1
|
Chebani R, Lombart F, Chaby G, Dadban A, Debarbieux S, Viguier MA, Ingen-Housz-Oro S, Pham-Ledard A, Bedane CR, Picard-Dahan C, Berthin C, Dereure O, Konstantinou MP, Castel M, Jouen F, Joly P, Seta V, Duvert-Lehembre S, Le Roux C, Quereux G, Sassolas B, Brenaut E, Sin C, Richard MA, Bérard F, Giusti D, Belmondo T, Gille T, Caux F, Prost-Squarcioni C, Grootenboer-Mignot S, Alexandre M. Omalizumab in the treatment of bullous pemphigoid resistant to first-line therapy: a French national multicentre retrospective study of 100 patients. Br J Dermatol 2024; 190:258-265. [PMID: 37792727 DOI: 10.1093/bjd/ljad369] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/17/2023] [Revised: 09/18/2023] [Accepted: 09/21/2023] [Indexed: 10/06/2023]
Abstract
BACKGROUND Interest in the use of omalizumab to treat bullous pemphigoid (BP) in the event of resistance or contraindication to conventional therapies is currently based on limited evidence. OBJECTIVES To assess the effectiveness and safety of omalizumab in BP and to identify predictive factors in response to treatment. METHODS We conducted a French national multicentre retrospective study including patients with a confirmed diagnosis of BP treated with omalizumab after failure of one or several treatment lines. We excluded patients with clinically atypical BP, as per Vaillant's criteria. The criteria for clinical response to omalizumab were defined according to the 2012 international consensus conference. Anti-BP180-NC16A IgE enzyme-linked immunosorbent assay was performed on sera collected before initiating omalizumab, when available. RESULTS Between 2014 and 2021, 100 patients treated in 18 expert departments were included. Median age at diagnosis was 77 years (range 20-98). Complete remission (CR) was achieved in 77% of patients, and partial remission in an additional 9%. CR was maintained 'off therapy' in 11.7%, 'on minimal therapy' in 57.1%, and 'on non-minimal therapy' in 31.2%. Median time to CR was 3 months (range 2.2-24.5). Relapse rate was 14%, with a median follow-up time of 12 months (range 6-73). Adverse events occurred in four patients. CR was more frequently observed in patients with an increased serum baseline level of anti-BP180-NC16A IgE (75% vs. 41%; P = 0.011). Conversely, urticarial lesions, blood total IgE concentration or eosinophil count were not predictive of CR. Patients with an omalizumab dosage > 300 mg every 4 weeks showed a similar final outcome to those with a dosage ≤ 300 mg every 4 weeks, but control of disease activity [median 10 days (range 5-30) vs. 15 days (range 10-60); P < 0.001] and CR [median 2.4 months (range 2.2-8.2) vs. 3.9 months (range 2.3-24.5); P < 0.001] were achieved significantly faster. CONCLUSIONS We report the largest series to date of BP treated by omalizumab and confirm its effectiveness and safety in this indication. Serum baseline level of anti-BP180-NC16A IgE may predict response to treatment.
