermatologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
| | - K. Cherif
- Département de pathologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
| | - P. Wolkenstein
- Service de dermatologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
- Université Paris-Est Créteil Val de Marne (UPEC); Créteil France
| | - O. Chosidow
- Service de dermatologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
- Université Paris-Est Créteil Val de Marne (UPEC); Créteil France
- Centre d'Investigation Clinique 1430, AP-HP; Créteil France
| | - N. Ortonne
- Département de pathologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
- Université Paris-Est Créteil Val de Marne (UPEC); Créteil France
| | - S. Ingen-Housz-Oro
- Service de dermatologie; Hôpital Henri Mondor; Assistance Publique-Hôpitaux de Paris; Créteil France
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155
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Isnard C, Ingen-Housz-Oro S, Fardet L, Matteodo E, Duval S, Hemery F, Khellaf M, Duong TA, Chosidow O, Wolkenstein P. Dermatological emergencies: evolution from 2008 to 2014 and perspectives. J Eur Acad Dermatol Venereol 2016; 31:274-279. [PMID: 27681584 DOI: 10.1111/jdv.13860] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/17/2016] [Accepted: 06/08/2016] [Indexed: 11/29/2022]
Abstract
BACKGROUND Our dermatological department includes a dermatological emergency unit (DEU) whose activity has grown in recent years. OBJECTIVES An audit to characterize the activity of our DEU and its evolution in terms of medical demographics of the area. METHODS We collected the following data from administrative services: number of patients consulting each year in the DEU and in the general emergency unit (GEU) of our hospital between 2008 and 2014; daily and seasonal activity of the DEU; occurrence of a second event in the department and proportion of patients from the DEU who were hospitalized and why. From the medical charts of a random sample of patients consulting in the first 15 days of January and August 2014, we studied the epidemiological profile, time to consultation and diagnoses. Data related to medical demographics (number of general practitioners and dermatologists) between 2007 and 2014 and projections were obtained. RESULTS The activity in the DEU increased by 67% between 2008 and 2014 but remained stable in the GEU over the same period. The activity was higher on Mondays and in the summer (+30%). More than 15% of the patients were seen a second time in outpatient consultation; 1.2% were hospitalized. Infectious dermatosis was the main reason for consultation; seasonal-disease consultations were more frequent in the summer. Less than 40% of patients consulted in the first week after disease onset. Medical demographics continually decreased since 2007 in Paris and suburbs and will continue to decrease in the next years. CONCLUSION The increasing activity of our DEU parallels the decrease in medical demographics in Paris. The proportion of patients hospitalized was low, in part due to specific healthcare networks implemented for some life-threatening dermatoses independent of the DEU. A better coordination between hospital and private practitioners for managing dermatologic emergencies, taking into account the decrease in medical demographics, is warranted.
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Affiliation(s)
- C Isnard
- Dermatology department, AP-HP, Henri Mondor Hospital, Créteil, France
| | - S Ingen-Housz-Oro
- Dermatology department, AP-HP, Henri Mondor Hospital, Créteil, France.,EA 7379 EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France
| | - L Fardet
- Dermatology department, AP-HP, Henri Mondor Hospital, Créteil, France.,EA 7379 EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,UPEC Université Paris-Est Créteil, Créteil, France
| | - E Matteodo
- Dermatology department, AP-HP, Henri Mondor Hospital, Créteil, France
| | - S Duval
- Dermatology department, AP-HP, Henri Mondor Hospital, Créteil, France
| | - F Hemery
- Medical information department, AP-HP, Henri Mondor Hospital, Créteil, France
| | - M Khellaf
- General Emergency department and Unité INSERM U 955 équipe 2, AP-HP, Henri Mondor Hospital, Créteil, France
| | - T-A Duong
- Dermatology department, AP-HP, Henri Mondor Hospital, Créteil, France.,EA 7379 EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France
| | - O Chosidow
- Dermatology department, AP-HP, Henri Mondor Hospital, Créteil, France.,EA 7379 EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,UPEC Université Paris-Est Créteil, Créteil, France
| | - P Wolkenstein
- Dermatology department, AP-HP, Henri Mondor Hospital, Créteil, France.,EA 7379 EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,UPEC Université Paris-Est Créteil, Créteil, France
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156
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Ingen-Housz-Oro S, Ortonne N, Hotz C, Moroch J, Le Bras F, Chosidow O, Haioun C. Cutaneous Tumor of the Arm Revealing a Sporadic Burkitt Lymphoma. J Am Geriatr Soc 2016; 64:1141-2. [PMID: 27225370 DOI: 10.1111/jgs.14126] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Affiliation(s)
- Saskia Ingen-Housz-Oro
- Department of Dermatology, Assistance Publique - Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France.,EA 7379 Epidémiologie en Dermatologie et Evaluation des Thérapeutiques, Université Paris-Est Créteil Val de Marne, Créteil, France
| | - Nicolas Ortonne
- Department of Pathology, Assistance Publique - Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France.,Université Paris-Est Créteil Val de Marne, Créteil, France
| | - Claire Hotz
- Department of Dermatology, Assistance Publique - Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France.,Université Paris-Est Créteil Val de Marne, Créteil, France
| | - Julien Moroch
- Department of Pathology, Assistance Publique - Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - Fabien Le Bras
- Université Paris-Est Créteil Val de Marne, Créteil, France.,Lymphoid Malignancies Unit, Assistance Publique - Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - Olivier Chosidow
- Department of Dermatology, Assistance Publique - Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France.,EA 7379 Epidémiologie en Dermatologie et Evaluation des Thérapeutiques, Université Paris-Est Créteil Val de Marne, Créteil, France.,Centre d'Investigation Clinique 1430, Assistance Publique - Hôpitaux de Paris, Créteil, France
| | - Corinne Haioun
- Université Paris-Est Créteil Val de Marne, Créteil, France.,Lymphoid Malignancies Unit, Assistance Publique - Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
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157
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Szablewski V, Ingen-Housz-Oro S, Baia M, Delfau-Larue MH, Copie-Bergman C, Ortonne N. Primary Cutaneous Follicle Center Lymphomas Expressing BCL2 Protein Frequently Harbor BCL2 Gene Break and May Present 1p36 Deletion: A Study of 20 Cases. Am J Surg Pathol 2016; 40:127-36. [PMID: 26658664 DOI: 10.1097/pas.0000000000000567] [Citation(s) in RCA: 24] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
The classification of cutaneous follicular lymphoma (CFL) into primary cutaneous follicle center lymphoma (PCFCL) or secondary cutaneous follicular lymphoma (SCFL) is challenging. SCFL is suspected when tumor cells express BCL2 protein, reflecting a BCL2 translocation. However, BCL2 expression is difficult to assess in CFLs because of numerous BCL2+ reactive T cells. To investigate these issues and to further characterize PCFCL, we studied a series of 25 CFLs without any extracutaneous disease at diagnosis, selected on the basis of BCL2 protein expression using 2 BCL2 antibodies (clones 124 and E17) and BOB1/BCL2 double immunostaining. All cases were studied using interphase fluorescence in situ hybridization with BCL2, BCL6, IGH, IGK, IGL breakapart, IGH-BCL2 fusion, and 1p36/1q25 dual-color probes. Nineteen CFLs were BCL2 positive, and 6 were negative. After a medium follow-up of 24 (6 to 96) months, 5 cases were reclassified as SCFL and were excluded from a part of our analyses. Among BCL2+ PCFCLs, 60% (9/15) demonstrated a BCL2 break. BCL2-break-positive cases had a tendency to occur in the head and neck and showed the classical phenotype of nodal follicular lymphoma (CD10+, BCL6+, BCL2+, STMN+) compared with BCL2-break-negative PCFCLs. Del 1p36 was observed in 1 PCFCL. No significant clinical differences were observed between BCL2+ or BCL2- PCFCL. In conclusion, we show that a subset of PCFCLs harbor similar genetic alterations, as observed in nodal follicular lymphomas, including BCL2 breaks and 1p36 deletion. As BCL2 protein expression is usually associated with the presence of a BCL2 translocation, fluorescence in situ hybridization should be performed to confirm this hypothesis.
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Affiliation(s)
- Vanessa Szablewski
- *Pathology Department, CHU Montpellier, Gui de Chauliac Hospital, Montpellier †Dermatology Department §Immunology and Hematology Department ¶Pathology Department, AP-HP, Groupe Henri Mondor-Albert Chenevier ‡INSERM, U955 team 9 ∥Medical University, Paris Est Creteil university (UPEC), UMR-S, Créteil, France
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158
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Ingen-Housz-Oro S, Ortonne N, Cordel N, Moroch J, Do-Pham G, Delfau MH, Haioun C, Chosidow O. Epstein-Barr virus-associated B-cell lymphoproliferative disorder in a patient with Sézary syndrome treated by methotrexate. Br J Dermatol 2016; 175:430-3. [PMID: 27031298 DOI: 10.1111/bjd.14602] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- S Ingen-Housz-Oro
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France. .,EA 7379 EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.
