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Varey E, Dalle S, Dupuy A, Montaudié H, Guillot B, Mortier L, Leccia MT, Célérier P, Skowron F, Meyer N, Maubec E, Combemale P, Crickx B, Dalac-Rat S, Dutriaux C, Khammari A, Lebbé C, Dréno B. Patients présentant un mélanome acro-lentigineux inclus dans la base nationale RIC-Mel. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.103] [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: 12/01/2022]
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Varey E, Thomas L, Dalle S, Lesimple T, Lacour JP, Guillot B, Mortier L, Leccia MT, Skowron F, Celerier P, Meyer N, Combemale P, Crickx B, Dutriaux C, Dalac-Rat S, Khammari A, Lebbé C, Dréno B. Développement des nouveaux traitements en situation adjuvante du mélanome : données épidémiologiques de la base RIC-Mel. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.499] [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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Crickx B. Vingt-cinq années passées au comité de redaction des Annales de dermatologie, dont 6 comme rédacteur en chef (2004-2009). Ann Dermatol Venereol 2018; 145 Suppl 6:VIS150-VIS153. [DOI: 10.1016/s0151-9638(18)31302-4] [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: 10/27/2022]
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Brahimi N, Maubec E, Petit T, Crickx B, Descamps V. [Acute generalized exanthematous pustulosis induced by phloroglucinol]. Ann Dermatol Venereol 2017; 144:423-425. [PMID: 28242093 DOI: 10.1016/j.annder.2017.01.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Revised: 08/06/2016] [Accepted: 01/13/2017] [Indexed: 10/20/2022]
Abstract
BACKGROUND Acute generalized exanthematous pustulosis (AGEP) is a severe drug eruption. We report herein the first case of AGEP induced by phloroglucinol (Spasfon®). PATIENTS AND METHODS A 27-year-old pregnant woman developed a febrile exanthematous pustulosis eruption three days after treatment with intravenous phloroglucinol and paracetamol for nephritic colic. She had no previous history of psoriasis. The laboratory workup showed hyperleukocytosis with neutrophilia. A cytobacteriological sample of the pustules was negative. Skin biopsy revealed marked neutrophilic and leukocytoclastic vasculitis. Reintroduction of phloroglucinol after delivery resulted in the same clinical symptoms within a few hours of intake. A diagnosis of phloroglucinol-induced AGEP was made on the basis of intrinsic imputability of I4 (S3 C3) using the imputability criteria of Begaud et al. The outcome was favorable after withdrawal of the drug. DISCUSSION To the best of our knowledge, this is the first case of phloroglucinol-induced AGEP confirmed by reintroduction of the drug.
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Affiliation(s)
- N Brahimi
- Service de dermatologie, hôpital Bichat, université Denis-Diderot, Sorbonne Paris Cité, AP-HP, 46, rue Henri-Huchard, 75877 Paris cedex 18, France.
| | - E Maubec
- Service de dermatologie, hôpital Avicenne, université Paris 13, AP-HP, 125, rue de Stalingrad, 93000 Bobigny, France
| | - T Petit
- Service d'anatomie pathologique, hôpital Bichat, université Denis-Diderot, Sorbonne Paris Cité, AP-HP, 46, rue Henri-Huchard, 75877 Paris cedex 18, France
| | - B Crickx
- Service de dermatologie, hôpital Bichat, université Denis-Diderot, Sorbonne Paris Cité, AP-HP, 46, rue Henri-Huchard, 75877 Paris cedex 18, France
| | - V Descamps
- Service de dermatologie, hôpital Bichat, université Denis-Diderot, Sorbonne Paris Cité, AP-HP, 46, rue Henri-Huchard, 75877 Paris cedex 18, France
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Mahévas T, Kottler D, Jouan F, Deschamps L, Abrial Y, Crickx B, Descamps V. Infiltration sclérodermiforme péribuccale : une localisation rare de l’amylose AL. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.399] [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: 10/20/2022]
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Merlant M, Fite C, Kottler D, Maisonobe L, Hussein N, Deschamps L, Crickx B, Descamps V. Éruption cutanée persistante de la maladie de Still de l’adulte : une présentation atypique de mauvais pronostic ? Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.390] [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: 11/30/2022]
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Mahevas T, Jachiet V, Brunet-Possenti F, Deschamps L, Lachatre M, Crickx B, Descamps V. Complications cutanées du slam : usage sexuel et récréatif d’injections de cathinones. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.375] [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: 10/20/2022]
