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Kodali AT, Agni M, Marka A, Aaron D, Cloutier J, Sriharan A. Cutaneous Collagenous Vasculopathy: A Short Case Series and Literature Review. Am J Dermatopathol 2024; 46:292-304. [PMID: 38513131 DOI: 10.1097/dad.0000000000002662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
ABSTRACT Cutaneous collagenous vasculopathy (CCV) is a rare and idiopathic microangiopathy of superficial dermal blood vessels. There have been 75 cases described in the literature to date, not including the current report; however, given its clinical similarity to other primary telangiectasias, it is likely to be underreported and underdiagnosed. Here, we describe the clinical and histological features of 2 patients we newly diagnosed with CCV. Both generally fit the profile of prior cases and confirm previously described associations-they both are older White women, have rashes on their lower extremities, and have conditions and medications that are common among other reported cases. However, both are also somewhat atypical, as Patient 1 had symptomatic CCV and Patient 2 had a papular rash. As such, both cases broaden the spectrum of our current understanding of CCV. We also provide a comprehensive review of all published reports of CCV to date and uncover 2 previously unreported associations: one with visceral malignancy, and the other with hypothyroidism. Whether these association are coincidental is worth investigating in future studies.
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Affiliation(s)
| | - Meghana Agni
- Department of Pathology and Laboratory Medicine, Section of Dermatopathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and
| | - Arthur Marka
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH
| | - Denise Aaron
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH
| | - Jeffrey Cloutier
- Department of Pathology and Laboratory Medicine, Section of Dermatopathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and
| | - Aravindhan Sriharan
- Department of Pathology and Laboratory Medicine, Section of Dermatopathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and
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Aromolo IF, Di Michele E, Boggio FL, Cattaneo A, Marzano AV. Telangiectatic Macules Spreading During More Than 30 Years: A Quiz. Acta Derm Venereol 2024; 104:adv18429. [PMID: 38270259 PMCID: PMC10831866 DOI: 10.2340/actadv.v104.18429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 11/08/2023] [Indexed: 01/26/2024] Open
Abstract
Abstract is missing (Quiz)
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Affiliation(s)
| | - Eleonora Di Michele
- Department of Pathophysiology and Transplantation, Milan University, Milan, Italy
| | | | - Angelo Cattaneo
- Dermatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Angelo Valerio Marzano
- Department of Pathophysiology and Transplantation, Milan University, Milan, Italy; Dermatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
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Flor D, Xará J, Martins F, Coutinho I, Cardoso JC. Acquired diffuse telangiectasias with an unequivocal immunohistochemistry. Clin Exp Dermatol 2023; 49:102-104. [PMID: 37706513 DOI: 10.1093/ced/llad321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 09/06/2023] [Accepted: 09/09/2023] [Indexed: 09/15/2023]
Abstract
A 56-year-old woman presented with abdominal, lumbar and thoracic livedo with 2 years of evolution, consisting of violaceous poikilodermatous patches with scattered petechiae on a base of erythema and telangiectasia, accompanied by diffuse and mild skin atrophy. Histological analysis revealed vasodilation of the superficial dermis and thickening of capillary walls, highlighted by periodic acid–Schiff stain and immunohistochemistry for collagen type IV.
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Affiliation(s)
- Duarte Flor
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Joana Xará
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Francisco Martins
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Inês Coutinho
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - José C Cardoso
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
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Belousova IE, Sulima DL, Shpiluyk RG, Sulejmanova SS, Gorbunov YG, Blum NM. Rare case of cutaneous collagenous vasculopathy in a patient with chronic HCV infection 1b subtype. VESTNIK DERMATOLOGII I VENEROLOGII 2022. [DOI: 10.25208/vdv1343] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
The article is devoted to a rare disease of cutaneous collagenous vasculopathy (CCV), which is characterized by common leather telangiectasias and specific histological signs: extended capillaries in the surface layers of the dermis, the walls of which are thickened due to hyaline deposits containing type IV collagen. According to literature, there are no publications about CCV in Russian sources. In foreign literature, only 60 cases are described, the first of which is mentioned in 2000. The patient turned to the EXCLUSIVE medical clinic to resolve the issue of the tactics of treatment of chronic HCV-infection 1b subtype and complaints of common telangiectasia on the skin and mucous membrane of both sclera, without subjective sensations. The first rashes appeared in 2008 and gradually progressed. When performing histological examination, expanded capillaries were found in the surface layers of the dermis, the walls of which are thickened due to protein deposits containing type IV collagen. The described case of CCV is the first in Russian literature and shows the need for histological and immunohistologycal studies to establish a final diagnosis.
