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López-Valle A, García-Reyne A, Loinaz-Segurola C, Sanchez-Pina J, Rodríguez-Peralto JL, Zarco-Olivo C. Toxic epidermal necrolysis-like graft vs host disease following orthotopic liver transplantation: a case with skin chimerism. J Eur Acad Dermatol Venereol 2021; 35:e663-e665. [PMID: 34014572 DOI: 10.1111/jdv.17371] [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: 11/25/2022]
Affiliation(s)
- A López-Valle
- Department of Dermatology, Hospital 12 de Octubre, Madrid, Spain
| | - A García-Reyne
- Department of Internal Medicine, Hospital 12 de Octubre, Madrid, Spain
| | - C Loinaz-Segurola
- Department of General and Gastrointestinal Surgery, Hospital 12 de Octubre, Madrid, Spain
| | - J Sanchez-Pina
- Department of Hematology, Hospital 12 de Octubre, Madrid, Spain
| | | | - C Zarco-Olivo
- Department of Internal Medicine, Hospital 12 de Octubre, Madrid, Spain
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Prieto-Barrios M, Velasco-Tamariz V, Tous-Romero F, Burillo-Martinez S, Zarco-Olivo C, Rodriguez-Peralto JL, Ortiz-Romero PL. Linear immunoglobulin A dermatosis mimicking toxic epidermal necrolysis: a case report of etanercept treatment. Br J Dermatol 2017; 178:786-789. [PMID: 28222222 DOI: 10.1111/bjd.15400] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/15/2017] [Indexed: 11/29/2022]
Abstract
A 65-year-old pluripathological woman attended our hospital with a cutaneous eruption of sudden appearance after vancomycin treatment. She presented targetoid lesions affecting approximately 25-30% of her body surface, large erosions with mucosal lesions and positive Nikolsky sign. Under the initial clinical suspicion of toxic epidermal necrolysis (TEN), and considering the recent literature of successful use of etanercept in these cases, she was treated with a single dose of this antitumour necrosis factor (anti-TNF) agent. Subsequently, the exanthema progression stopped and resolution of the lesions happened in a few days. Later on, histopathology revealed a subepidermal blister with dense neutrophilic infiltrate and linear deposits of immunoglobulin A (IgA) on the dermoepidermal junction, allowing us to establish the diagnosis of drug-induced linear IgA dermatosis mimicking TEN. Linear IgA dermatosis can have severe clinical manifestations, even mimicking TEN, and can have high mortality, especially in drug-induced cases. We have not found any other report of linear IgA dermatosis treated with etanercept in the English literature. Anti-TNF medications could represent useful therapeutic alternatives in this dermatosis.
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Affiliation(s)
- M Prieto-Barrios
- Departments of Dermatology, Hospital Universitario 12 de Octubre, I + 12 Research Institute, Universidad Complutense, Madrid, Spain
| | - V Velasco-Tamariz
- Departments of Dermatology, Hospital Universitario 12 de Octubre, I + 12 Research Institute, Universidad Complutense, Madrid, Spain
| | - F Tous-Romero
- Departments of Dermatology, Hospital Universitario 12 de Octubre, I + 12 Research Institute, Universidad Complutense, Madrid, Spain
| | - S Burillo-Martinez
- Departments of Dermatology, Hospital Universitario 12 de Octubre, I + 12 Research Institute, Universidad Complutense, Madrid, Spain
| | - C Zarco-Olivo
- Departments of Dermatology, Hospital Universitario 12 de Octubre, I + 12 Research Institute, Universidad Complutense, Madrid, Spain
| | - J L Rodriguez-Peralto
- Departments of Pathology, Hospital Universitario 12 de Octubre, I + 12 Research Institute, Universidad Complutense, Madrid, Spain
| | - P L Ortiz-Romero
- Departments of Dermatology, Hospital Universitario 12 de Octubre, I + 12 Research Institute, Universidad Complutense, Madrid, Spain
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Burillo-Martínez S, Fernández-Ruiz M, Pérez-Rivilla A, Zarco-Olivo C. Zika Virus Infection: An Emerging Disease the Dermatologist Must Know About. Actas Dermosifiliogr 2016; 107:687-9. [PMID: 27255550 DOI: 10.1016/j.ad.2016.04.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/21/2016] [Revised: 04/20/2016] [Accepted: 04/24/2016] [Indexed: 11/17/2022] Open
Affiliation(s)
- S Burillo-Martínez
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, España.
| | - M Fernández-Ruiz
- Unidad de Enfermedades Infecciosas, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, España
| | - A Pérez-Rivilla
- Servicio de Microbiología, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, España
| | - C Zarco-Olivo
- Servicio de Dermatología, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Madrid, España
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Maroñas-Jiménez L, Menis D, Delgado-Márquez A, Zarco-Olivo C, Ortiz de Frutos F. Primary herpes simplex infection with genital and extra-genital lesions mimicking disseminated gonococcal disease. Br J Dermatol 2015; 172:278-80. [DOI: 10.1111/bjd.13183] [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: 12/01/2022]
Affiliation(s)
| | - D. Menis
- Dermatology Department; 12 de Octubre University Hospital; Madrid Spain
| | | | - C. Zarco-Olivo
- Dermatology Department; 12 de Octubre University Hospital; Madrid Spain
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