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Merlant M, Fite C, Maisonobe L, Dossier A, Kottler D, Deschamps L, Crickx B, Descamps V. Première description d’une atteinte cutanée pseudo-lupique dans une myosite nécrosante auto-immune avec anticorps anti-HMG co-enzyme A réductase. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.180] [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: 11/28/2022]
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Servy A, Maubec E, Sugier PE, Grange F, Mansard S, Lesimple T, Marinho E, Couturaud B, Girod A, Albert S, Dendale R, Calitchi E, Sarda L, Chanal J, Deschamps L, Sastre-Garau X, Laroche L, Crickx B, Avril MF. Merkel cell carcinoma: value of sentinel lymph-node status and adjuvant radiation therapy. Ann Oncol 2016; 27:914-9. [PMID: 26811346 DOI: 10.1093/annonc/mdw035] [Citation(s) in RCA: 52] [Impact Index Per Article: 6.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/11/2015] [Accepted: 01/18/2016] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND Sentinel lymph-node (LN) biopsy (SLNB) is a valuable tool to assess the regional LN status in Merkel cell carcinoma (MCC). However, its prognostic value is still debated. This study was undertaken to assess SLNB usefulness for MCC management and to determine the impact of SLNB status on disease-free survival (DFS) and overall survival (OS) by comparing SLNB-positive versus -negative patients according to demographic, clinical and treatment characteristics. PATIENTS AND METHODS In this retrospective, multicenter observational study, SLNB was proposed to all patients referred for clinically N0 MCC. Treatment schedule consisted of wide-margin surgical resection of primary MCC followed by adjuvant radiation therapy (aRT) to the primary site and, for SLNB-positive patients, radical LN dissection followed by regional aRT. Univariate and multivariate analyses determined factors associated with DFS and OS. RESULTS Among 87 patients with successful SLNB, 21 (24.1%) were SLNB-positive. Median follow-up for the entire series was 39 months; respective 3-year DFS and OS rates were 73% and 81.4%, respectively. Univariate analysis (all patients) identified SLNB-negativity as being associated with prolonged OS (P = 0.013) and aRT (all sites considered) was associated with longer DFS (P = 0.004) and OS (P = 0.018). Multivariate analysis (all patients) retained SLNB status and aRT (all sites considered) as being associated with improved DFS (P = 0.014 and 0.0008) and OS (P = 0.0020 and 0.0019). Moreover, for SLNB-negative patients, tumor-bed irradiation was also significantly associated with prolonged DFS (P = 0.006) and OS (P = 0.014). CONCLUSIONS The present study demonstrates that SLNB-negativity is a strong predictor of longer DFS and OS in stage I and II MCC patients. The similar benefit for aRT on tumor bed observed in this study has to be confirmed by a prospective study. The results advocate for SLNB being considered to all MCC patients.
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Affiliation(s)
- A Servy
- Department of Dermatology, APHP, Hôpital Cochin, Paris
| | - E Maubec
- University of Paris 13, Bobigny Department of Dermatology, APHP, Hôpital Avicenne, Bobigny UMR-946 INSERM, Genetic Variation and Human Diseases Unit (UMR-946), Paris
| | - P E Sugier
- UMR-946 INSERM, Genetic Variation and Human Diseases Unit (UMR-946), Paris University of Pierre et Marie Curie, Paris University of Paris Diderot, Paris
| | - F Grange
- Department of Dermatology, Hôpital Robert-Debré, Reims
| | - S Mansard
- Department of Dermatology, CHU Estaing, Clermont-Ferrand
| | - T Lesimple
- Department of Oncology, Centre Eugène-Marquis, Rennes
| | - E Marinho
- Department of Pathology, APHP, Hôpital Bichat, Paris
| | - B Couturaud
- Department of Surgery, Institut Curie, Paris
| | - A Girod
- Department of Surgery, Institut Curie, Paris
| | - S Albert
- University of Paris Diderot, Paris Department of Otorhinolaryngology, APHP, Hôpital Bichat, Paris
| | - R Dendale
- Department of Oncology, Institut Curie, Paris
| | - E Calitchi
- Department of Radiotherapy, Clinique de la Porte de Saint-Cloud, Boulogne
| | - L Sarda
- University of Paris Diderot, Paris Department of Nuclear Medicine, APHP, Hôpital Lariboisière, Paris, Descartes
| | - J Chanal
- Department of Dermatology, APHP, Hôpital Cochin, Paris
| | - L Deschamps
- Department of Pathology, APHP, Hôpital Bichat, Paris
| | | | - L Laroche
- University of Paris 13, Bobigny Department of Dermatology, APHP, Hôpital Avicenne, Bobigny
| | - B Crickx
- University of Paris Diderot, Paris Department of Dermatology, APHP, Hôpital Bichat, Paris
| | - M F Avril
- Department of Dermatology, APHP, Hôpital Cochin, Paris University of Paris Descartes, Paris, France