Collapse
Affiliation(s)
- Réda Chebani
- Department of Dermatology, Amiens University Hospital, Amiens, France
| | - Florian Lombart
- Department of Dermatology, Amiens University Hospital, Amiens, France
| | - Guillaume Chaby
- Department of Dermatology, Amiens University Hospital, Amiens, France
| | - Ali Dadban
- Department of Dermatology, Amiens University Hospital, Amiens, France
| | | | | | | | | | | | | | | | | | | | | | | | | | | | | | - Christelle Le Roux
- Department of Dermatology and Referral Centre for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| | | | | | | | | | | | | | | | | | | | - Frédéric Caux
- Department of Dermatology and Referral Centre for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| | - Catherine Prost-Squarcioni
- Department of Dermatology and Referral Centre for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| | | | - Marina Alexandre
- Department of Dermatology and Referral Centre for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Hôpitaux Universitaires de Paris Seine-Saint-Denis, AP-HP, Université Sorbonne Paris Nord, Bobigny, France
| |
Collapse
|
2
|
Cohen E, Lheure C, Ingen-Housz-Oro S, Hotz C, Bettuzzi T, Chasset F, Descamps V, Deschamps L, Mahevas M, Terrier B, Sohier P, Guegan S, Kramkimel N, Darbord D, Chanal J, Oulès B, Aractingi S, Seta V, Dupin N. Which first-line treatment for cutaneous sarcoidosis? A retrospective study of 120 patients. Eur J Dermatol 2023; 33:680-685. [PMID: 38465550 DOI: 10.1684/ejd.2023.4584] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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] [Indexed: 03/12/2024]
Abstract
Sarcoidosis is a systemic disease that affects the skin in about 25% of patients. The treatment of cutaneous sarcoidosis is guided by the extent of lesions, associated symptoms and organ involvement. To evaluate rates of response to various potential first-line treatments for cutaneous sarcoidosis during the year following treatment initiation. This retrospective multicentre study included 120 patients with cutaneous sarcoidosis. Treatment response was assessed retrospectively from the patients' medical records. Univariate logistic regression analysis, with an estimation of unadjusted odds ratios (OR) and their 95% CI ,was performed to identify factors associated with complete cutaneous remission (CR), followed by multivariate logistic regression analysis. At one year, 43 of the 120 (36%) included patients had CR. The best response rates were obtained with oral corticosteroids (12/21, 57%), followed by a combination of hydroxychloroquine and topical steroids (6/13, 46%). In multivariate analysis, lupus pernio was the only predictor of a poor cutaneous response. We suggest the use of a combination of hydroxychloroquine and topical steroids as an optimal first-line treatment for cutaneous sarcoidosis, given the known adverse effects of systemic corticosteroids.
Collapse
Affiliation(s)
- Elisabeth Cohen
- Department of Dermatology, APHP, Cochin Hospital, Paris, France
| | - Coralie Lheure
- Department of Dermatology, APHP, Cochin Hospital, Paris, France
| | - Saskia Ingen-Housz-Oro
- Department of Dermatology, APHP, Mondor Hospital, Paris, France, EpiDermE, University Paris Est Créteil, Créteil, France
| | - Claire Hotz
- Department of Dermatology, APHP, Mondor Hospital, Paris, France
| | - Thomas Bettuzzi
- Department of Dermatology, APHP, Mondor Hospital, Paris, France
| | | | | | - Lydia Deschamps
- Department of Pathology, APHP, Bichat Hospital, Paris, France
| | - Matthieu Mahevas
- Department of Internal Medicine, APHP, Mondor Hospital, Paris, France
| | - Benjamin Terrier
- Department of Internal Medicine, APHP, Cochin Hospital, Paris, France
| | - Pierre Sohier
- Department of Pathology, APHP, Cochin Hospital, Paris, France
| | - Sarah Guegan
- Department of Dermatology, APHP, Cochin Hospital, Paris, France
| | - Nora Kramkimel
- Department of Dermatology, APHP, Cochin Hospital, Paris, France
| | | | - Johan Chanal
- Department of Dermatology, APHP, Cochin Hospital, Paris, France
| | - Benedicte Oulès
- Department of Dermatology, APHP, Cochin Hospital, Paris, France
| | - Selim Aractingi
- Department of Dermatology, APHP, Cochin Hospital, Paris, France
| | - Vannina Seta
- Department of Dermatology, APHP, Cochin Hospital, Paris, France
| | - Nicolas Dupin
- Department of Dermatology, APHP, Cochin Hospital, Paris, France
| |
Collapse
|
3
|