| | - N Ortonne
- Pathology Department, AP-HP, Henri Mondor Hospital, Créteil, France.,UPEC Université Paris-Est Créteil, Créteil, France
| | - N Cordel
- Dermatology Department, CHU Pointe à Pitre, Guadeloupe, France
| | - J Moroch
- Pathology Department, AP-HP, Henri Mondor Hospital, Créteil, France
| | - G Do-Pham
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France.,EA 7379 EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France
| | - M H Delfau
- UPEC Université Paris-Est Créteil, Créteil, France.,Biological Immunology and Hematology Department, AP-HP, Henri Mondor Hospital, Créteil, France
| | - C Haioun
- UPEC Université Paris-Est Créteil, Créteil, France.,Lymphoid Malignancies Unit, AP-HP, Henri Mondor Hospital, Créteil, France
| | - O Chosidow
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France.,EA 7379 EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,UPEC Université Paris-Est Créteil, Créteil, France.,INSERM CIC 1430, Créteil, France
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159
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Ghoufi L, Ortonne N, Ingen-Housz-Oro S, Barhoumi W, Begon E, Haioun C, Pautas C, Beckerich F, Robin C, Wolkenstein P, Cordonnier C, Chosidow O, Toma A. Histiocytoid Sweet Syndrome Is More Frequently Associated With Myelodysplastic Syndromes Than the Classical Neutrophilic Variant: A Comparative Series of 62 Patients. Medicine (Baltimore) 2016; 95:e3033. [PMID: 27082547 PMCID: PMC4839791 DOI: 10.1097/md.0000000000003033] [Citation(s) in RCA: 40] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/11/2022] Open
Abstract
Histiocytoid Sweet syndrome (H-SS) is a histological variant of Sweet syndrome (SS) differing from classical neutrophilic SS (N-SS) by a dermal infiltrate mainly composed of lymphocytes and histiocytoid myeloperoxidase-positive cells. We aimed to report a large series of H-SS and compare the frequency and type of hematological malignancies associated to H-SS and N-SS. We included 62 patients with a coding histopathologic diagnosis of SS prospectively registered between 2005 and 2014 in the database of our Department of Pathology. Overall, 22 (35.5%) and 40 (64.5%) patients had a histological diagnosis of H-SS and N-SS, respectively. Median age, sex ratio, and cutaneous lesions were similar in the 2 groups. The frequency of extra-cutaneous manifestations was similar (50% vs 37.5%, P = 0.42). Recurrent forms were significantly more frequent in H-SS than in N-SS patients (21% vs 2.5%, P = 0.01). A hematological malignancy was diagnosed in 22 patients, 12 (55.5%) with H-SS and 10 (25%) with N-SS (P = 0.019). Hematological malignancy was of myeloid origin in 8/22 (36.3%) H-SS and 5/40 (12.5%) N-SS patients (P = 0.02), and of lymphoid origin without myeloid component in 4/22 (18.1%) H-SS and 4/40 (10%) N-SS patients (P = 0.35), respectively. One N-SS patient had a hematological malignancy of mixed (myeloid and lymphoid) phenotype. A myelodysplastic syndrome (MDS) was diagnosed in 7/22 (31.8%) H-SS and 1/40 (2.5%) N-SS patients (P < 0.001). Hematological disease was diagnosed before (in 8 H-SS and 3 N-SS patients) or at the time of the occurrence of the cutaneous lesions (in 1 H-SS and 7 N-SS patients). However, in 3 H-SS patients, all with MDS, cutaneous lesions preceded the hematological disease by ≤6 months. In conclusion, H-SS was associated with MDS in one third of patients but also with lymphoid malignancies, and cutaneous lesions could precede the hematological diagnosis in patients with MDS. A complete hematological assessment is mandatory at diagnosis, and monitoring blood cell counts should be recommended for at least 6 months after the diagnosis of H-SS.
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Affiliation(s)
- Lisa Ghoufi
- From the Department of Dermatology, Assistance-Publique-Hopitaux-de-Paris (AP-HP), Groupe Hospitalier Henri Mondor-Albert Chenevier, Créteil, France (LG, SI-HO, PW, OC); Université Paris-Est Créteil (UPEC) (NO, CH, PW, CC, OC); UMR-S 955, Faculté de Médecine, Hopital Henri Mondor, Créteil, France (NO); Department of Pathology, AP-HP, Groupe Hospitalier Henri Mondor-Albert Chenevier, Créteil, France (NO); Department of Hematology, AP-HP, Groupe Hospitalier Henri Mondor-Albert Chenevier, Créteil, France (WB, CP, FB, CR, CC, AT); Department of Dermatology, Centre Hospitalier René Dubos, Pontoise, France (EB); and Lymphoid Malignancies Unit, AP-HP, Groupe Hospitalier Henri Mondor-Albert Chenevier, Créteil, France (CH)
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160
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Ingen-Housz-Oro S, Ortonne N. [Surface membrane markers (clusters of differentiation) used in dermatopathology (2): Inflammatory infiltrates]. Ann Dermatol Venereol 2016; 143:311-7. [PMID: 26988384 DOI: 10.1016/j.annder.2016.01.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2015] [Revised: 01/05/2016] [Accepted: 01/29/2016] [Indexed: 10/22/2022]
Affiliation(s)
- S Ingen-Housz-Oro
- Service de dermatologie, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France.
| | - N Ortonne
- Département de pathologie, hôpital Henri-Mondor, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
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161
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Sbidian E, Hotz C, Seneschal J, Maruani A, Amelot F, Aubin F, Paul C, Beylot Barry M, Humbert P, Dupuy A, Caux F, Dupin N, Modiano P, Lepesant P, Ingen-Housz-Oro S, Mahé E, Bachelez H, Chosidow O, Wolkenstein P. Antitumour necrosis factor-α therapy for hidradenitis suppurativa: results from a national cohort study between 2000 and 2013. Br J Dermatol 2015; 174:667-70. [PMID: 26406350 DOI: 10.1111/bjd.14199] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- E Sbidian
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France. .,INSERM, Centre d'Investigation Clinique 1430, Créteil, F-94010, France. .,EA 7379 EpiDermE, UPEC, Université Paris-Est Créteil, Créteil, F-94010, France.
| | - C Hotz
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France
| | - J Seneschal
- Département de Dermatologie, Centre de Référence des Maladies Cutanées Rares, INSERM U1035, Université de Bordeaux, Hôpital Saint-André, Bordeaux, F-33000, France
| | - A Maruani
- Service de Dermatologie, Hôpitaux Universitaires de Tours, Hôpital Trousseau, Université François Rabelais, Tours, F-37000, France
| | - F Amelot
- Département de Dermatologie, UMR CNRS 5165, INSERM 1056, Université Paul Sabatier, Hôpitaux Universitaires de Toulouse, Toulouse, F-31000, France
| | - F Aubin
- EA 3181, SFR4234, Département de Dermatologie, Centre Hospitalier Universitaire, Université de Franche Comté, Besançon, F-25000, France
| | - C Paul
- Département de Dermatologie, UMR CNRS 5165, INSERM 1056, Université Paul Sabatier, Hôpitaux Universitaires de Toulouse, Toulouse, F-31000, France
| | - M Beylot Barry
- Département de Dermatologie, Centre Hospitalier Universitaire, Hôpital du Haut Lévêque, Université de Bordeaux EA 2406, Pessac, F-33600, France
| | - P Humbert
- Département de Dermatologie, INSERM U1098, SFR4234, Centre Hospitalier Universitaire, Université de Franche Comté, Besançon, F-25000, France
| | - A Dupuy
- Département de Dermatologie, INSERM CIC 1414, Centre Hospitalier Universitaire de Rennes, Hôpital Pontchaillou, Université de Rennes 1, Rennes, F-35000, France
| | - F Caux
- AP-HP, Département de Dermatologie, Centre de Référence MAGEC, Université Paris 13, Hôpitaux Universitaires Avicenne, Bobigny, F-93000, France
| | - N Dupin
- AP-HP, Département de Dermatologie, Université Paris Descartes Paris V, Hôpitaux Universitaires Cochin, Paris, F-75014, France
| | - P Modiano
- GHICL, Département de Dermatologie, Hôpital Saint-Vincent-de-Paul, Lille, F-59000, France
| | - P Lepesant
- GHICL, Département de Dermatologie, Hôpital Saint-Vincent-de-Paul, Lille, F-59000, France
| | - S Ingen-Housz-Oro
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France.,EA 7379 EpiDermE, UPEC, Université Paris-Est Créteil, Créteil, F-94010, France
| | - E Mahé
- Département de Dermatologie, Hôpital Victor Dupouy, Argenteuil, F-95100, France
| | - H Bachelez
- Sorbonne Paris Cité, Service de Dermatologie, AP-HP, Hôpital Saint-Louis, Université Paris Diderot, Paris, F-75010, France
| | - O Chosidow
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France.,INSERM, Centre d'Investigation Clinique 1430, Créteil, F-94010, France.,EA 7379 EpiDermE, UPEC, Université Paris-Est Créteil, Créteil, F-94010, France
| | - P Wolkenstein
- AP-HP, Département de Dermatologie, UPEC, Hôpitaux Universitaires Henri Mondor, Créteil, F-94010, France.,EA 7379 EpiDermE, UPEC, Université Paris-Est Créteil, Créteil, F-94010, France
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162
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Vuong V, Duong TA, Aouizerate J, Authier FJ, Ingen-Housz-Oro S, Valeyrie-Allanore L, Ortonne N, Wolkenstein P, Gherardi RK, Chosidow O, Cosnes A, Sbidian E. Dermatomyositis: factors predicting relapse. J Eur Acad Dermatol Venereol 2015; 30:813-8. [PMID: 26670098 DOI: 10.1111/jdv.13516] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Accepted: 10/02/2015] [Indexed: 11/28/2022]
Abstract
BACKGROUND The course of dermatomyositis (DM) can be chronic with relapses, which are associated with major morbidity. OBJECTIVE The aim of this study was to identify presentation features that predict DM relapses. METHODS We retrospectively reviewed data of patients with DM recorded from 1990 to 2011, including muscle biopsy results. Characteristics of patients with and without relapses were compared. Hazard ratios (HRs) were estimated using a Cox model. RESULTS We identified 34 patients, with a mean age of 46 ± 17 years (range, 18-77) and 24 (71%) women. The muscle and skin abnormalities relapsed in 21 (61%) patients. By univariate analysis, two presentation features were significantly associated with a subsequently relapsing course, namely, dysphonia [HR = 3.2 (1.2-8.5)] and greater skin lesion severity defined as a Cutaneous Disease Area Severity Index [CDASI] > 20 [HR = 3.5 (1.2-7.9)]. CONCLUSION Dysphonia and skin lesion severity at disease onset must be recorded, as they significantly predict a relapsing disease course.