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Lepelletier C, Fite C, Beaudoin C, Crickx B, Descamps V. Échec d’un traitement par anakinra pour hidrosadénite suppurée et revue de la littérature. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.513] [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: 11/25/2022]
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Guyot A, Bouhanna E, Deschamps L, Caux F, Laroche L, Crickx B, Maubec E. Efficacité du témozolomide en néoadjuvant dans le carcinome à cellules de Merkel. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.223] [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: 10/22/2022]
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Tourte M, Brunet-Possenti F, Mignot S, Vuong V, Brahimi N, Gavard L, Catherine PD, Crickx B, Descamps V. Pemphigoïde gravidique : traitement préventif par rituximab. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.194] [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: 11/28/2022]
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Amode R, Vuong V, Deschamps L, Picard-Dahan C, Champion L, Crickx B, Descamps V. Cutis laxa acquise secondaire à une dermatose neutrophilique urticarienne. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.289] [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: 11/16/2022]
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Badaoui A, Reygagne P, Cavelier-Balloy B, Pinquier L, Deschamps L, Crickx B, Descamps V. Dissecting cellulitis of the scalp: a retrospective study of 51 patients and review of literature. Br J Dermatol 2015; 174:421-3. [DOI: 10.1111/bjd.13999] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [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)
- A. Badaoui
- Department of Dermatology; Bichat Hospital; 46 Rue Henri Huchard Paris 75018 France
| | - P. Reygagne
- Centre de Santé Sabouraud; 2 Place du Docteur Alfred Fournier Paris 75010 France
| | - B. Cavelier-Balloy
- Department of Pathology; Saint Louis Hospital; 1 Avenue Claude Vellefaux Paris 75010 France
| | - L. Pinquier
- Department of Pathology; Saint Louis Hospital; 1 Avenue Claude Vellefaux Paris 75010 France
| | - L. Deschamps
- Department of Pathology; Bichat Hospital; 46 Rue Henri Huchard Paris 75018 France
| | - B. Crickx
- Department of Dermatology; Bichat Hospital; 46 Rue Henri Huchard Paris 75018 France
| | - V. Descamps
- Department of Dermatology; Bichat Hospital; 46 Rue Henri Huchard Paris 75018 France
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Al Gain M, Crickx B, Bejar C, Chen L, Azeroual L, Marinho E, Descamps V. [Sirolimus-induced lymphedema in a kidney-transplant recipient: Partial recovery after changeover to tacrolimus]. Ann Dermatol Venereol 2015; 142:350-5. [PMID: 25683011 DOI: 10.1016/j.annder.2015.01.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [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: 11/14/2014] [Revised: 12/09/2014] [Accepted: 01/06/2015] [Indexed: 11/25/2022]
Abstract
BACKGROUND Lymphedema induced by mTOR inhibitors is a side-effect rarely reported to date. PATIENTS AND METHODS Long-lasting bilateral lower-limb lymphedema with left predominance developed in a 71-year-old stable renal transplant recipient after 40 months of sirolimus treatment. Although no change in lymphedema was observed after 21 months despite dosage reduced, it improved markedly after changeover to tacrolimus. DISCUSSION Regardless of the individual drug, mTOR inhibitors can cause lymphedema. This effect may be countered through substitution with tacrolimus. CONCLUSION Physicians should be aware of lymphedema as a side-effect of mTOR inhibitors. It can be improved by substitution with tacrolimus. However, early withdrawal of mTOR inhibitors is recommended before irreversible lymphedema occurs.
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Affiliation(s)
- M Al Gain
- Service de dermatologie, hôpital Bichat, APHP, université Paris-Diderot, 46, rue Henri-Huchard, 75877 Paris cedex 18, France; Service de dermatologie, King-Abdulaziz university, Jeddah, Arabie Saoudite
| | - B Crickx
- Service de dermatologie, hôpital Bichat, APHP, université Paris-Diderot, 46, rue Henri-Huchard, 75877 Paris cedex 18, France
| | - C Bejar
- Service de dermatologie, hôpital Bichat, APHP, université Paris-Diderot, 46, rue Henri-Huchard, 75877 Paris cedex 18, France
| | - L Chen
- Service de dermatologie, hôpital Bichat, APHP, université Paris-Diderot, 46, rue Henri-Huchard, 75877 Paris cedex 18, France
| | - L Azeroual
- Service de néphrologie, hôpital Bichat, APHP, université Paris-Diderot, 46, rue Henri-Huchard, 75877 Paris cedex 18, France
| | - E Marinho
- Service d'anatomopathologie, hôpital Bichat, APHP, université Paris-Diderot, 46, rue Henri-Huchard, 75877 Paris cedex 18, France
| | - V Descamps
- Service de dermatologie, hôpital Bichat, APHP, université Paris-Diderot, 46, rue Henri-Huchard, 75877 Paris cedex 18, France.