Marin FS, Assaf A, Oumrani S, Seta V, Gaudric M, Beuvon F, Belle A, Coriat R, Dupin N, Chaussade S, Barret M. Non eosinophilic chronic stricturing esophagitis: Lessons from thirty eight cases. Clin Res Hepatol Gastroenterol 2023; 47:102202. [PMID: 37657720 DOI: 10.1016/j.clinre.2023.102202] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 08/15/2023] [Accepted: 08/29/2023] [Indexed: 09/03/2023]
Abstract
BACKGROUND AND AIMS The endoscopic workup of dysphagia can lead to the diagnosis of atypical esophagitis, with thickened esophageal mucosa, strictures, mucosal exudates, furrows, and sloughing. While these aspects suggest eosinophilic esophagitis, pathology might not report the presence of eosinophils, but rather chronic inflammation, with spongiosis, parakeratosis, and lymphocytic infiltrate. We aimed to report the management of this disease and assess the prevalence of associated dermatological conditions. METHODS We retrospectively evaluated the medical records of our patients with non-eosinophilic stricturing esophagitis for clinical, endoscopy, and pathology data. Patients were evaluated by a dermatologist. A blood immunoassay and skin biopsy were performed if needed. RESULTS Thirty-eight patients (twenty-six women) were included in the study. The median age at onset of symptoms was 56.5 years, with a median duration of symptoms of two years. Thirty-five patients presented with dysphagia at diagnosis and eighteen with weight loss. At endoscopy, a single esophageal stenosis was diagnosed in 19 patients, localized in the upper third in 22 patients. Thirty patients received endoscopic treatment (dilatation in 29/38 and local triamcinolone injection in 11/38 patients). In 21 patients, oral, skin or vulvo-anal lesions were found on dermatological examination. Nineteen patients received systemic treatment, including corticosteroids, immunosuppressive drugs and plasmapheresis. Five patients developed esophageal squamous cell carcinoma. CONCLUSION The management of non-eosinophilic chronic stricturing esophagitis is challenging, because of a low contribution of esophageal biopsies and the refractory nature of the strictures. In our experience, a dermatological evaluation helped in 55% of cases to introduce a systemic treatment, leading to limit the use of endoscopic dilatation. Endoscopic follow-up is needed, considering the significant risk of esophageal squamous cell carcinoma.
Collapse
Affiliation(s)
- Flavius-Stefan Marin
- Gastroenterology and Digestive Oncology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France.
| | - Antoine Assaf
- Gastroenterology and Digestive Oncology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France; University of Paris Cité, France
| | - Sarra Oumrani
- Gastroenterology and Digestive Oncology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France; University of Paris Cité, France
| | - Vannina Seta
- Dermatology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France
| | - Marianne Gaudric
- Gastroenterology and Digestive Oncology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France
| | - Frédéric Beuvon
- Pathology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France
| | - Arthur Belle
- Gastroenterology and Digestive Oncology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France
| | - Romain Coriat
- Gastroenterology and Digestive Oncology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France; University of Paris Cité, France
| | - Nicolas Dupin
- University of Paris Cité, France; Dermatology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France
| | - Stanislas Chaussade
- Gastroenterology and Digestive Oncology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France; University of Paris Cité, France
| | - Maximilien Barret
- Gastroenterology and Digestive Oncology Department, Cochin Hospital, Assistance Publique-Hôpitaux de Paris, France; University of Paris Cité, France
| |
Collapse
|
4
|
Dangien A, Darbord D, Chanal J, Wendling J, Pantoja C, Oules B, Lheure C, Ouedraogo E, Kramkimel N, Barret M, Beuvon F, Plantier F, Guegan S, Aractingi S, Seta V, Sohier P, Isnard C, Dupin N. SARS-CoV-2 vaccination may trigger and exacerbate mucosal lichen planus. J Eur Acad Dermatol Venereol 2023; 37:e1094-e1096. [PMID: 37114298 DOI: 10.1111/jdv.19144] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2022] [Accepted: 04/17/2023] [Indexed: 04/29/2023]
Affiliation(s)
- A Dangien
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
| | - D Darbord
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
| | - J Chanal
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
- Institut Cochin, INSERM U1016, UMR 8104, Paris, France
| | - J Wendling