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Affiliation(s)
- V Vuong
- AP-HP, DHU-VIC, Service de Dermatologie, Hôpitaux universitaires Henri Mondor, Créteil, France
| | - T A Duong
- AP-HP, DHU-VIC, Service de Dermatologie, Hôpitaux universitaires Henri Mondor, Créteil, France
| | - J Aouizerate
- AP-HP, Département de Pathologie, Centre de référence des pathologies neuromusculaires, Hôpitaux universitaires Henri Mondor, Créteil, France.,Université Paris Est, IMRB, INSERM U955-Unité 10, Créteil, France
| | - F J Authier
- AP-HP, Département de Pathologie, Centre de référence des pathologies neuromusculaires, Hôpitaux universitaires Henri Mondor, Créteil, France.,Université Paris Est, IMRB, INSERM U955-Unité 10, Créteil, France
| | - S Ingen-Housz-Oro
- AP-HP, DHU-VIC, Service de Dermatologie, Hôpitaux universitaires Henri Mondor, Créteil, France.,Université Paris Est, IMRB, EA 7379 EpiDermE, Créteil, France
| | - L Valeyrie-Allanore
- AP-HP, DHU-VIC, Service de Dermatologie, Hôpitaux universitaires Henri Mondor, Créteil, France.,Université Paris Est, IMRB, EA 7379 EpiDermE, Créteil, France
| | - N Ortonne
- AP-HP, Département de Pathologie, Centre de référence des pathologies neuromusculaires, Hôpitaux universitaires Henri Mondor, Créteil, France
| | - P Wolkenstein
- AP-HP, DHU-VIC, Service de Dermatologie, Hôpitaux universitaires Henri Mondor, Créteil, France.,Université Paris Est, IMRB, EA 7379 EpiDermE, Créteil, France
| | - R K Gherardi
- AP-HP, Département de Pathologie, Centre de référence des pathologies neuromusculaires, Hôpitaux universitaires Henri Mondor, Créteil, France.,Université Paris Est, IMRB, INSERM U955-Unité 10, Créteil, France
| | - O Chosidow
- AP-HP, DHU-VIC, Service de Dermatologie, Hôpitaux universitaires Henri Mondor, Créteil, France.,Université Paris Est, IMRB, EA 7379 EpiDermE, Créteil, France.,Université Paris Est, INSERM, CIC 1430, Créteil, France
| | - A Cosnes
- AP-HP, DHU-VIC, Service de Dermatologie, Hôpitaux universitaires Henri Mondor, Créteil, France
| | - E Sbidian
- AP-HP, DHU-VIC, Service de Dermatologie, Hôpitaux universitaires Henri Mondor, Créteil, France.,Université Paris Est, IMRB, EA 7379 EpiDermE, Créteil, France.,Université Paris Est, INSERM, CIC 1430, Créteil, France
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163
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Cordel N, Tressières B, D'Incan M, Machet L, Grange F, Estève É, Dalac S, Ingen-Housz-Oro S, Bagot M, Beylot-Barry M, Joly P. Frequency and Risk Factors for Associated Lymphomas in Patients With Lymphomatoid Papulosis. Oncologist 2015; 21:76-83. [PMID: 26668250 DOI: 10.1634/theoncologist.2015-0242] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Accepted: 10/09/2015] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Lymphomatoid papulosis (LyP) is classified as an indolent cutaneous lymphoma, but outcome dramatically worsens if LyP is associated with lymphoma. The frequency of this association remains unclear in the literature. Here, we assess the frequency and risk factors of association between LyP and another lymphoma in an 11-year retrospective study conducted in 8 dermatology departments belonging to the French Study Group on Cutaneous Lymphoma (FSGCL). PATIENTS AND METHODS Patients with LyP were identified and data extracted from the FSGCL registry between 1991 and 2006. Patients were followed up to January 2014. Age, sex, number of skin lesions, histologic subtype, and genotype were recorded at baseline. Risk factors were determined using univariate and multivariate analysis. Cumulative probability of association was calculated using the Kaplan-Meier method. RESULTS We observed 52 cases of lymphomas (cutaneous, n = 38; systemic, n = 14) in 44 of 106 patients (41%). Lymphoma diagnosis was concomitant with or prior to LyP diagnosis in 31 cases and occurred during the course of LyP in 21 cases (cutaneous, n = 14; systemic, n = 7; median delay: 5 years; interquartile range: 1.5-7 years). In multivariate analysis, main prognostic factors for association between LyP and another lymphoma were older age (odds ratio [OR]: 1.05 per year; 95% confidence interval [CI]: 1.01-1.08; p = .011) and presence of a T-cell clone in LyP lesions (OR: 7.55; 95% CI: 2.18-26.18; p = .001). CONCLUSION Older age and presence of a T-cell clone in LyP lesions are risk factors for associated lymphomas in patients with LyP. These findings should help to identify patients who require close management in clinical practice. IMPLICATIONS FOR PRACTICE The management of lymphomatoid papulosis (LyP) is that of an indolent cutaneous lymphoma, based on its excellent prognosis. However, this good prognosis is altered if LyP is associated with lymphoma. Furthermore, risk factors for and frequency of this association remain unclear in the literature. The results presented here demonstrate a high rate of association between LyP and other lymphomas (41%) as well as a long median delay of occurrence (5 years), which emphasizes the need for prolonged follow-up of patients with LyP. Moreover, two main risk factors (i.e., older age and presence of a T-cell clone in LyP lesions) are highlighted, which should help clinical practitioners to identify patients who require close management.
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Affiliation(s)
- Nadège Cordel
- Unit of Dermatology and Internal Medicine, Guadeloupe University Hospital and EA 4546, Antilles University, Pointe-à-Pitre, Guadeloupe
| | - Benoît Tressières
- Centre d'investigation clinique Antilles-Guyane, INSERM CIC 1424, Pointe-à-Pitre, Guadeloupe
| | - Michel D'Incan
- Department of Dermatology, Clermont-Ferrand University Hospital, University of Auvergne, Clermond-Ferrand, France
| | - Laurent Machet
- Department of Dermatology, Tours University Hospital and François Rabelais University, Tours, France
| | - Florent Grange
- Department of Dermatology, Robert Debré Hospital and EA 7319, University of Reims Champagne-Ardennes, Reims, France
| | - Éric Estève
- Department of Dermatology, Orléans Regional Hospital, Orléans, France
| | - Sophie Dalac
- Department of Dermatology, Dijon University Hospital, Dijon, France
| | | | - Martine Bagot
- Department of Dermatology, Paris University Hospitals-St Louis and INSERM U 976, Denis Diderot University, Sorbonne Paris Cité, Paris, France
| | - Marie Beylot-Barry
- Department of Dermatology, Bordeaux University Hospital and EA 2406, University of Bordeaux, Bordeaux, France
| | - Pascal Joly
- Department of Dermatology, Rouen University Hospital and INSERM U 519, Institute for Research and Innovation in Biomedicine, Rouen University, Rouen, Normandy, France
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164
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Hebert V, Boulard C, Houivet E, Duvert Lehembre S, Borradori L, Della Torre R, Feliciani C, Fania L, Zambruno G, Camaioni D, Didona B, Marinovic B, Schmidt E, Schumacher N, Hünefeld C, Schanz S, Johannes Steffen Kern J, Hofmann S, Bouyeure A, Picard-Dahan C, Prost-Squarcioni C, Caux F, Alexandre M, Ingen-Housz-Oro S, Bagot M, Tancrede-Bohin E, Bouaziz J, Franck N, Vabres P, Labeille B, Aleth Richard M, Delaporte E, Dupuy A, D’Incan M, Quereux G, Skowron F, Paul C, Bulai Livideanu C, Beylot-Barry M, Doutre M, Avenel-Audran M, Bedane C, Bernard P, Machet L, Maillard H, Jullien D, Debarbieux S, Sassolas B, Misery L, Abasq C, Dereure O, Lagoutte P, Ferranti V, Werth V, Murrell D, Hertl M, Benichou J, Joly P. Reproductibilité inter-observateur des scores de sévérité du pemphigus ABSIS et PDAI. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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165
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Houivet E, Hebert V, Boulard C, Vaillant M, Duvert Lehembre S, Borradori L, Della Torre R, Feliciani C, Fania L, Zambruno G, Camaioni D, Didona B, Marinovic B, Schmidt E, Schumacher N, Hünefeld C, Schanz S, Johannes Steffen Kern J, Hofmann S, Bouyeure A, Picard-Dahan C, Prost-Squarcioni C, Caux F, Alexandre M, Ingen-Housz-Oro S, Bagot M, Tancrede-Bohin E, Bouaziz J, Franck N, Vabres P, Labeille B, Aleth Richard M, Delaporte E, Dupuy A, D’Incan M, Quereux G, Skowron F, Paul C, Bulai Livideanu C, Beylot-Barry M, Doutre M, Avenel-Audran M, Bedane C, Bernard P, Machet L, Maillard H, Jullien D, Debarbieux S, Sassolas B, Misery L, Abasq C, Dereure O, Lagoutte P, Ferranti V, Werth V, Murrell D, Hertl M, Benichou J, Joly P. Corrélation entre les scores de sévérité clinique (ABSIS, PDAI, PGA), la qualité de vie (DLQI) et les taux d’Ac anti-desmogléine 1 et 3 dans le suivi du pemphigus. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
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166
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Affiliation(s)
- Saskia Ingen-Housz-Oro
- Service de Dermatologie, AP-HP, Henri Mondor Hospital, Créteil, France EA 7379-EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), Créteil, France
| | - Françoise Foulet
- Laboratoire de Mycologie, AP-HP, Henri Mondor Hospital Université Paris-Est Val de Marne Créteil UPEC, Créteil
| | - Olivier Chosidow
- Service de Dermatologie, AP-HP, Henri Mondor Hospital, Créteil, France EA 7379-EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), Créteil, France Université Paris-Est Val de Marne Créteil UPEC, Créteil Centre d'Investigation Clinique 1430, AP-HP, Créteil
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167
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Thai LH, Ingen-Housz-Oro S, Godeau B, Rethers L, Wolkenstein P, Limal N, Papillon V, Kapfer J, Chosidow O, Ortonne N. Kikuchi Disease-Like Inflammatory Pattern in Cutaneous Inflammatory Infiltrates Without Lymph Node Involvement: A New Clue for the Diagnosis of Lupus? Medicine (Baltimore) 2015; 94:e2065. [PMID: 26579818 PMCID: PMC4652827 DOI: 10.1097/md.0000000000002065] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Kikuchi-Fujimoto disease (KFD) is a rare and benign disorder that usually occurs in young adults with enlarged lymph nodes containing infiltrate of cytotoxic T cells and nuclear debris. It can be a manifestation of systemic lupus erythematosus (SLE) although the strength of this association has varied among studies. Although specific KFD cutaneous lesions are well described, pure cutaneous lesions have never been reported. We studied a series of patients prospectively entered into a database between 2007 and 2014 with skin biopsies showing diffuse or localized inflammatory infiltrates reminiscent of cutaneous KFD, without lymph-node-related KFD. We called these skin lesions "Kikuchi disease-like inflammatory pattern" (KLIP). Twenty-nine patients, whose median age was 49 years at the time of skin biopsy, were selected and retrospectively analyzed using standardized clinical and histology charts. In skin biopsies, KLIP was localized to restricted areas within the inflammatory infiltrate (17%) or diffuse (83%), and was the only histological finding (45%) or accompanied interface dermatitis with or without dermal mucinosis (55%). Clinical dermatological findings varied widely. A definite diagnosis could be established for 24 patients: 75% had connective tissue diseases or vasculitis, mainly cutaneous lupus erythematosus (CLE) (n = 16, 67%), including 5 SLE with satisfying American College of Rheumatology criteria; 3 of the remaining patients had malignant hemopathies. CLE patients were mostly young females with acute (n = 5), subacute (n = 4), or chronic CLE (n = 6) or lupus tumidus (n = 1). Two were classified as having anti-tumor necrosis factor-alpha-induced lupus. Because two-thirds of these patients were finally diagnosed with CLE, we think that KLIP may represent a new histopathological clue for the diagnosis of lupus based on skin biopsy, requiring clinical-immunological comparison to make the correct diagnosis. KLIP should not be considered a variant of classical KFD, but rather as an elementary pattern of cutaneous inflammation, that might be the expression of the same cytotoxic process within skin infiltrates as that involved in KFD. This lesion might reflect a particular T-cell-mediated autoimmune process directed against mononuclear cells within cutaneous lupus infiltrates.