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Ghoufi L, Cannistra C, Vuong V, Crickx B, Descamps V. Infection à Mycobacterium fortuitum mimant une cytostéatonécrose à distance d’une abdominoplastie. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.494] [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: 11/27/2022]
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Descamps V, Chauveheid MP, Vrtovsnik F, Deschamps L, Marinho E, Crickx B. Nécrose aux points d’injection d’héparine de calcium : un marqueur de calciphylaxie chez l’insuffisant rénal chronique. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.525] [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: 11/28/2022]
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Maubec E, Servy A, Boitier F, Sugier PE, Grange F, Mansard S, Lesimple T, Couturaud B, Albert S, Sastre X, Marinho E, Carlotti A, Deschamps L, Girod A, Kassouma J, Blom A, Dupin N, Crickx B, Avril MF. Biopsie du ganglion sentinelle et carcinome de Merkel : une série de 87 patients. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.051] [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: 10/24/2022]
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Lérisson M, Béjar C, Marinho E, Coustet B, Crickx B, Descamps V. Dermatose neutrophilique rhumatoïde : une entité méconnue. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.554] [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: 10/24/2022]
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Sgarioto A, Papy E, Feton N, Scheer I, Crickx B, Arnaud P, Maubec E. Mélanome métastatique et toxicité cutanée sévère : permutation entre inhibiteurs de BRAF. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.135] [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: 11/25/2022]
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Alabdullatif Z, Bejar C, Deschamps L, Marinho E, Battistella M, Crickx B, Descamps V. Peeling skin syndrome acral révélé et aggravé par des bolus de méthylprednisolone. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.329] [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: 11/28/2022]
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Almudimeegh A, Rioux C, Ferrand H, Crickx B, Yazdanpanah Y, Descamps V. Drug reaction with eosinophilia and systemic symptoms, or virus reactivation with eosinophilia and systemic symptoms as a manifestation of immune reconstitution inflammatory syndrome in a patient with HIV? Br J Dermatol 2014; 171:895-8. [PMID: 24773172 DOI: 10.1111/bjd.13079] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/22/2014] [Indexed: 12/15/2022]
Abstract
We report a case of drug reaction with eosinophilia and systemic symptoms (DRESS) in a patient with HIV receiving antitoxoplasmic drugs (adiazine and pyrimethamine) and levetiracetam along with highly active antiretroviral therapy (tenofovir-emtricitabine, darunavir and ritonavir). Cytomegalovirus (CMV) infection was reactivated in the 7 weeks before the development of DRESS but was successfully treated with ganciclovir and corticosteroids. DRESS flare was concomitant with another CMV reactivation after the withdrawal of ganciclovir. This case report is an example of DRESS that may be considered real DRESS or virus reactivation with eosinophilia and systemic symptoms (VRESS) as a manifestation of immune reconstitution inflammatory syndrome. The case confirms that herpesvirus reactivation precedes DRESS or VRESS, and suggests the need to monitor herpesvirus infection in patients at risk for the infection or after the initiation of culprit drugs.
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Affiliation(s)
- A Almudimeegh
- Department of Dermatology, Bichat-Claude Bernard Hospital, Assistance Publique des Hôpitaux de Paris, Paris 7 Denis Diderot University, 46 rue Henri Huchard 75877, Paris, France
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Fahmy-Gravel J, Fite C, Bertherat J, Picard-Dahan C, Bouhanna E, Crickx B, Maubec E. Alopécie secondaire à une hypothyroïdie survenue sous vemurafenib. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.287] [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: 11/25/2022]
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Baudoux L, Slama J, Laouénan C, Sarda L, Crickx B, Mentré F, Maubec E. Mélanome cutané : facteurs prédictifs d’atteinte du ganglion sentinelle en médecine nucléaire. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.310] [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: 11/28/2022]
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Brunet-Possenti F, Steff M, Marinho E, Crickx B, Descamps V. [Stevens-Johnson syndrome concurrent with primary Epstein-Barr virus infection]. Ann Dermatol Venereol 2012; 140:112-5. [PMID: 23395492 DOI: 10.1016/j.annder.2012.10.590] [Citation(s) in RCA: 8] [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: 04/16/2012] [Revised: 09/04/2012] [Accepted: 10/31/2012] [Indexed: 10/27/2022]
Abstract
BACKGROUND Primary EBV infection mainly affects children and young adults. Most patients present the characteristic triad of fever, pharyngitis and lymphadenopathy. Symptoms may include a morbilliform eruption, occasionally induced by amoxicillin. We report a case of Stevens-Johnson syndrome concurrent with EBV infection. CASE REPORT A 17-year-old boy consulted for an eruption suggestive of Stevens-Johnson syndrome, which was supported by the histopathology results. The patient had taken no medication during the previous weeks. Laboratory examinations showed atypical activated T lymphocytes. Serological tests and PCR results confirmed the diagnosis of primary EBV infection. The outcome was spontaneously favorable with only symptomatic treatment being required. DISCUSSION Stevens-Johnson syndrome is characterized by "target" lesions and profuse mucous membrane involvement. Stevens-Johnson syndrome is frequently drug-induced, being due less frequently to infections. Stevens-Johnson syndrome is very rarely a manifestation of infectious mononucleosis, with only one case being reported in the literature. When confronted with Stevens-Johnson syndrome without any imputable medication, complete screening for infection should be performed, in particular for primary EBV infection.