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
| | - C Pantoja
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
| | - B Oules
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
- Institut Cochin, INSERM U1016, UMR 8104, Paris, France
- Faculté de Médecine Paris Centre Santé, Université Paris Cité, Paris, France
| | - C Lheure
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
| | - E Ouedraogo
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
| | - N Kramkimel
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
| | - M Barret
- Gastroenterology Department, Hôpital Cochin, AP-HP, Paris, France
| | - F Beuvon
- Pathology Department, Hôpital Cochin, AP-HP, Paris, France
| | - F Plantier
- Pathology Department, Hôpital Cochin, AP-HP, Paris, France
| | - S Guegan
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
- Institut Cochin, INSERM U1016, UMR 8104, Paris, France
- Faculté de Médecine Paris Centre Santé, Université Paris Cité, Paris, France
| | - S Aractingi
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
- Institut Cochin, INSERM U1016, UMR 8104, Paris, France
- Faculté de Médecine Paris Centre Santé, Université Paris Cité, Paris, France
| | - V Seta
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
| | - P Sohier
- Institut Cochin, INSERM U1016, UMR 8104, Paris, France
- Faculté de Médecine Paris Centre Santé, Université Paris Cité, Paris, France
- Pathology Department, Hôpital Cochin, AP-HP, Paris, France
| | - C Isnard
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
| | - N Dupin
- Dermatology Department, Hôpital Cochin, AP-HP, Paris, France
- Institut Cochin, INSERM U1016, UMR 8104, Paris, France
- Faculté de Médecine Paris Centre Santé, Université Paris Cité, Paris, France
| |
Collapse
|
5
|
Cordel N, Flament J, Jouen F, Seta V, Tancrède-Bohin E, Dahan CP, Konstantinou MP, Dereure O, Quéreux G, Prost C, Bedane C, Debarbieux S, Lacour JP, Dompmartin A, Wierzbicka-Hainaut E, Villada IB, Oro SIH, Vabres P, Richard MA, Delaporte E, Pham-Ledard A, Leccia MT, Litrowski N, Michel C, Lagrange B, D'Incan M, Abasq C, Duvert-Lehembre S, Dupuy A, Alcaraz I, Breton-Guitarian AL, Lombart F, Estève E, Machet L, Del Giudice P, Fenot M, Belmondo T, Morin F, Guérin O, Benichou J, Tressières B, Joly P. Anti-BP180 IgG antibody ELISA values correlate with adverse pregnancy outcomes in pemphigoid gestationis. J Eur Acad Dermatol Venereol 2023; 37:1207-1214. [PMID: 36802102 DOI: 10.1111/jdv.18973] [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: 11/10/2022] [Accepted: 01/27/2023] [Indexed: 02/20/2023]
Abstract
BACKGROUND Adverse pregnancy outcomes (APO) occur in 35% of patients with pemphigoid gestationis (PG). No biological predictor of APO has been established yet. OBJECTIVES To assess a potential relationship between the occurrence of APO and the serum value of anti-BP180 antibodies at the time of PG diagnosis. METHODS Multicentre retrospective study conducted from January 2009 to December 2019 in 35 secondary and tertiary care centres. INCLUSION CRITERIA (i) diagnosis of PG according to clinical, histological and immunological criteria, (ii) ELISA measurement of anti-BP180 IgG antibodies determined at the time of PG diagnosis with the same commercial kit and (iii) obstetrical data available. RESULTS Of the 95 patients with PG included, 42 had one or more APO, which mainly corresponded to preterm birth (n = 26), intrauterine growth restriction (IUGR) (n = 18) and small weight for gestational age at birth (n = 16). From a ROC curve, we identified a threshold of 150 IU ELISA value as the most discriminating to differentiate between patients with or without IUGR, with 78% sensitivity, 55% specificity, 30% positive and 91% negative predictive value. The threshold >150 IU was confirmed using a cross-validation based on bootstrap resampling, which showed that the median threshold was 159 IU. Upon adjusting for oral corticosteroid intake and main clinical predictors of APO, an ELISA value of >150 IU was associated with the occurrence of IUGR (OR = 5.11; 95% CI: 1.48-22.30; p = 0.016) but not with any other APO. The combination of blisters and ELISA values higher than 150 IU led to a 2.4-fold higher risk of all-cause APO (OR: 10.90; 95% CI: 2.33-82.3) relative to patients with blisters but lower values of anti-BP180 antibodies (OR of 4.54; 95% CI 0.92-34.2). CONCLUSION These findings suggest that anti-BP180 antibody ELISA value in combination with clinical markers is helpful in managing the risk of APO, in particular IUGR, in patients with PG.