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Affiliation(s)
- Lan-Huong Thai
- From the Department of Internal Medicine (L-HT, BG, NL); Department of Dermatology (SI-H-O, PW, OC); Department of Pathology (NO), AP-HP, CHU Henri-Mondor, UPEC University; EA EpiDermE (Epidemiology in Dermatology and Evaluation of Therapeutics), INSERM, CIC 1430 (SI-H-O, PW, OC); INSERM U955 team 9, Créteil (NO); C. Cap Orléans Laboratory, Orléans (LR, JK); and Department of Dermatology, CHG de Dreux, Dreux, France (VP)
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168
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Kottler D, Barète S, Quéreux G, Ingen-Housz-Oro S, Fraitag S, Ortonne N, Deschamps L, Rybojad M, Flageul B, Crickx B, Janin A, Bagot M, Battistella M. Retrospective Multicentric Study of 25 Kimura Disease Patients: Emphasis on Therapeutics and Shared Features with Cutaneous IgG4-Related Disease. Dermatology 2015; 231:367-77. [DOI: 10.1159/000439346] [Citation(s) in RCA: 32] [Impact Index Per Article: 3.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2015] [Accepted: 08/11/2015] [Indexed: 11/19/2022] Open
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169
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Hurabielle C, Ingen-Housz-Oro S, Ortonne N, Cornillet-Lefèbvre P, Merah A, D'Incan M, Joly P, Franck N, Estève E, Maubec E, Grange F, Machet L, Laroche L, Barete S, Dalac S, Mortier L, Michel C, Quereux G, Saiag P, Ram-Wolff C, Lenormand B, Wechsler J, Bastuji-Garin S, Bagot M, Delfau-Larue M. Frequency and prognostic value of cutaneous molecular residual disease in mycosis fungoides: a prospective multicentre trial of the Cutaneous Lymphoma French Study Group. Br J Dermatol 2015; 173:1015-23. [DOI: 10.1111/bjd.14017] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/29/2015] [Indexed: 11/27/2022]
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170
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Hirsch G, Ingen-Housz-Oro S, Fite C, Valeyrie-Allanore L, Ortonne N, Buffard V, Verlinde-Carvalho M, Marinho E, Martinet J, Grootenboer-Mignot S, Descamps V, Wolkenstein P, Joly P, Chosidow O. Rituximab, a new treatment for difficult-to-treat chronic erythema multiforme major? Five cases. J Eur Acad Dermatol Venereol 2015; 30:1140-3. [PMID: 26369288 DOI: 10.1111/jdv.13313] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2015] [Accepted: 06/24/2015] [Indexed: 12/11/2022]
Abstract
BACKGROUND Erythema multiforme major (EMM) is an inflammatory disease affecting skin and mucosae, often triggered by infection with Herpes simplex virus. Some patients have a chronic disease associated with antidesmoplakin autoantibodies, but the pathophysiology remains to be elucidated. First-line treatment is antiviral therapy. With treatment failure or in patients without herpes-triggered disease, thalidomide is effective but has neurological side-effects. Alternatives (dapsone, immunosuppressant agents) are not codified. For many patients, systemic steroids use is chronic. The immunosuppressant drug rituximab (RTX) may be effective. OBJECTIVES We report five cases of severe chronic EMM treated with rituximab (RTX). METHODS Five patients with severe chronic EMM for 9-20 years received RTX after failure or side-effects of several treatments, especially antiviral therapy and thalidomide. All had chronic use of steroids. Four patients had antidesmoplakin autoantibodies. RESULTS Four patients experienced complete or quasi-complete remission of EMM with withdrawal of steroids and one patient partial remission, for 3-11 months. Disease relapsed in all patients, and three received a second cycle of RTX with shorter duration of efficacy. Two patients received a third cycle, one without efficacy. CONCLUSION The use of RTX for many autoimmune diseases, especially pemphigus, is increasing. Chronic EMM, especially EMM associated to antidesmoplakin autoantibodies, is an inflammatory disease in which the role of B cells is not well understood. However, we report a favourable benefit of RTX treatment for months in five patients with severe disease. RTX could be a therapeutic option in severe, difficult-to-treat EMM.
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Affiliation(s)
- G Hirsch
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - S Ingen-Housz-Oro
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France.,EA EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,Referral center for auto-immune and toxic blistering diseases, Paris, Créteil, France
| | - C Fite
- Referral center for auto-immune and toxic blistering diseases, Paris, Créteil, France.,Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Bichat Hospital, Paris, France
| | - L Valeyrie-Allanore
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France.,EA EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,Referral center for auto-immune and toxic blistering diseases, Paris, Créteil, France
| | - N Ortonne
- Department of Pathology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France.,UPEC Université Paris-Est Créteil, Créteil, France
| | - V Buffard
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - M Verlinde-Carvalho
- Pharmacy, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - E Marinho
- Department of Pathology, Assistance Publique-Hôpitaux de Paris, Bichat Hospital, Paris, France
| | - J Martinet
- Department of Immunology, Rouen University Hospital, Rouen, France.,Normandie University, IRIB, Rouen, France.,INSERM, U905, Rouen, France
| | - S Grootenboer-Mignot
- Referral center for auto-immune and toxic blistering diseases, Paris, Créteil, France.,Department of Immunology, Assistance Publique-Hôpitaux de Paris, Bichat Hospital, Paris, France
| | - V Descamps
- Referral center for auto-immune and toxic blistering diseases, Paris, Créteil, France.,Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Bichat Hospital, Paris, France
| | - P Wolkenstein
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France.,EA EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,Referral center for auto-immune and toxic blistering diseases, Paris, Créteil, France.,UPEC Université Paris-Est Créteil, Créteil, France
| | - P Joly
- Department of Dermatology, Charles Nicolle Hospital, Rouen, France
| | - O Chosidow
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France.,EA EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,Referral center for auto-immune and toxic blistering diseases, Paris, Créteil, France.,UPEC Université Paris-Est Créteil, Créteil, France.,INSERM CIC 1430, Créteil, France
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171
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Laly P, Ingen-Housz-Oro S, Beylot-Barry M, Verneuil L, Adamski H, Brice P, Bagot M. Efficacy of Vinblastine in Primary Cutaneous Anaplastic Large Cell Lymphoma. JAMA Dermatol 2015; 151:1030-1. [DOI: 10.1001/jamadermatol.2015.1357] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Pauline Laly
- Department of Dermatology, Assistance Publique–Hôpitaux de Paris, Saint-Louis Hospital, Paris, France
| | - Saskia Ingen-Housz-Oro
- Department of Dermatology, Assistance Publique–Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - Marie Beylot-Barry
- Department of Dermatology, Bordeaux University Hospital, Bordeaux, France
| | | | - Henri Adamski
- Department of Dermatology, Rennes University Hospital, Rennes, France
| | - Pauline Brice
- Department of Haematology, Assistance Publique–Hôpitaux de Paris, Saint-Louis Hospital, Paris, France
| | - Martine Bagot
- Department of Dermatology, Assistance Publique–Hôpitaux de Paris, Saint-Louis Hospital, Paris, France7Department of Dermatology, Université Sorbonne, Paris, France
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172
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Ingen-Housz-Oro S, Sbidian E, Ortonne N, Poirier E, Chosidow O, Wolkenstein P. Pemphigoid gestationis revealing a denial of pregnancy. J Eur Acad Dermatol Venereol 2015; 30:1411-3. [PMID: 26299950 DOI: 10.1111/jdv.13257] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- S Ingen-Housz-Oro
- Department of Dermatology, AP-HP, Hôpital Henri Mondor, Créteil, France.,EA EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France
| | - E Sbidian
- Department of Dermatology, AP-HP, Hôpital Henri Mondor, Créteil, France.,EA EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,Université Paris-Est Créteil, Créteil, France
| | - N Ortonne
- Université Paris-Est Créteil, Créteil, France.,Department of Pathology, AP-HP, Hôpital Henri Mondor, Créteil, France
| | - E Poirier
- Department of Dermatology, AP-HP, Hôpital Henri Mondor, Créteil, France
| | - O Chosidow
- Department of Dermatology, AP-HP, Hôpital Henri Mondor, Créteil, France.,EA EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,Université Paris-Est Créteil, Créteil, France.,INSERM CIC 1430, Créteil, France
| | - P Wolkenstein
- Department of Dermatology, AP-HP, Hôpital Henri Mondor, Créteil, France.,EA EpiDermE (Epidémiologie en Dermatologie et Evaluation des Thérapeutiques), UPEC, Créteil, France.,Université Paris-Est Créteil, Créteil, France
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173
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Ingen-Housz-Oro S, Leprince P, Ortonne N, Cluzel P, Gautier MS, Wolkenstein P, Caumes E. Nodules on a sternotomy scar. Lancet Infect Dis 2015; 15:986. [PMID: 26227768 DOI: 10.1016/s1473-3099(15)00173-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/14/2014] [Revised: 11/30/2014] [Accepted: 12/02/2014] [Indexed: 10/23/2022]
Affiliation(s)
| | - Pascal Leprince
- Department of Cardiac and Thoracic Surgery, AP-HP, Pitié-Salpêtrière Hospital, Paris, France
| | - Nicolas Ortonne
- Department of Pathology, AP-HP, Hôpital Henri Mondor, Créteil, France; UPEC Université Paris-Est Créteil Val de Marne, Créteil, France
| | - Philippe Cluzel
- Department of Radiology, AP-HP, Pitié-Salpêtrière Hospital, Paris, France
| | | | - Pierre Wolkenstein
- Department of Dermatology, AP-HP, Hôpital Henri Mondor, Créteil, France; UPEC Université Paris-Est Créteil Val de Marne, Créteil, France
| | - Eric Caumes
- Department of Infectious and Tropical Diseases, AP-HP, Pitié-Salpêtrière Hospital, Paris, France; UPMC Université Paris 06, Paris, France
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174
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Ingen-Housz-Oro S, Ortonne N. [Surface membrane markers (clusters of differentiation) used in dermatopathology (1): The lymphocyte markers]. Ann Dermatol Venereol 2015; 142:598-606. [PMID: 26169897 DOI: 10.1016/j.annder.2015.04.167] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2015] [Revised: 04/07/2015] [Accepted: 04/24/2015] [Indexed: 12/22/2022]
Affiliation(s)
- S Ingen-Housz-Oro
- Service de dermatologie, hôpital Henri-Mondor, AP-HP, 51, avenue du Maréchal-de Lattre-de-Tassigny, 94010 Créteil, France.