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Miroslav D, Lumir P, Petra C, Alexandra J, Kristyna N, Jiri S. A Case of Cutaneous Collagenous Vasculopathy Associated with Multiple Myeloma and with Pathogenic Variant in the Glucocerebrosidase Gene. J Cutan Pathol 2022; 49:717-721. [PMID: 35294059 DOI: 10.1111/cup.14227] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 03/04/2022] [Accepted: 03/13/2022] [Indexed: 11/29/2022]
Abstract
Cutaneous collagenous vasculopathy (CCV) is an extremely rare acquired microangiopathy of unknown etiology. The authors describe a case of a 68-year-old man, a carrier of a heterozygous pathogenic variant in the glucocerebrosidase (GBA) gene, who was diagnosed with CCV, revealing uncommon fibrinogen positivity in direct immunofluorescence. The patient was subsequently diagnosed with multiple myeloma. The treatment of myeloma with combined chemotherapy including bortezomib, followed by autologous stem cell transplantation, led to significant reduction of cutaneous lesions. To the best of the authors' knowledge, this is the first published case of CCV in a carrier of a pathogenic variant in the GBA gene, associated with multiple myeloma and with significant regression of CCV after the myeloma treatment. Direct immunofluorescence examination revealed uncommon fibrinogen positivity. Hypothetical causative role of bortezomib treatment was proposed regarding significant regression of CCV. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Dura Miroslav
- Department of Dermatology and Venereology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Pock Lumir
- Bioptical Laboratory Ltd, Pilsen, Czech Republic
| | - Cetkovska Petra
- Department of Dermatology and Venereology, Faculty of Medicine in Pilsen, Charles University and University Hospital in Pilsen, Czech Republic
| | - Jungova Alexandra
- Department of Hematooncology, Faculty of Medicine in Pilsen, Charles University and University Hospital in Pilsen, Czech Republic
| | - Nemejcova Kristyna
- Department of Pathology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Stork Jiri
- Department of Dermatology and Venereology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
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Grossman ME, Cohen M, Ravits M, Blume R, Magro CM. Cutaneous Collagenous Vasculopathy: A Report of 3 Cases. J Cutan Pathol 2021; 49:491-495. [DOI: 10.1111/cup.14192] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2021] [Revised: 12/07/2021] [Accepted: 12/19/2021] [Indexed: 11/26/2022]
Affiliation(s)
- Marc E. Grossman
- Associate Clinical Professor of Dermatology, Department of Dermatology Yale School of Medicine New Haven CT
- Adjunct Clinical Professor of Dermatology, Department of Dermatology, Hofstra/Northwell Donald and Barbara Zucker School of Medicine, New Hyde Park New York
| | - Marc Cohen
- State University of New York Downstate College of Medicine Brooklyn NY
| | | | - Ralph Blume
- Columbia University Department of Dermatology New York NY
| | - Cynthia M. Magro
- Weil Cornell Department of Dermatology, Department of Pathology and Laboratory Medicine New York NY
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Cutaneous Collagenous Vasculopathy: A Unique Case With Positive Direct Immunofluorescence Findings. Am J Dermatopathol 2017; 41:77-79. [PMID: 29135504 DOI: 10.1097/dad.0000000000001041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Bondier L, Tardieu M, Leveque P, Challende I, Pinel N, Leccia MT. Cutaneous Collagenous Vasculopathy: Report of Two Cases Presenting as Disseminated Telangiectasias and Review of the Literature. Am J Dermatopathol 2017; 39:682-688. [DOI: 10.1097/dad.0000000000000613] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Motegi SI, Yasuda M, Yamanaka M, Amano H, Ishikawa O. Cutaneous collagenous vasculopathy: Report of first Japanese case and review of the literature. Australas J Dermatol 2016; 58:145-149. [DOI: 10.1111/ajd.12444] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Accepted: 11/26/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Sei-ichiro Motegi
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Masahito Yasuda
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Masayoshi Yamanaka
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Hiroo Amano
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Osamu Ishikawa
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
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Toda-Brito H, Resende C, Catorze G, Viana I. Cutaneous collagenous vasculopathy: a rare cause of generalised cutaneous telangiectasia. BMJ Case Rep 2015; 2015:bcr-2015-210635. [PMID: 26156838 DOI: 10.1136/bcr-2015-210635] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Cutaneous collagenous vasculopathy is a rare cutaneous microangiopathy of unknown aetiology with only 27 cases reported to date. It is characterised clinically by generalised cutaneous telangiectasias and microscopically by dilation and marked thickening of the walls of superficial dermal blood vessels. Differential diagnosis should be performed with other causes of disseminated telangiectasias, including generalised essential telangiectasia, from which it is clinically indistinguishable. We report a new case of cutaneous collagenous vasculopathy in a 61-year-old woman presenting with a 5-year history of asymptomatic telangiectasias distributed symmetrically on her upper and lower limbs and highlight the importance of clinicopathological correlation for the diagnosis of this disease.
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Affiliation(s)
- Helena Toda-Brito
- Dermatology Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
| | | | - Goreti Catorze
- Dermatology Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
| | - Isabel Viana
- Dermatology Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
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Meah N, Khirwadkar N, Ellison J. A rare case of cutaneous collagenous vasculopathy. Australas J Dermatol 2015; 57:e97-9. [DOI: 10.1111/ajd.12330] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2014] [Accepted: 02/16/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Nekma Meah
- Dermatology; Royal Liverpool and Broadgreen University Hospital Trust; Merseyside UK
| | - Nitin Khirwadkar
- Histopathology; Royal Liverpool and Broadgreen University Hospital Trust; Merseyside UK
| | - Judith Ellison
- Dermatology; St Helens and Knowsley Hospitals NHS Trust; St Helens UK
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