Collapse
Affiliation(s)
- Nadège Cordel
- Department of Dermatology and Clinical Immunology, Guadeloupe University Hospital, Pointe-à-Pitre, Guadeloupe.,Univ Rouen Normandie, FOCIS Center of Excellence PAn'THER, Rouen, France
| | - Jasmine Flament
- Department of Dermatology, Rouen University Hospital, Rouen, France
| | - Fabienne Jouen
- Univ Rouen Normandie, FOCIS Center of Excellence PAn'THER, Rouen, France.,Department of Immunology and biotherapies, Rouen University Hospital, Rouen, France
| | - Vannina Seta
- Department of Dermatology, Cochin Hospital AP-HP, Paris, France
| | | | | | | | - Olivier Dereure
- Department of Dermatology, Saint-Eloi University Hospital, Montpellier, France
| | - Gaëlle Quéreux
- Department of Dermatology, Nantes University Hospital, Nantes, France
| | - Catherine Prost
- Department of Dermatology, Avicenne Hospital AP-HP, Bobigny, France
| | - Christophe Bedane
- Department of Dermatology, Limoges University Hospital, Limoges, France
| | | | | | - Anne Dompmartin
- Department of Dermatology, Caen University Hospital, Caen, France
| | | | | | - Saskia Ingen Housz Oro
- Department of Dermatology, Henri Mondor Hospital, AP-HP and Univ Paris Est Créteil, EpidermE, Créteil, France
| | - Pierre Vabres
- Department of Dermatology, Dijon University Hospital, Dijon, France
| | - Marie-Aleth Richard
- Department of Dermatology, La Timone University Hospital APHM, Marseille, France
| | - Emmanuel Delaporte
- Department of Dermatology, UMR 7268 and North University Hospital APHM, Marseille, France
| | - Anne Pham-Ledard
- Department of Dermatology, University Hospital of Bordeaux, Saint-André Hospital, Bordeaux, France
| | - Marie-Thérèse Leccia
- Department of Dermatology, Allergology and Photobiology, Grenoble University Hospital, Grenoble, France
| | - Noémie Litrowski
- Department of Dermatology, Monod General Hospital, Le Havre, France
| | - Catherine Michel
- Department of Dermatology, Emile Muller Hospital, Mulhouse, France
| | | | - Michel D'Incan
- Department of Dermatology, Clermont-Ferrand University Hospital, Clermont-Ferrand, France
| | - Claire Abasq
- Department of Dermatology, Brest University Hospital, Brest, France
| | | | - Alain Dupuy
- Department of Dermatology, Rennes University Hospital, Rennes, France
| | - Isabelle Alcaraz
- Department of Infectious diseases and Travel, Gustave Dron Hospital, Tourcoing, France
| | | | - Florian Lombart
- Department of Dermatology, Amiens University Hospital, Amiens, France
| | - Eric Estève
- Department of Dermatology, Orléans Regional Hospital, Orléans, France
| | - Laurent Machet
- Department of Dermatology, Tours University Hospital, Tours, France
| | - Pascal Del Giudice
- Infectiology-Dermatology Unit, Intercommunal Hospital of Fréjus Saint Raphaël, Fréjus, France
| | - Marion Fenot
- Department of Dermatology, Departmental Hospital of Vendée, La Roche-sur-Yon, France
| | - Thibaut Belmondo
- Department of Immunology, Henri Mondor Hospital, AP-HP, Créteil, France
| | - Florence Morin
- Department of Immunology, Saint-Louis Hospital AP-HP, Paris, France
| | - Olivia Guérin
- Department of Biostatistics, Rouen University Hospital
| | - Jacques Benichou
- Department of Biostatistics, Rouen University Hospital.,Univ Rouen Normandie, IRIB, Inserm U1219, Rouen, France
| | - Benoît Tressières
- Centre d'Investigation Clinique Antilles Guyane, INSERM CIC 1424, Pointe-à-Pitre, Guadeloupe
| | - Pascal Joly