| | - N Ortonne
- Département de pathologie, hôpital Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
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175
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Bernardeschi C, Foulet F, Ingen-Housz-Oro S, Ortonne N, Sitbon K, Quereux G, Lortholary O, Chosidow O, Bretagne S. Cutaneous Invasive Aspergillosis: Retrospective Multicenter Study of the French Invasive-Aspergillosis Registry and Literature Review. Medicine (Baltimore) 2015; 94:e1018. [PMID: 26131805 PMCID: PMC4504535 DOI: 10.1097/md.0000000000001018] [Citation(s) in RCA: 48] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Invasive aspergillosis (IA) has poor prognosis in immunocompromised patients. Skin manifestations, when present, should contribute to an early diagnosis. The authors aimed to provide prevalence data and a clinical and histologic description of cutaneous manifestations of primary cutaneous IA (PCIA) and secondary CIA (SCIA) in a unique clinical series of IA and present the results of an exhaustive literature review of CIA. Cases of proven and probable IA with cutaneous manifestations were retrospectively extracted from those registered between 2005 and 2010 in a prospective multicenter aspergillosis database held by the National Reference Center for Invasive Mycoses and Antifungals, Pasteur Institute, France. Patients were classified as having PCIA (i.e., CIA without extracutaneous manifestations) or SCIA (i.e., disseminated IA). Among the 1,410 patients with proven or probable IA, 15 had CIA (1.06%), 5 PCIA, and 10 SCIA. Hematological malignancies were the main underlying condition (12/15). Patients with PCIA presented infiltrated and/or suppurative lesions of various localizations not related to a catheter site (4/5), whereas SCIA was mainly characterized by disseminated papules and nodules but sometimes isolated nodules or cellulitis. Histologic data were available for 11 patients, and for 9, similar for PCIA and SCIA, showed a dense dermal polymorphic inflammatory infiltrate, with the epidermis altered in PCIA only. Periodic acid Schiff and Gomori-Grocott methenamine silver nitrate staining for all but 2 biopsies revealed hyphae compatible with Aspergillus. Aspergillus flavus was isolated in all cases of PCIA, with Aspergillus fumigatus being the most frequent species (6/10) in SCIA. Two out 5 PCIA cases were treated surgically. The 3-month survival rate was 100% and 30% for PCIA and SCIA, respectively. Our study is the largest adult series of CIA and provides complete clinical and histologic data for the disease. Primary cutaneous IA should be recognized early, and cases of extensive necrosis should be treated surgically; its prognosis markedly differs from that for SCIA. Any suppurative, necrotic, papulonodular, or infiltrated skin lesion in an immunocompromised patient should lead to immediate biopsy for histologic analysis and mycological skin direct examination and culture.
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Affiliation(s)
- Céline Bernardeschi
- Dermatology Department, UPEC (CB, SI-H-O, OC); Mycology and Parasitology Department (FF); Pathology Department, AP-HP, Henri Mondor Hospital, Créteil (NO); Pasteur Institute, National Reference Center for Invasive Mycoses and Antifungals, Paris (KS, OL, SB); Skin Cancer Unit, Nantes University Hospital (GQ); Infectious Diseases and Tropical Medicine Department, AP-HP, Necker-Enfants malades Hospital, Necker-Pasteur Infectious Diseases Center, IHU Imagine, Paris (OL); Université Paris Descartes (NO, OL); Université Paris-Est-Créteil UPEC, Créteil (OC); Mycology and Parasitology Department, AP-HP, Saint Louis Hospital, Paris (SB); Université Paris Diderot (SB); INSERM Centre d'Investigation Clinique, Créteil, (OC); and EA EpidermE, UPEC, Créteil, France (SI-H-O, OC)
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176
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Henn A, Michel L, Fite C, Deschamps L, Ortonne N, Ingen-Housz-Oro S, Marinho E, Beylot-Barry M, Bagot M, Laroche L, Crickx B, Maubec E. Sézary syndrome without erythroderma. J Am Acad Dermatol 2015; 72:1003-9.e1. [DOI: 10.1016/j.jaad.2014.11.015] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2014] [Revised: 11/10/2014] [Accepted: 11/11/2014] [Indexed: 10/23/2022]
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177
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Fauconneau A, Pham-Ledard A, Cappellen D, Frison E, Prochazkova-Carlotti M, Parrens M, Dalle S, Joly P, Viraben R, Franck F, Ingen-Housz-Oro S, Giacchero D, Jullié ML, Vergier B, Merlio JP, Beylot-Barry M. Assessment of diagnostic criteria between primary cutaneous anaplastic large-cell lymphoma and CD30-rich transformed mycosis fungoides; a study of 66 cases. Br J Dermatol 2015; 172:1547-1554. [DOI: 10.1111/bjd.13690] [Citation(s) in RCA: 44] [Impact Index Per Article: 4.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/18/2015] [Indexed: 11/30/2022]
Affiliation(s)
- A. Fauconneau
- Department of Dermatology; Hôpital Haut Lévêque; Avenue de Magellan; 33604 PESSAC France
| | - A. Pham-Ledard
- Department of Dermatology; Hôpital Haut Lévêque; Avenue de Magellan; 33604 PESSAC France
- EA2406 Histology and Molecular Pathology of Tumors; Université de Bordeaux; Bordeaux France
| | - D. Cappellen
- EA2406 Histology and Molecular Pathology of Tumors; Université de Bordeaux; Bordeaux France
| | - E. Frison
- Pole de Sante Publique; Service d'information Médicale; CHU Bordeaux; Bordeaux France
| | | | - M. Parrens
- EA2406 Histology and Molecular Pathology of Tumors; Université de Bordeaux; Bordeaux France
- Department of Pathology; CHU Bordeaux; Bordeaux France
| | - S. Dalle
- Centre de Recherche en Cancérologie de Lyon; Université Claude Bernard Lyon 1; Hospices Civils de Lyon; Lyon France
| | - P. Joly
- Department of Dermatology; CHU Rouen; Rouen France
| | - R. Viraben
- Department of Dermatology; CHU Toulouse; Toulouse France
| | - F. Franck
- Department of Pathology; CHU Clermont-Ferrand; Université d'Auvergne; Clermont-Ferrand France
| | | | - D. Giacchero
- Department of Dermatology; CHU Nice; Nice France
| | - M.-L. Jullié
- Department of Pathology; CHU Bordeaux; Bordeaux France
| | - B. Vergier
- EA2406 Histology and Molecular Pathology of Tumors; Université de Bordeaux; Bordeaux France
- Department of Pathology; CHU Bordeaux; Bordeaux France
| | - J.-P. Merlio
- EA2406 Histology and Molecular Pathology of Tumors; Université de Bordeaux; Bordeaux France
- Tumor Bank and Department of Tumor Biology; CHU Bordeaux; Bordeaux France
| | - M. Beylot-Barry
- Department of Dermatology; Hôpital Haut Lévêque; Avenue de Magellan; 33604 PESSAC France
- EA2406 Histology and Molecular Pathology of Tumors; Université de Bordeaux; Bordeaux France
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178
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Bequignon E, Duong TA, Sbidian E, Valeyrie-Allanore L, Ingen-Housz-Oro S, Chatelin V, Coste A, Wolkenstein P, Chosidow O, Papon JF. Stevens-Johnson syndrome and toxic epidermal necrolysis: ear, nose, and throat description at acute stage and after remission. JAMA Dermatol 2015; 151:302-7. [PMID: 25671761 DOI: 10.1001/jamadermatol.2014.4844] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
IMPORTANCE Ear, nose, and throat (ENT) lesions are frequently involved in Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN), although a detailed description is lacking in the literature. OBJECTIVES To describe ENT lesions at the acute stage and follow-up in a large series of patients with SJS/TEN and identify factors associated with the severe ENT form. DESIGN, SETTING, AND PARTICIPANTS Retrospective study of 49 patients with SJS/TEN hospitalized in a referral care center from 2005 to 2010. Patients who underwent a full ENT workup including examination and a nasal fiberoptic endoscopy by an otorhinolaryngologist in the acute phase and during follow-up at 2 and 12 months were included in the study. MAIN OUTCOMES AND MEASURES Recorded variables included maximal body surface area (BSA) detachment, SCORTEN (Score of Toxic Epidermal Necrosis [a severity of illness score]), sites and type of ENT mucosal lesions, intensive care unit transfer, pulmonary infection, and mortality. "Severe ENT form" was defined by the occurrence of laryngeal lesions with the risk of airways obstruction. Clinical characteristics associated with severe ENT form were analyzed in univariate and multivariable analysis. RESULTS Of the 49 patients who underwent a full ENT workup (female to male ratio, 1.1:1), ENT symptoms (eg, odynophagia, dysphagia, dysphonia, dyspnea, earache, nasal obstruction) occurred in 48 (98%). Dyspnea or dysphonia were significantly associated with severe ENT form (21% [P = .03] and 50% [P < .001], respectively). Topographic frequencies of lesions were as followed: lips and oral cavity (n = 46 [93%]) and pharynx and vestibule of the nose (n = 26 [53%]). Fourteen patients (29%) had severe ENT form. Findings for other recorded variables for those with vs without ENT examination are as follows: maximal BSA detachment (20% [0%-95%] vs 5.5% [0%-95%]; P = .004), SCORTEN (1 [0-5] vs 1 [0-5]; P = .54), intensive care unit transfer (10 [20%] vs 9 [19%]; P = .80), pulmonary infection (9 [18%] vs 6 [13%]; P = .10), and mortality (3 [6%] vs 5 [10%]; P = .70). In multivariable analysis, pulmonary infection was significantly associated with severe ENT form (odds ratio, 5.9 [95% CI, 1.1-32.8] [P = .04]). After remission of SJS/TEN, a complete ENT mucosal healing occurred in 36 patients (74%) at 2 months and in nearly all patients (n = 48 [98%]) at 1 year of follow-up. CONCLUSIONS AND RELEVANCE Severe ENT form is associated with pulmonary infection and is easily detected by nasal fiberoptic endoscopy. ENT evaluation should be suggested when dysphonia or dyspnea is observed at the acute stage of SJS/TEN.