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Affiliation(s)
- F Brunet-Possenti
- Service de dermatologie, hôpital Bichat-Claude-Bernard, AP-HP, 46, rue Henri-Huchard, 75877 Paris cedex 18, France
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Steff M, Di Lucca-Christment J, Marinho E, Crickx B, Maubec E. Le lénalidomide : un nouveau traitement de la maladie de Kaposi liée au VIH ? Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.371] [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: 11/30/2022]
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Chasset F, Deschamps L, Marinho E, Crickx B, Descamps V. Diminution du nombre de cellules de Langerhans intra-épidermiques au cours du glucagonome. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.435] [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: 10/27/2022]
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Dammak A, Taillé C, Marinho E, Crestani B, Crickx B, Descamps V. Granulomatous foreign-body reaction with facial dermal fillers after omalizumab treatment for severe persistent allergic asthma: a case report. Br J Dermatol 2012; 166:1375-6. [PMID: 22233356 DOI: 10.1111/j.1365-2133.2012.10817.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Vuong V, Moulonguet I, Cordoliani F, Crickx B, Bezier M, Vignon-Pennamen MD, Flageul B, Bagot M, Petit A. [Cutaneous revelation of Rosai-Dorfman disease: 7 cases]. Ann Dermatol Venereol 2012; 140:83-90. [PMID: 23395488 DOI: 10.1016/j.annder.2012.06.036] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/01/2012] [Revised: 05/14/2012] [Accepted: 06/28/2012] [Indexed: 11/26/2022]
Abstract
BACKGROUND Rosai-Dorfman disease (RDD) is a benign form of non-Langerhans-cell histiocytosis. It is identified by a particular histological profile first observed in febrile lymph nodes. Extranodal sites are frequent. The most common site is the skin, which can reveal the disease despite a difficult and delayed diagnosis. Seven cases of cutaneous revelation of RDD were studied retrospectively in order to delineate the clinical characteristics and facilitate diagnosis and treatment of this extremely rare disease. PATIENTS AND METHODS Six cases of RDD from 1990 to 2011 were identified in the photographic and histopathological records of the Saint-Louis Hospital and one case came from a Bichat Hospital consultation. The diagnosis was based in all cases on histopathology results. RESULTS Patients consisted of four men and three women aged between 31 and 69 years. Cutaneous lesions (3 to 20) revealed the disease in all of them and the time from disease onset to diagnosis ranged from six months to five years. The clinical presentation was erythematous or orange popular nodules or plaques, usually on the face. Microscopically, a dense dermal infiltration was observed, in some cases extending into the subcutaneous tissue, with pale histiocytic cells characterised by emperipolesis, plasma cells, lymphocytes, some neutrophils and variable fibrosis. The diagnosis, initially erroneous in 4 cases, was rectified by a second reading of histopathology slides, and immunohistochemical studies showed expression of S-100 protein in histiocytes but not CD1a. Three patients had pure cutaneous RDD. Two neurological sites and one nasal site were also found, with one ENT site and sequelae of previous uveitis in one patient. All extra-cutaneous sites were identified by clinical examination. Different treatments were proposed according to the sites and impact of the disease. In one case, the lesions regressed spontaneously after 18 months. COMMENTS Few RDD series have been published and they mainly concern Asian patients. The ethnic origin of our patients was varied. The main findings were: 1) common clinical findings (orange or erythematous papules or nodules, mostly on the upper body), which should alert the dermatologist and histopathologist to the possible diagnosis of RRD; 2) the possibility, already mentioned in the literature, of spontaneous regression and a good prognosis; 3) the need for thorough evaluation by thoracic, abdominal and cerebral CT (computed tomography) or more a PET (positron emission tomography) scan to screen for potentially dangerous visceral sites, and also clinical follow up.