- Univ Rouen Normandie, FOCIS Center of Excellence PAn'THER, Rouen, France.,Department of Dermatology, Rouen University Hospital, Rouen, France
| | | |
Collapse
|
6
|
Guerrois F, Hassan E, Bettuzzi T, Seta V, Goulvestre C, Jelti L, Belmondo T, Wolkenstein P, Aractingi S, Ingen-Housz-Oro S, Dupin N. Bullous pemphigoid: Three main clusters defining 3 outcome profiles. J Am Acad Dermatol 2022; 87:359-365. [PMID: 35483492 DOI: 10.1016/j.jaad.2022.04.029] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [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: 10/19/2021] [Revised: 02/27/2022] [Accepted: 04/08/2022] [Indexed: 11/29/2022]
Abstract
BACKGROUND Bullous pemphigoid (BP) is the most common autoimmune blistering disorder. Its presentation is polymorphic. OBJECTIVE To investigate different clinical and biological profiles of BP. METHODS We conducted a retrospective 2-center study including all BP patients seen between January 1, 2015, and February 28, 2021. We performed hierarchical clustering on principal components. RESULTS Three clusters were identified. Patients in cluster 1 (n = 155) were older than those in clusters 2 (n = 89) and 3 (n = 35; P < .0001), more frequently presented pauci-bullous BP (n = 63 [41%] vs 14 [16%] and 2 [6%], respectively; P < .0001) and had anti-BP230 antibodies in 87% of cases. More than 100 blisters were observed in 14 patients (40%) from cluster 3, versus 3 (2%) from cluster 1 and 0 (0%) from cluster 2 (P < .0001). Frequency of mucosal involvement was higher in cluster 3 (n = 32 [91%, including epiglottis in 40%] vs 11 [7%] and 34 [38%]; P < .0001). In clusters 2 and 3, 70% and 74% of patients had antibodies targeting only BP180. Those in cluster 3 received more lines of systemic treatment and experienced more relapses. LIMITATIONS Retrospective study without immunoelectron microscopy. CONCLUSION We identified 3 different BP clusters, including one corresponding to severe BP180+ BP230- BP with features common to mucous membrane pemphigoid.
Collapse
Affiliation(s)
| | - Elsa Hassan
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France
| | - Thomas Bettuzzi
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France; EpiDermE (Épidémiologie en Dermatologie et Évaluation des Thérapeutiques), Université Paris-Est Créteil Val de Marne (UPEC), Créteil, France
| | - Vannina Seta
- Dermatology Department, AP-HP, Cochin Hospital, Paris, France; Cenpetence Center for Autoimmune Blistering Diseases MALIBUL, AP-HP, Cochin Hospital, Paris, France
| | - Claire Goulvestre
- Immunology and Biology Department, AP-HP, Cochin Hospital, Paris, France
| | - Lamia Jelti
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France; Competence Center for Autoimmune Blistering Diseases, MALIBUL, AP-HP, Henri Mondor Hospital, Créteil, France
| | - Thibaut Belmondo
- Competence Center for Autoimmune Blistering Diseases, MALIBUL, AP-HP, Henri Mondor Hospital, Créteil, France; Immunology and Biology Department, AP-HP, Henri Mondor Hospital, Créteil, France
| | | | - Selim Aractingi
- Dermatology Department, AP-HP, Cochin Hospital, Paris, France; Laboratoire de Biologie Cutanée, Institut Cochin, Inserm U1016, Université de Paris, France
| | - Saskia Ingen-Housz-Oro
- Dermatology Department, AP-HP, Henri Mondor Hospital, Créteil, France; EpiDermE (Épidémiologie en Dermatologie et Évaluation des Thérapeutiques), Université Paris-Est Créteil Val de Marne (UPEC), Créteil, France; Competence Center for Autoimmune Blistering Diseases, MALIBUL, AP-HP, Henri Mondor Hospital, Créteil, France.