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Affiliation(s)
- Emilie Bequignon
- Hôpital Intercommunal, Service d'ORL et de Chirurgie Cervico-Faciale, Créteil, France2UPEC Université Paris Est Créteil, Faculté de Médecine, Créteil, France
| | - Tu Anh Duong
- Service de Dermatologie, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri-Mondor, Créteil, France
| | - Emilie Sbidian
- UPEC Université Paris Est Créteil, Faculté de Médecine, Créteil, France3Service de Dermatologie, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri-Mondor, Créteil, France4Laboratoire d'Investigation Clinique-EA439, France5INSERM
| | - Laurence Valeyrie-Allanore
- Service de Dermatologie, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri-Mondor, Créteil, France4Laboratoire d'Investigation Clinique-EA439, France
| | - Saskia Ingen-Housz-Oro
- Service de Dermatologie, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri-Mondor, Créteil, France
| | - Veronique Chatelin
- Service d'ORL et de Chirurgie Cervico-Faciale, AP-HP, Hôpitaux Universitaires Henri-Mondor, Créteil, France
| | - André Coste
- Hôpital Intercommunal, Service d'ORL et de Chirurgie Cervico-Faciale, Créteil, France2UPEC Université Paris Est Créteil, Faculté de Médecine, Créteil, France6Service d'ORL et de Chirurgie Cervico-Faciale, AP-HP, Hôpitaux Universitaires Henri-Mondor, Créte
| | - Pierre Wolkenstein
- UPEC Université Paris Est Créteil, Faculté de Médecine, Créteil, France3Service de Dermatologie, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri-Mondor, Créteil, France4Laboratoire d'Investigation Clinique-EA439, France
| | - Olivier Chosidow
- UPEC Université Paris Est Créteil, Faculté de Médecine, Créteil, France3Service de Dermatologie, Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpitaux Universitaires Henri-Mondor, Créteil, France5INSERM, Centre d'Investigation Clinique 006, Créteil, Fra
| | - Jean François Papon
- INSERM, U955, Créteil, France8Service d'ORL et de Chirurgie Cervico-Faciale, AP-HP, Groupe Hospitalier Bicêtre, Kremlin-Bicêtre, France
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179
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Ingen-Housz-Oro S, Plée J, Belmondo T, Maizières M, Pham BN, Hüe S, Ortonne N, Durlach A, Wolkenstein P, Chosidow O, Bernard P. Positive Direct Immunofluorescence Is of Better Value than ELISA-BP180 and ELISA-BP230 Values for the Prediction of Relapse after Treatment Cessation in Bullous Pemphigoid: A Retrospective Study of 97 Patients. Dermatology 2015; 231:50-5. [PMID: 25871736 DOI: 10.1159/000381143] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2015] [Accepted: 02/07/2015] [Indexed: 12/16/2023] Open
Abstract
BACKGROUND ELISA-BP180 values and direct immunofluorescence (DIF) are prognostic factors for relapse after treatment cessation in bullous pemphigoid (BP). OBJECTIVE To determine the relevance of ELISA-BP230 antibodies for predicting relapse 6 months after treatment cessation. METHODS We retrospectively selected patients with BP and available data from ELISA-BP180 and -BP230 and DIF performed at treatment cessation. The rate of relapse was calculated at 6 months. We compared ELISA-BP180 and -BP230 values and DIF in patients with relapse and remission. RESULTS We included 97 patients. At 6 months, 25.6% of patients showed relapse. The proportion of patients with an ELISA-BP230 value ≥27 UA/ml was higher, but not significantly, for those with relapse than for those with remission (p = 0.11). The frequency of positive DIF findings was significantly higher for patients with relapse (p = 0.005). CONCLUSION DIF is of better value than ELISA-BP180 and -230 tests to predict relapse after treatment cessation in BP.
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180
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Ingen-Housz-Oro S, Hotz C, Valeyrie-Allanore L, Sbidian E, Hemery F, Chosidow O, Wolkenstein P. Acute generalized exanthematous pustulosis: a retrospective audit of practice between 1994 and 2011 at a single centre. Br J Dermatol 2015; 172:1455-7. [PMID: 25399843 DOI: 10.1111/bjd.13540] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
Affiliation(s)
- S Ingen-Housz-Oro
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France.,Referral Center for Toxic and Autoimmune Disease, Créteil, France
| | - C Hotz
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France
| | - L Valeyrie-Allanore
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France.,Referral Center for Toxic and Autoimmune Disease, Créteil, France
| | - E Sbidian
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France.,Université Paris Est-Créteil Val de Marne, Créteil, France
| | - F Hemery
- Department of Medical Information, AP-HP, Henri Mondor Hospital, Créteil, France
| | - O Chosidow
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France.,Referral Center for Toxic and Autoimmune Disease, Créteil, France.,Université Paris Est-Créteil Val de Marne, Créteil, France.,INSERM, Centre d'Investigation Clinique 006, AP-HP, Créteil, France
| | - P Wolkenstein
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France.,Referral Center for Toxic and Autoimmune Disease, Créteil, France.,Université Paris Est-Créteil Val de Marne, Créteil, France.,INSERM, Centre d'Investigation Clinique 006, AP-HP, Créteil, France
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181
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Ingen-Housz-Oro S, Valeyrie-Allanore L, Cosnes A, Ortonne N, Hüe S, Paul M, Wolkenstein P, Chosidow O. First-line Treatment of Pemphigus Vulgaris With a Combination of Rituximab and High-Potency Topical Corticosteroids. JAMA Dermatol 2015; 151:200-3. [DOI: 10.1001/jamadermatol.2014.2421] [Citation(s) in RCA: 39] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Saskia Ingen-Housz-Oro
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - Laurence Valeyrie-Allanore
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - Anne Cosnes
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - Nicolas Ortonne
- Department of Pathology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France3Université Paris-Est Créteil Val de Marne, Créteil, France
| | - Sophie Hüe
- Université Paris-Est Créteil Val de Marne, Créteil, France4Department of Immunology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - Muriel Paul
- Department of Pharmacy, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France
| | - Pierre Wolkenstein
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France3Université Paris-Est Créteil Val de Marne, Créteil, France6Institut National de la Santé et de la Recherche Médicale, Centre d’Investigation Clinique
| | - Olivier Chosidow
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris, Henri Mondor Hospital, Créteil, France3Université Paris-Est Créteil Val de Marne, Créteil, France6Institut National de la Santé et de la Recherche Médicale, Centre d’Investigation Clinique
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182
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Hüe S, Ingen-Housz-Oro S, Fardet L. Anticorps de la dermatomyosite et autres myopathies inflammatoires : ce que le dermatologue doit savoir. Ann Dermatol Venereol 2015; 142:149-54. [DOI: 10.1016/j.annder.2014.11.015] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2014] [Revised: 10/26/2014] [Accepted: 11/20/2014] [Indexed: 11/25/2022]
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183
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Karkouche R, Ingen-Housz-Oro S, Le Gouvello S, Charlotte F, Thomas M, Zehou O, Frenkel V, Boutboul D, Chosidow O, Caumes E, Gaulard P, Ortonne N. Primary cutaneous aggressive epidermotropic CD8+ T-cell lymphoma with KIR3DL2 and NKp46 expression in a human immunodeficiency virus carrier. J Cutan Pathol 2014; 42:199-205. [PMID: 25407699 DOI: 10.1111/cup.12448] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2014] [Revised: 04/07/2014] [Accepted: 06/08/2014] [Indexed: 11/27/2022]
Abstract
Primary cutaneous aggressive epidermotropic T-cell lymphoma (PCAETCL) is a very rare lymphoma characterized by rapidly growing necrotic cutaneous lesions with an epidermotropic CD8+ T-cell neoplastic infiltrate observed histopathologically. It is associated with a very poor outcome, despite aggressive multi-agent chemotherapy. We report a 49-year-old human immunodeficiency virus (HIV)-infected patient who developed PCAETCL with associated marked vascular injury leading to diffuse purpuric and necrotic lesions complicated by recalcitrant hemophagocytic activation syndrome. The lymphoma strongly and diffusely expressed CD158k/KIR3DL2 at the protein and transcript level and NKp46 transcripts, in addition to CD8 and cytotoxic proteins. We observed a diffuse CD158k/KIR3DL2 protein expression in another case of PAETCL, not associated with immunodeficiency, which was used as a positive control. PCAETCL can develop in HIV-infected patients and may present in vasculitis-like fashion. The possible role of immunosuppression and/or HIV in oncogenesis can be postulated, as patients infected with HIV may develop anti-HIV cytotoxic CD8+ lymphoproliferations. The frequency of CD158k/KIR3DL2 and NKp46 expression in PCAECL remains to be studied in a series of cases, and may represent interesting targets for future treatments.
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Affiliation(s)
- Raymond Karkouche
- Département de Pathologie, Hôpital Henri Mondor, Université paris Est, Créteil, France
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184
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Duong TA, de Prost N, Ingen-Housz-Oro S, Carrié AS, Zerah F, Valeyrie-Allanore L, Bagot M, Chosidow O, Roujeau JC, Wolkenstein P, Maitre B. Stevens-Johnson syndrome and toxic epidermal necrolysis: follow-up of pulmonary function after remission. Br J Dermatol 2014; 172:400-5. [PMID: 25496398 DOI: 10.1111/bjd.13505] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/01/2014] [Indexed: 11/29/2022]
Abstract
BACKGROUND Acute-stage specific bronchial epithelial detachment has been described in 27% of patients with Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). OBJECTIVES To assess the pulmonary function of patients with SJS/TEN after remission. METHODS Analysis of pulmonary function tests (PFTs) performed during the usual follow-up of patients with SJS/TEN managed in a referral centre from April 2007 to January 2010. RESULTS Of 58 patients admitted, 32 underwent PFTs (17 male, 15 female). The median time from the acute stage to PFTs was 3 months (interquartile range 1-18). Three patients had grade 2 dyspnoea. Eighteen patients (56%) had abnormal PFTs, including 13 patients (41%) with moderately altered diffusion capacity for carbon monoxide (DLCO ) normalized by the alveolar volume (VA) (giving the ratio KCO , which equals DLCO /VA) and five patients with decreased total lung capacity. No airway obstruction was observed. Patients with decreased KCO had higher initial detached body surface area than others (30% vs. 10%, P = 0·006), as did those with decreased DLCO (25% vs. 10%; P = 0·054). There were correlations between detached body surface area and both KCO (r = -0·41, P = 0·026) and DLCO (r = -0·47, P = 0·011). Among 10 patients with decreased KCO on the first PFT, eight patients had a sustained decrease in KCO on a second PFT. CONCLUSIONS More than half of patients with SJS/TEN displayed abnormalities on PFTs, mainly diffusion impairment, which was associated with higher initial skin surface detachment. These abnormalities were mostly asymptomatic and remained stable over time.