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Affiliation(s)
- V Vuong
- Service de dermatologie, hôpital Saint-Louis, GHU Paris Nord, AP-HP, Paris, France
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Le Maître M, Crickx B, Lacour J, Bagot M, Chevallier JM, Cribier B, Doutre MS, Giordano-Labadie F, Guillot B, Joly P, Schmutz JL, Vabres P, Bensimon D. Validation of a clinical evaluation score for irritative dermatitis: SCOREPI. J Eur Acad Dermatol Venereol 2012; 27:1138-42. [DOI: 10.1111/j.1468-3083.2012.04678.x] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Alghamdi R, Bejar C, Steff M, Deschamps L, Marinho E, Crickx B, Descamps V. Intravenous immunoglobulins as a treatment of interstitial granulomatous dermatitis with arthritis. Br J Dermatol 2012; 167:218-20. [DOI: 10.1111/j.1365-2133.2012.10854.x] [Citation(s) in RCA: 7] [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] [Indexed: 11/29/2022]
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Cazenave H, Maubec E, Mohamdi H, Boitier F, Chaudru V, Sorbe A, Vincent-Fetita L, Crickx B, Dréno B, Grange F, Bressac-de Paillerets B, Demenais F, Avril MF. Mélanomes muqueux de la sphère ano-génitale et mélanomes cutanés : ont-ils les mêmes facteurs de risque ? Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.378] [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: 10/15/2022]
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Béjar C, Castillo W, Chian C, Maldonado W, Crickx B. Verruga peruana involutive à type de pseudolymphome : une maladie historique et un modèle particulier de réaction immunologique. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.09.021] [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: 10/15/2022]
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Dammak A, Marinho E, Crickx B, Crestani B, Descamps V. Granulome à corps étranger sur produit de comblement induit par l’omaluzimab. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.339] [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: 10/15/2022]
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Bellon N, Di Lucca-Chrisment J, Descamps V, Crickx B. Staphylococcie maligne de la face compliquée d’une thrombophlébite faciale due à un Staphylococcus aureus sécréteur de leucocidine de Panton-Valentine. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.308] [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: 10/15/2022]
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Bejar C, Almarzouqi F, Deschamps L, Marinho E, Crickx B, Descamps V. Trichodysplasia spinulosa d’origine virale (VATS) : une maladie peu connue probablement sous diagnostiquée. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.09.038] [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: 11/16/2022]
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Alghamdi R, Descamps V, Deschamps L, Bejar C, Steff M, Marinho E, Crickx B. Efficacité des immunoglobulines intraveineuses dans le traitement de la dermatite interstitielle granulomateuse. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.10.340] [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: 10/15/2022]
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Bommenel T, Launay O, Meynard JL, Gilquin J, Katlama C, Lascaux AS, Mahamat A, Martinez V, Pradier C, Rouveix E, Simon A, Costagliola D, Abgrall S, Abgrall S, Barin F, Bentata M, Billaud E, Boue F, Burty C, Cabie A, Costagliola D, Cotte L, de Truchis P, Duval X, Duvivier C, Enel P, Gasnault J, Gaud C, Gilquin J, Grabar S, Katlama C, Khuong MA, Lang JM, Lascaux AS, Launay O, Mahamat A, Mary-Krause M, Matheron S, Meynard JL, Pavie J, Pialoux G, Pilorge F, Poizot-Martin I, Pradier C, Reynes J, Rouveix E, Simon A, Tattevin P, Tissot-Dupont H, Viard JP, Viget N, Brosseau M, Salomon V, Jacquemet N, Guiguet M, Lanoy E, Lievre L, Selinger-Leneman H, Lacombe JM, Potard V, Bricaire F, Herson S, Desplanque N, Girard PM, Meyohas MC, Picard O, Cadranel J, Mayaud C, Clauvel JP, Decazes JM, Gerard L, Molina JM, Diemer M, Sellier P, Honore P, Jeantils V, Tassi S, Mechali D, Taverne B, Bouvet E, Crickx B, Ecobichon JL, Picard-Dahan C, Yeni P, Berthe H, Dupont C, Chandemerle C, Mortier E, Tisne-Dessus D, Weiss L, Salmon D, Auperin I, Roudiere L, Fior R, Delfraissy JF, Goujard C, Jung C, Lesprit P, Vittecoq D, Fraisse P, Rey D, Beck-Wirth G, Stahl JP, Lecercq P, Gourdon F, Laurichesse H, Fresard A, Lucht F, Bazin C, Verdon R, Chavanet P, Arvieux C, Michelet C, Choutet P, Goudeau A, Maitre MF, Hoen B, Elinger P, Faller JP, Borsa-Lebas F, Caron F, Daures JP, May T, Rabaud C, Berger JL, Remy G, Arlet-Suau E, Cuzin L, Massip P, Thiercelin Legrand MF, Pontonnier G, Yasdanpanah Y, Dellamonica P, Pugliese P, Aleksandrowicz K, Quinsat D, Ravaux I, Delmont JP, Moreau J, Gastaut JA, Retornaz F, Soubeyrand J, Galinier A, Ruiz JM, Allegre T, Blanc PA, Bonnet-Montchardon D, Lepeu G, Granet-Brunello P, Esterni JP, Pelissier L, Cohen-Valensi R, Nezri M, Chapadaud S, Laffeuillade A, Raffi F, Boibieux A, Peyramond D, Livrozet JM, Touraine JL, Trepo C, Strobel M, Bissuel F, Pradinaud R, Sobesky M, Contant M. Comparative effectiveness of continuing a virologically effective first-line boosted protease inhibitor combination or of switching to a three-drug regimen containing either efavirenz, nevirapine or abacavir. J Antimicrob Chemother 2011; 66:1869-77. [DOI: 10.1093/jac/dkr208] [Citation(s) in RCA: 7] [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: 11/14/2022] Open
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Qasmi S, Sutra-Loubet C, Maubec E, Boitier F, Duvillard P, Carlotti A, Marinho E, Jacobelli S, Franck N, Gorin I, Vacher-Lavenu MC, Bouscarat F, Crickx B, Dupin N, Avril MF. [Melanoma in HIV patients: 14 cases]. Ann Dermatol Venereol 2010; 137:769-74. [PMID: 21134578 DOI: 10.1016/j.annder.2010.09.002] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2009] [Accepted: 08/02/2010] [Indexed: 11/25/2022]
Abstract
BACKGROUND a clinical study of 14 patients presenting both malignant melanoma and HIV infection, and analysis of the literature to determine the frequency and specific features of this association. PATIENTS AND METHODS ten men and four women of median age 43 years were included. In 50% of cases, the primary melanoma consisted of spreading superficial melanoma with a mean Breslow thickness of 2.83 mm. In two cases, regional lymph node metastasis was discovered but with no primary melanoma being identified. HIV infection was already documented on diagnosis of melanoma in 11 cases, and it was discovered in three cases at the time of surgery for melanoma (treatment of the primary melanoma in two cases, and in one case, regional lymph node dissection two years after the initial diagnosis). Eight patients died within a mean period of 39 months, with melanoma being the cause of death in six cases. Following relapse of melanoma, the course of the disease was severe, with mean stage IV survival of 3.6 months. No response to chemotherapy was observed where such treatment was feasible. DISCUSSION the presence of HIV appears to be an aggravating factor for the outcome of metastatic melanoma. CONCLUSION our study suggests the importance of clinical examination of pigmented lesions in HIV patients in order to ensure early identification of melanoma.