| | - Nicolas Dupin
- Dermatology Department, AP-HP, Cochin Hospital, Paris, France; Competence Center for Autoimmune Blistering Diseases, MALIBUL, AP-HP, Henri Mondor Hospital, Créteil, France; Laboratoire de Biologie Cutanée, Institut Cochin, Inserm U1016, Université de Paris, France
| |
Collapse
|
7
|
Battesti G, Garcia C, Viguier M, Marchal V, Castel M, Joly P, Ledard AP, Konstantinou MP, Seta V, Cordel N, Duvert-Lehembre S, Tancrède-Bohin E, Belmondo T, Ingen-Housz-Oro S, d'Incan M. Real-life impact of the immunological tests to predict relapse after treatment cessation in patients with bullous pemphigoid: a French multicenter retrospective study. J Am Acad Dermatol 2022; 86:1293-1300. [DOI: 10.1016/j.jaad.2022.01.016] [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: 10/14/2021] [Revised: 12/10/2021] [Accepted: 01/14/2022] [Indexed: 10/19/2022]
|
8
|
Brehon A, Moguelet P, Seta V, Amsler E, Fajac A, Barbaud A, Soria A, Monfort JB. Clinical and histological characteristics during chronic urticaria with dermal neutrophilic infiltrate: Proposal of a diagnostic score. J Eur Acad Dermatol Venereol 2021; 36:e304-e306. [PMID: 34742165 DOI: 10.1111/jdv.17788] [Citation(s) in RCA: 1] [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] [Received: 08/26/2021] [Revised: 09/22/2021] [Accepted: 10/22/2021] [Indexed: 11/29/2022]
Affiliation(s)
- A Brehon
- AP-HP, Service de Dermatologie et Allergologie, Hôpital Tenon, Sorbonne Université, Paris, 75020, France
| | - P Moguelet
- AP-HP, Service de Pathologie, Hôpital Tenon, Sorbonne Université, Paris, 75020, France
| | - V Seta
- AP-HP, Service de Dermatologie, Hôpital Cochin, Université de Paris, Paris, 75014, France.,Service de Chirurgie Maxillo-Faciale, Chirurgie Orale et Stomatologie, CHU d'Angers, Angers, France
| | - E Amsler
- AP-HP, Service de Dermatologie et Allergologie, Hôpital Tenon, Sorbonne Université, Paris, 75020, France
| | - A Fajac
- AP-HP, Service de Pathologie, Hôpital Tenon, Sorbonne Université, Paris, 75020, France
| | - A Barbaud
- AP-HP, Service de Dermatologie et Allergologie, Hôpital Tenon, Sorbonne Université, Paris, 75020, France
| | - A Soria
- AP-HP, Service de Dermatologie et Allergologie, Hôpital Tenon, Sorbonne Université, Paris, 75020, France
| | - J B Monfort
- AP-HP, Service de Dermatologie et Allergologie, Hôpital Tenon, Sorbonne Université, Paris, 75020, France
| |
Collapse
|
9
|
Cassius C, Seta V, Monfort JB, Baudot NA, Rivière S, Mekinian A, Frances C, Barbaud A, Senet P. Systemic sclerosis is associated with lower limb vascular stiffness and microvascular impairment: results from a prospective study. Clin Rheumatol 2021; 40:3679-3686. [PMID: 33674989 DOI: 10.1007/s10067-021-05672-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [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: 01/12/2021] [Revised: 02/10/2021] [Accepted: 03/01/2021] [Indexed: 10/22/2022]
Abstract
OBJECTIVE Systemic sclerosis (SSc) is a connective tissue disease characterized by microangiopathy. Peripheral arterial disease, increasingly studied during SSc, is responsible for digital ulcers, associated with a high risk of amputation. The aim of our study was to assess the frequency of lower limb arterial impairment in SSc patients by measuring ankle-brachial index (ABI), toe pressure (TP), and toe-brachial index (TBI). METHODS Systemic sclerosis patients were included prospectively during 1 year in Tenon and Saint-Antoine Hospitals, Paris. Clinical and biological data were recorded. For each patient, ABI, TP, and TBI were measured and an arterial duplex ultrasonography was prescribed in case of abnormal results. RESULTS Eighty-six patients were included (94% women, median age 62 years). Only 24% of them had no lower limb hemodynamic vascular abnormalities; 44% had an isolated microvascular abnormality (normal ABI and TBI<0.75); 31% had at least a macrovascular injury associated or not with microvascular impairment (abnormal ABI) and 12.6% had a TP<50 mmHg. During follow-up, there was a trend towards association of low TBI with more major adverse event (all-cause mortality, non-fatal stroke, non-fatal myocardial infarction, and lower limb ischemic manifestations) than normal TBI. CONCLUSION By measuring ABI and TP, we showed that 76% of SSc patients had hemodynamic arterial lower limb abnormalities related to macro- and/or microvascular impairment and that 28% had vascular stiffness. In SSc patients, ABI is not an accurate tool to detect lower limb arterial disease, likely due to underlying micro- and macrovascular changes. Key Points • The presence of lower limb macro-and/or microvascular involvement was detected in 76% of SSc patients. • In SSc patients, ABI is not an accurate tool to detect lower limb arterial disease, likely due to underlying microvascular changes and frequent arterial stiffness.