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Affiliation(s)
- T A Duong
- Service de Dermatologie, Assistance Publique-Hôpitaux de Paris, Hôpitaux Universitaires Henri Mondor, 51 Ave du Maréchal de Lattre de Tassigny, 94010, Créteil CEDEX, France; Centre de Référence de Dermatoses Bulleuses Toxiques, Créteil, France
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185
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Bekel L, Chaby G, Lok C, Dadban A, Chatelain D, Ingen-Housz-Oro S, Ortonne N. Primary cutaneous T-cell lymphoma presenting as mycosis fungoides with a T-/null-cell phenotype: report of two cases. Br J Dermatol 2014; 172:1637-1641. [PMID: 25420682 DOI: 10.1111/bjd.13563] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/09/2014] [Indexed: 12/31/2022]
Abstract
Variations in the clinical and histological presentation of cutaneous T-cell lymphoma (CTCL) can hamper diagnosis. We report two cases of a novel presentation of CTCL characterized by an aberrant immunophenotype with complete loss of pan T-cell antigens including T-cell receptor β chain and showing the clinical and histopathological appearance of erythrodermic and plaque-stage mycosis fungoides.
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Affiliation(s)
- L Bekel
- Department of Dermatology, Hôpital Sud, University of Amiens, 80054, Amiens, France
| | - G Chaby
- Department of Dermatology, Hôpital Sud, University of Amiens, 80054, Amiens, France
| | - C Lok
- Department of Dermatology, Hôpital Sud, University of Amiens, 80054, Amiens, France
| | - A Dadban
- Department of Dermatology, Hôpital Sud, University of Amiens, 80054, Amiens, France
| | - D Chatelain
- Department of Pathology, Hôpital Nord, University of Amiens, 80054, Amiens, France
| | - S Ingen-Housz-Oro
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris (AP-HP) Groupe Hospitalier Henri Mondor, UPEC University, 94010, Créteil, France
| | - N Ortonne
- Department of Pathology, INSERM U955 Equipe 9, AP-HP, Groupe Hospitalier Henri Mondor, UPEC University, 94010, Créteil, France
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186
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Ingen-Housz-Oro S, Valeyrie-Allanore L, Chanal J, Chosidow O, Wolkenstein P. Linear immunoglobulin A disease and vancomycin: letter in reply. Br J Dermatol 2014; 171:1602-4. [PMID: 24909099 DOI: 10.1111/bjd.13174] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- S Ingen-Housz-Oro
- Department of Dermatology, AP-HP, Henri Mondor Hospital, 51 avenue du Maréchal de Lattre de Tassigny, 94000, Créteil, France
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187
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Chanal J, Ingen-Housz-Oro S, Ortonne N, Duong TA, Thomas M, Valeyrie-Allanore L, Lebrun-Vignes B, André C, Roujeau JC, Chosidow O, Wolkenstein P. Linear IgA bullous dermatosis: comparison between the drug-induced and spontaneous forms. Br J Dermatol 2014; 169:1041-8. [PMID: 23815152 DOI: 10.1111/bjd.12488] [Citation(s) in RCA: 60] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/24/2013] [Indexed: 11/29/2022]
Abstract
BACKGROUND Linear IgA bullous dermatosis (LABD) is a rare autoimmune blistering skin disorder characterized by linear deposits of IgA along the dermoepidermal junction, visualized by direct immunofluorescence (DIF). It is usually spontaneous and drug induced. OBJECTIVES To compare the clinical and histological forms of LABD. METHODS This retrospective single-centre cohort study concerned 28 patients diagnosed with LABD between 1 January 1995 and 31 December 2010. Imputability, determined according to the French imputability method (modified Bégaud score) and Naranjo score, enabled classification into drug-induced and spontaneous LABD groups. Clinical and histological features were compared by blinded analysis of images and histological patterns. RESULTS Sixteen patients had spontaneous LABD and 12 had drug-induced LABD. Nikolsky sign and large erosions were significantly more frequent in drug-induced than spontaneous LABD (P = 0.003 and P = 0.03, respectively), with no between-group differences for erythematous plaques, target or target-like lesions, string of pearls, location, mucosal involvement or histological features. CONCLUSIONS Drug-induced LABD was more severe than the spontaneous form, with lesions mimicking toxic epidermal necrolysis. Because LABD may be polymorphic and sometimes life threatening, DIF assay is recommended for all patients with Nikolsky sign and large erosions.
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Affiliation(s)
- J Chanal
- Department of Dermatology, Assistance Publique-Hôpitaux de Paris (APHP), Groupe Hospitalier Henri-Mondor, 51 Avenue du Maréchal-de-Lattre-de-Tassigny, 94010, Créteil, France
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188
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Ingen-Housz-Oro S, Grootenboer-Mignot S, Ortonne N, Nahon S, Horvath J, Bernardeschi C, Laffitte E, André C, Chollet-Martin S, Wolkenstein P, Chosidow O. Epidermolysis bullosa acquisita-like eruption with anticollagen VII autoantibodies induced by D-penicillamine in Wilson disease. Br J Dermatol 2014; 171:1574-6. [PMID: 24888462 DOI: 10.1111/bjd.13153] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- S Ingen-Housz-Oro
- Department of Dermatology, AP-HP, Henri Mondor Hospital, 51 avenue du Maréchal de Lattre de Tassigny, 94000, Créteil, France
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189
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Ingen-Housz-Oro S, Amiot A, Ortonne N, Hüe S. [Dermatitis herpetiformis antibodies: What the dermatologist must know]. Ann Dermatol Venereol 2014; 141:387-91. [PMID: 24835656 DOI: 10.1016/j.annder.2014.03.013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/29/2014] [Revised: 02/26/2014] [Accepted: 03/05/2014] [Indexed: 01/16/2023]
Affiliation(s)
- S Ingen-Housz-Oro
- Service de dermatologie, CHU Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94000 Créteil, France.
| | - A Amiot
- Service de gastro-entérologie, CHU Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94000 Créteil, France; Université Paris-Est-Créteil (UPEC) Val-de-Marne, 61, avenue du Général-de-Gaulle, 94010 Créteil, France
| | - N Ortonne
- Université Paris-Est-Créteil (UPEC) Val-de-Marne, 61, avenue du Général-de-Gaulle, 94010 Créteil, France; Service d'anatomie pathologique, CHU Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94000 Créteil, France
| | - S Hüe
- Université Paris-Est-Créteil (UPEC) Val-de-Marne, 61, avenue du Général-de-Gaulle, 94010 Créteil, France; Service d'immunologie biologique, équipe 16, U955, IMRB, CHU Henri-Mondor, AP-HP, 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94000 Créteil, France
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190
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Grange F, Joly P, Barbe C, Bagot M, Dalle S, Ingen-Housz-Oro S, Maubec E, D’Incan M, Ram-Wolff C, Dalac S, Templier I, Esteve E, Quereux G, Machet L, Leduc M, Dereure O, Laroche L, Saiag P, Vergier B, Beylot-Barry M. Improvement of Survival in Patients With Primary Cutaneous Diffuse Large B-Cell Lymphoma, Leg Type, in France. JAMA Dermatol 2014; 150:535-41. [DOI: 10.1001/jamadermatol.2013.7452] [Citation(s) in RCA: 61] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Affiliation(s)
- Florent Grange
- Department of Dermatology, Hôpital Robert Debré, Reims, France
| | - Pascal Joly
- Department of Dermatology, Hôpital Charles Nicolle, Rouen, France
| | - Coralie Barbe
- Unité d’Aide Méthodologique, Hôpital Robert Debré, Reims, France
| | - Martine Bagot
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
| | - Stéphane Dalle
- Department of Dermatology, Hôpital de l’Hôtel-Dieu, Lyon, France
| | | | - Eve Maubec
- Department of Dermatology, Hôpital Bichat, Paris, France
| | - Michel D’Incan
- Department of Dermatology, Hôtel-Dieu, Clermont-Ferrand, France
| | | | - Sophie Dalac
- Department of Dermatology, Hôpital du Bocage, Dijon, France
| | | | - Eric Esteve
- Department of Dermatology, Hôpital Porte Madeleine, Orléans, France
| | - Gaëlle Quereux
- Department of Dermatology, Hôpital de l’Hôtel-Dieu, Nantes, France
| | - Laurent Machet
- Department of Dermatology, Hôpital Trousseau, Tours, France
| | - Marion Leduc
- Department of Clinical Research, Hôpital Maison Blanche, Reims, France
| | - Olivier Dereure
- Department of Dermatology, Hôpital Saint-Eloi, Montpellier, France
| | - Liliane Laroche
- Department of Dermatology, Hôpital Avicenne, Bobigny, France
| | - Philippe Saiag
- Department of Dermatology, Hôpital Ambroise Paré, Boulogne, France
| | - Béatrice Vergier
- Department of Pathology, Hôpital du Haut Lévêque, Pessac, France
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191
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Ingen-Housz-Oro S, Franck N, Beneton N, Fauconneau A, Do-Pham G, Carlotti A, Petit T, Liolios I, Bara C, Carpentier H, Storelli D, Prophette B, Garderet L, Haioun C, Petit E, Delfau-Larue MH, Vergier B, Chosidow O, Beylot-Barry M, Ortonne N. Folliculotropic T-cell infiltrates associated with B-cell chronic lymphocytic leukaemia or MALT lymphoma may reveal either true mycosis fungoides or pseudolymphomatous reaction: seven cases and review of the literature. J Eur Acad Dermatol Venereol 2014. [PMID: 24646004 DOI: 10.1111/dv.12454] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
BACKGROUND Mycosis fungoides (MF) and pseudo-MF (or MF simulant) can be associated with B-cell malignancies, but distinction between a true neoplasm and a reactive process may be difficult. OBJECTIVES To report seven patients with B-cell malignancy and folliculotropic MF or pseudo-MF and emphasize on criteria allowing distinction between the two conditions. METHODS We retrospectively and prospectively included seven patients with B-cell malignancy who presented skin lesions histologically consisting in a folliculotropic T-cell infiltrate and reviewed the literature on the topic. RESULTS Four men and three women had a chronic lymphocytic leukaemia (n = 6) or a MALT-type lymphoma (n = 1). Five patients had localized papules, and two had patches and plaques. Histological examination showed in all cases a diffuse dermal T-cell infiltrate with folliculotropic involvement and follicular mucinosis associated with clusters of the B-cell lymphoma, without significant expression of follicular helper T-cell markers. T-cell rearrangement studies showed a polyclonal pattern in the patients with papules and a monoclonal pattern in the cases of patches and plaques. Papular lesions had an indolent evolution, whereas patches and plaques persisted or worsened into transformed MF. CONCLUSION Folliculotropic T-cell infiltrates associated with B-cell malignancies can be either a true folliculotropic MF or a pseudo-MF. The distinction between both conditions cannot rely only on the histopathological aspect, but needs both a clinical pathological correlation and the search for a dominant T-cell clone. Whether the neoplastic T and B cells derive from a common ancestor or the T-cell proliferation is promoted by the underlying B-cell lymphoma remains unsolved, but interaction between B and T cell in the skin does not appear to be dependent on a TFH differentiation of the T-cell infiltrate.