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Affiliation(s)
- S Qasmi
- Service de Dermatologie, Université Paris 5, Hôpital Cochin-pavillon Tornier, 89, rue d'Assas, AP-HP, 75006 Paris, France
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Grootenboer-Mignot S, Descamps V, Picard-Dahan C, Nicaise-Roland P, Prost-Squarcioni C, Leroux-Villet C, Champagnat C, Delaval A, Aucouturier F, Crickx B, Chollet-Martin S. Place of human amniotic membrane immunoblotting in the diagnosis of autoimmune bullous dermatoses. Br J Dermatol 2009; 162:743-50. [PMID: 19886889 DOI: 10.1111/j.1365-2133.2009.09566.x] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Abstract
BACKGROUND Fine analysis of antiskin autoantibodies can contribute to the differential diagnosis of autoimmune bullous dermatoses. OBJECTIVES To develop a high-performance immunoblotting method using human amniotic membrane as the antigen source, and to compare it with current laboratory methods. METHODS Sera from 113 patients were tested by immunoblotting (IB), rat and monkey oesophagus and salt-split skin indirect immunofluorescence (IIF), and enzyme-linked immunosorbent assay (ELISA) quantification of anti-BP180-NC16a and anti-BP230, or antidesmoglein (Dsg) 1 and 3 antibodies. There were 56 cases of bullous pemphigoid (BP), 22 cases of mucous membrane pemphigoid (MMP), eight cases of epidermolysis bullosa acquisita (EBA), two cases of bullous systemic lupus erythematosus (BSLE), 17 cases of pemphigus vulgaris (PV), and four cases each of pemphigus foliaceus (PF) and paraneoplastic pemphigus (PNP). RESULTS In BP, the three methods had similar sensitivity (84-89%) for both anti-BP180-NC16a and anti-BP230 antibody detection. In MMP, autoantibodies (mainly directed against BP180 or laminin 332 subunits) were detected in 77% of patients by IB, compared with only 9% by IIF on rat and monkey oesophagus and 36% on salt-split skin, and 14% by anti-BP180-NC16a and anti-BP230 ELISA. In patients with pemphigus, ELISA had 92% sensitivity for anti-Dsg1 and 3, but IB and rat bladder IIF were necessary to confirm PNP by revealing specific and rare patterns (antidesmoplakin I/II, antienvoplakin and antiperiplakin antibodies). IB also revealed anticollagen VII antibodies in 60% of patients with EBA and BSLE, and antibodies to BP180, BP230 and Dsg3 in a few patients who were negative using the other two techniques. CONCLUSION Amniotic membrane immunoblotting is an interesting diagnostic tool for bullous diseases, as the entire panel of autoantibodies can be detected with a single extract. This method improves the identification of complex and heterogeneous autoimmune processes in conjunction with IIF and ELISA, and is particularly useful for MMP characterization.
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Affiliation(s)
- S Grootenboer-Mignot
- Unité d'Immunologie 'Autoimmunité et Hypersensibilité', Hôpital Bichat-Claude Bernard, 46 rue H. Huchard, 75877 Paris Cedex 18, France.