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192
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Ingen-Housz-Oro S, Franck N, Beneton N, Fauconneau A, Do-Pham G, Carlotti A, Petit T, Liolios I, Bara C, Carpentier H, Storelli D, Prophette B, Garderet L, Haioun C, Petit E, Delfau-Larue MH, Vergier B, Chosidow O, Beylot-Barry M, Ortonne N. Folliculotropic T-cell infiltrates associated with B-cell chronic lymphocytic leukaemia or MALT lymphoma may reveal either true mycosis fungoides or pseudolymphomatous reaction: seven cases and review of the literature. J Eur Acad Dermatol Venereol 2014; 29:77-85. [DOI: 10.1111/jdv.12454] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2013] [Accepted: 02/12/2014] [Indexed: 11/28/2022]
Affiliation(s)
| | - N. Franck
- Department of Dermatology; AP-HP; Cochin Hospital; Paris
| | - N. Beneton
- Department of Dermatology; Le Mans Hospital; Le Mans
| | - A. Fauconneau
- Department of Dermatology; CHU Bordeaux; Bordeaux
- EA2406; Histology and Molecular Pathology of Tumors; Univ. Bordeaux; Bordeaux
| | - G. Do-Pham
- Department of Dermatology; AP-HP; Henri Mondor Hospital; Créteil
| | - A. Carlotti
- Department of Pathology; AP-HP; Cochin Hospital; Paris
| | | | | | - C. Bara
- Department of Dermatology; Le Mans Hospital; Le Mans
| | | | | | - B. Prophette
- Department of Pathology; Le Mans Hospital; Le Mans
| | - L. Garderet
- Department of Hematology; AP-HP; Saint-Antoine Hospital; Paris
| | - C. Haioun
- Lymphoid Malignancies Unit; AP-HP; Henri Mondor Hospital; Créteil
- Université Paris-Est Créteil Val de Marne (UPEC); Créteil
| | - E. Petit
- Policlinique Saint-Jean; Cagnes-sur-Mer
| | - M.-H. Delfau-Larue
- Laboratory of Immunology; AP-HP; Henri Mondor Hospital; Créteil
- Université Paris-Est Créteil Val de Marne (UPEC); Créteil
| | - B. Vergier
- Department of Pathology; CHU Bordeaux; Bordeaux
- EA2406; Histology and Molecular Pathology of Tumors; Univ. Bordeaux; Bordeaux
| | - O. Chosidow
- Department of Dermatology; AP-HP; Henri Mondor Hospital; Créteil
- Université Paris-Est Créteil Val de Marne (UPEC); Créteil
- INSERM; Centre d'Investigation Clinique 006; APHP; Créteil France
| | - M. Beylot-Barry
- Department of Dermatology; CHU Bordeaux; Bordeaux
- EA2406; Histology and Molecular Pathology of Tumors; Univ. Bordeaux; Bordeaux
| | - N. Ortonne
- Université Paris-Est Créteil Val de Marne (UPEC); Créteil
- Department of Pathology; AP-HP; Henri Mondor Hospital; Créteil
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193
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Isvy-Joubert A, Ingen-Housz-Oro S, Vincent R, Haddad C, Valeyrie-Allanore L, Chosidow O, Race JM, Wolkenstein P. Severe Cutaneous Adverse Reactions to Drugs: From Patients to the National Office for Compensation of Medical Accidents. Dermatology 2014; 228:338-43. [DOI: 10.1159/000358295] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2013] [Accepted: 01/03/2014] [Indexed: 12/21/2022] Open
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194
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Bellon N, André C, Sbidian E, Ortonne N, Wolkenstein P, Chosidow O, Ingen-Housz-Oro S. The Value of Anti-Desmoglein Enzyme-Linked Immunosorbent Assay in the Immunological Follow-Up of Pemphigus. Dermatology 2014; 229:256-62. [DOI: 10.1159/000365079] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2014] [Accepted: 06/04/2014] [Indexed: 11/19/2022] Open
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195
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Hotz C, Valeyrie-Allanore L, Haddad C, Bouvresse S, Ortonne N, Duong T, Ingen-Housz-Oro S, Roujeau J, Wolkenstein P, Chosidow O. Systemic involvement of acute generalized exanthematous pustulosis: a retrospective study on 58 patients. Br J Dermatol 2013; 169:1223-32. [DOI: 10.1111/bjd.12502] [Citation(s) in RCA: 96] [Impact Index Per Article: 8.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/30/2013] [Indexed: 12/18/2022]
Affiliation(s)
- C. Hotz
- Department of Dermatology; Referral Center for Toxic and Autoimmune Blistering Diseases; Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
| | - L. Valeyrie-Allanore
- Department of Dermatology; Referral Center for Toxic and Autoimmune Blistering Diseases; Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
- LIC EA 4393; Assistance Publique-Hôpitaux de Paris (APHP); Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
| | - C. Haddad
- Department of Dermatology; Referral Center for Toxic and Autoimmune Blistering Diseases; Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
| | - S. Bouvresse
- Department of Dermatology; Referral Center for Toxic and Autoimmune Blistering Diseases; Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
| | - N. Ortonne
- Department of Pathology; Assistance Publique - Hôpitaux de Paris (APHP); Université - Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
| | - T.A. Duong
- Department of Dermatology; Referral Center for Toxic and Autoimmune Blistering Diseases; Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
| | - S. Ingen-Housz-Oro
- Department of Dermatology; Referral Center for Toxic and Autoimmune Blistering Diseases; Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
| | - J.C. Roujeau
- Department of Dermatology; Referral Center for Toxic and Autoimmune Blistering Diseases; Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
| | - P. Wolkenstein
- Department of Dermatology; Referral Center for Toxic and Autoimmune Blistering Diseases; Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
- LIC EA 4393; Assistance Publique-Hôpitaux de Paris (APHP); Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
| | - O. Chosidow
- Department of Dermatology; Referral Center for Toxic and Autoimmune Blistering Diseases; Université-Paris-Est Créteil Val de Marne (UPEC); Henri-Mondor Hospital; 51, avenue du Maréchal de Tassigny Créteil CEDEX 94010 France
- INSERM; Centre d'Investigation Clinique 006; APHP; Créteil F-94000 France
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196
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Valeyrie-Allanore L, Ingen-Housz-Oro S, Chosidow O, Wolkenstein P. French referral center management of Stevens–Johnson syndrome/toxic epidermal necrolysis. DERMATOL SIN 2013. [DOI: 10.1016/j.dsi.2013.09.008] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
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198
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De Masson A, Beylot-Barry M, Bouaziz JD, Aubin F, Garciaz S, d’Incan M, Dereure O, Dalle S, Dompmartin A, Suarez F, Adamski H, Battistella M, Rivet J, Vignon-Pennamen MD, Brice P, François S, Lissandre S, Turlure P, Hainaut E, Brissot E, Dulery R, Ravinet A, Servais S, Ingen-Housz-Oro S, Joly P, Socié G, Bagot M. Allogreffe de cellules souches hématopoïétiques dans 37 cas de mycosis fongoïde transformé et autres lymphomes T cutanés primitifs de stade avancé. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Ingen-Housz-Oro S, Ortonne N, Chosidow O. Rituximab-related urticarial reaction overlying primary cutaneous follicle centre lymphoma: histological appearance and pathophysiological hypotheses. J Eur Acad Dermatol Venereol 2013; 28:976-8. [DOI: 10.1111/jdv.12313] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2013] [Accepted: 10/09/2013] [Indexed: 11/28/2022]
Affiliation(s)
| | - N. Ortonne
- Department of Pathology; AP-HP; Henri Mondor Hospital; Créteil France
- Université Paris-Est Créteil Val de Marne UPEC; Créteil France
| | - O. Chosidow
- Department of Dermatology; AP-HP; Henri Mondor Hospital; Créteil France
- Université Paris-Est Créteil Val de Marne UPEC; Créteil France
- INSERM; Centre d'Investigation Clinique 006; Créteil France
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de Masson A, Beylot-Barry M, Bouaziz JD, Peffault de Latour R, Aubin F, Garciaz S, d'Incan M, Dereure O, Dalle S, Dompmartin A, Suarez F, Battistella M, Vignon-Pennamen MD, Rivet J, Adamski H, Brice P, François S, Lissandre S, Turlure P, Wierzbicka-Hainaut E, Brissot E, Dulery R, Servais S, Ravinet A, Tabrizi R, Ingen-Housz-Oro S, Joly P, Socié G, Bagot M. Allogeneic stem cell transplantation for advanced cutaneous T-cell lymphomas: a study from the French Society of Bone Marrow Transplantation and French Study Group on Cutaneous Lymphomas. Haematologica 2013; 99:527-34. [PMID: 24213148 DOI: 10.3324/haematol.2013.098145] [Citation(s) in RCA: 60] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022] Open
Abstract
The treatment of advanced stage primary cutaneous T-cell lymphomas remains challenging. In particular, large-cell transformation of mycosis fungoides is associated with a median overall survival of two years for all stages taken together. Little is known regarding allogeneic hematopoietic stem cell transplantation in this context. We performed a multicenter retrospective analysis of 37 cases of advanced stage primary cutaneous T-cell lymphomas treated with allogeneic stem cell transplantation, including 20 (54%) transformed mycosis fungoides. Twenty-four patients (65%) had stage IV disease (for mycosis fungoides and Sézary syndrome) or disseminated nodal or visceral involvement (for non-epidermotropic primary cutaneous T-cell lymphomas). After a median follow up of 29 months, 19 patients experienced a relapse, leading to a 2-year cumulative incidence of relapse of 56% (95%CI: 0.38-0.74). Estimated 2-year overall survival was 57% (95%CI: 0.41-0.77) and progression-free survival 31% (95%CI: 0.19-0.53). Six of 19 patients with a post-transplant relapse achieved a subsequent complete remission after salvage therapy, with a median duration of 41 months. A weak residual tumor burden before transplantation was associated with increased progression-free survival (HR=0.3, 95%CI: 0.1-0.8; P=0.01). The use of antithymocyte globulin significantly reduced progression-free survival (HR=2.9, 95%CI: 1.3-6.2; P=0.01) but also transplant-related mortality (HR=10(-7), 95%CI: 4.10(-8)-2.10(-7); P<0.001) in univariate analysis. In multivariate analysis, the use of antithymocyte globulin was the only factor significantly associated with decreased progression-free survival (P=0.04). Allogeneic stem cell transplantation should be considered in advanced stage primary cutaneous T-cell lymphomas, including transformed mycosis fungoides.
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