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Guyot A, Begon E, Abramowitz L, Landry J, Marinho E, Descamps V, Crickx B. Infection cutanée aiguë et nécrosante à Mycobacterium marinum chez un patient traité par infliximab pour une maladie de Crohn. Ann Dermatol Venereol 2009; 136:806-10. [DOI: 10.1016/j.annder.2009.09.009] [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: 01/22/2009] [Accepted: 09/11/2009] [Indexed: 10/20/2022]
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Morel P, Perron J, Crickx B, Barrandon Y, Civatte J. Lichen plan avec dépôts linéaires d’lgG et de C3 à la jonction dermo-épidermique. Dermatology 2009. [DOI: 10.1159/000250148] [Citation(s) in RCA: 8] [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: 11/19/2022] Open
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Zribi H, Descamps V, Hoang-Xuan T, Crickx B, Doan S. Dramatic improvement of atopic keratoconjunctivitis after topical treatment with tacrolimus ointment restricted to the eyelids. J Eur Acad Dermatol Venereol 2009; 23:489-90. [PMID: 18721214 DOI: 10.1111/j.1468-3083.2008.02933.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Brahimi N, Maubec E, Palazzo E, Larger E, Mohammedi K, Landry J, Descamps V, Crickx B. Coloration orangée du visage. Ann Dermatol Venereol 2009; 136:377-8. [DOI: 10.1016/j.annder.2008.06.010] [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] [Received: 04/25/2008] [Accepted: 06/13/2008] [Indexed: 11/16/2022]
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Richard MA, Crickx B. La revue Annales de Dermatologie et de Vénéréologie se porte bien ! Ann Dermatol Venereol 2009; 136:1-2. [DOI: 10.1016/j.annder.2008.12.015] [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: 10/21/2022]
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Serac G, Maubec E, Laissy JP, Marinho E, Abgrall S, Avril MF, Le Cesne A, Crickx B. [Metastatic extraskeletal osteosarcoma revealed by an occipital mass]. Ann Dermatol Venereol 2008; 135:499-502. [PMID: 18598802 DOI: 10.1016/j.annder.2007.11.033] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2006] [Accepted: 11/09/2007] [Indexed: 10/22/2022]
Abstract
BACKGROUND Extraskeletal osteosarcoma is a rare mesenchymatous tumour occurring in adults aged over 50 years and is located mainly in the limbs or retroperitoneum. We report a case of metastatic extraskeletal osteosarcoma revealed by a cutaneous occipital tumour site. CASE-REPORT A 53-year-old woman was admitted for dyspnea and weight loss. An occipital tumour, noticed for one year by the patient, was discovered. It was freely movable on the bone, of hard consistency and responsible for alopecia. In addition to left-sided pleural effusion, a chest CAT revealed a large mass in the left lung, including areas of necrosis and calcifications with intracardiac extension. Histological examination of biopsies of the skin and of pulmonary and intracardiac lumps showed an osteosarcomatous proliferation. No primary osteosarcoma was found in the bones. A diagnosis was made of metastatic extraskeletal osteosarcoma. Intravenous chemotherapy was given followed by radiotherapy. After a six-month stabilization period, the disease progressed. DISCUSSION Extraskeletal cutaneous locations of osteosarcoma are extremely rare. They may comprise either the primary tumour or a metastatic lesion. In this patient, the immediately metastatic nature of the disease was a poor prognostic factor for this high-grade sarcoma.
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Affiliation(s)
- G Serac
- Service de dermatologie, hôpital Bichat, université Paris-VII-Denis-Diderot, 46, rue Henri-Huchard, 75877 Paris, France
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Pons-Guiraud A, Crickx B. [Practical forms]. Ann Dermatol Venereol 2008; 135:1S48-9. [PMID: 18442663 DOI: 10.1016/s0151-9638(08)70211-4] [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: 10/22/2022]
Affiliation(s)
- A Pons-Guiraud
- Université Denis-Diderot Paris 7 et Service de Dermatologie, Groupe hospitalier Bichat-Claude-Bernard, AP-HP, 46 rue Henri-Huchard, 75018 Paris.
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Livory M, Descamps V, Pelletier F, Maubec E, Faivre B, Marinho E, Humbert P, Crickx B, Aubin F. [Melanoma in invisible naevus spilus]. Ann Dermatol Venereol 2008; 135:48-52. [PMID: 18342074 DOI: 10.1016/j.annder.2007.01.001] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2006] [Accepted: 01/28/2007] [Indexed: 10/22/2022]
Abstract
BACKGROUND Diagnosis of naevus lesions may be complex where they contain little or no pigmentation. Naevus spilus (or naevus on naevus) is, generally, readily identified by the difference in pigmentation between overlying and underlying naevi and healthy skin. Malignant transformation of naevus spilus is rare. We report two cases of melanoma in which surgical procedures revealed underlying melanocyte lesions, diagnosed at histology but undetectable on clinical examination. PATIENTS AND METHODS Two patients were operated for melanoma in which surgery, at a site remote from the melanoma, suggested incomplete relapse despite the fact that previous clinical examination had indicated healthy skin. A diagnosis was made of melanoma in invisible naevus spilus. DISCUSSION Diagnosis of melanoma in invisible naevus spilus may be suspected where several naevi are found together in a specific area. The main problem is the therapeutic stance to be adopted since complete excision of the underlying naevi is difficult in practice. Wood's light examination may be helpful.
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Affiliation(s)
- M Livory
- Service de dermatologie, hôpital Bichat, université Denis-Diderot Paris-7, Assistance publique-Hôpitaux de Paris, 46, rue Henri-Huchard, 75018 Paris, France
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