Collapse
Affiliation(s)
- Charles Cassius
- Dermatology Department, APHP, Hôpital Tenon, F-75020, Paris, France.
- Dermatology Department, APHP, Hôpital Saint-Louis, 1 Avenue Claude Vellefaux, F-75010, Paris, France.
- Université de Paris, Institut de Recherche Saint-Louis, INSERM U976-HIPI UNIT, F-75010, Paris, France.
| | - Vannina Seta
- Dermatology Department, APHP, Hôpital Cochin, F-75014, Paris, France
| | | | | | - Sébastien Rivière
- Internal Medicine Department, APHP, Hôpital Saint-Antoine, F-75012, Paris, France
| | - Arsène Mekinian
- Internal Medicine Department, APHP, Hôpital Saint-Antoine, F-75012, Paris, France
| | - Camille Frances
- Dermatology Department, APHP, Hôpital Tenon, F-75020, Paris, France
| | - Annick Barbaud
- Dermatology Department, APHP, Hôpital Tenon, F-75020, Paris, France
| | - Patricia Senet
- Dermatology Department, APHP, Hôpital Tenon, F-75020, Paris, France
| |
Collapse
|
10
|
Juzot C, Aubert H, Bessis D, Boccara O, Bourrat E, Chiaverini C, Flamant C, Fournet M, Hubiche T, Labrèze C, Martin L, Piram M, Seta V, Finon A, Maruani A, Barbarot S. Transient abdominal telangiectasia of the newborn. Pediatr Dermatol 2021; 38:864-867. [PMID: 34152036 DOI: 10.1111/pde.14620] [Citation(s) in RCA: 1] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
We report 20 newborns who developed, at a median age of 7 days, large abdominal patches of radially arranged purplish telangiectasia in a bilateral and symmetrical pattern in relation to the midline, creating a "butterfly wing" pattern. Clinical examination was normal in 13 newborns, six newborns had abdominal distention, and one newborn had poor weight gain due to inadequate breastfeeding. Most lesions spontaneously resolved within 3 months and did not reoccur for 19 newborns. Transient abdominal telangiectasia of the newborn (TATN) appears to be a distinctive entity that has not been previously described.
Collapse
Affiliation(s)
- Cécile Juzot
- Department of Dermatology, University Hospital of Nantes, Nantes, France
| | - Hélène Aubert
- Department of Dermatology, University Hospital of Nantes, Nantes, France
| | - Didier Bessis
- Department of Dermatology, University Hospital of Montpellier, Montpellier, France
| | - Olivia Boccara
- Department of Dermatology and Reference Center for Genodermatoses and Rare Skin Diseases (MAGEC), Paris University, Imagine Institute, Necker-Enfants Malades University Hospital, APHP5, Paris, France
| | - Emmanuelle Bourrat
- Department of General Pediatrics, Robert Debré University Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France
| | | | - Cyril Flamant
- Department of Neonatal Medicine, University Hospital of Nantes, Nantes, France
| | - Marine Fournet
- Department of Pediatric Dermatology, Hôpital Pellegrin-Enfants, University Hospital of Bordeaux, Bordeaux, France
| | - Thomas Hubiche
- Department of Dermatology, University Hospital of Nice, Nice, France
| | - Christine Labrèze
- Department of Dematology, Pellegrin Children's Hospital, Bordeaux, France
| | - Ludovic Martin
- Department of Dermatology, University Hospital of Angers, Angers, France
| | - Maryam Piram
- Department of Pediatrics, Division of Dermatology, CHU Sainte Justine Research Center, CHU Sainte Justine, University of Montréal, Montréal, QC, Canada
| | - Vannina Seta
- Department of Dermatology, Cochin University Hospital, Paris, France
| | - Antoine Finon
- Department of Dermatology, Orléans Hospital, Orléans, France
| | - Annabel Maruani
- Department of Dermatology, Unit of Pediatric Dermatology, University of Tours, Inserm 1246-SPHERE, CHRU Tours, Tours, France
| | - Sébastien Barbarot
- Department of Dermatology, Nantes University, CHU Nantes, UMR 1280 PhAN, INRA, Nantes, France
| | | |
Collapse
|
11
|
Joly E, Seta V, Plantier F, Dupin N, Chanal J. Localized genital mucous membrane pemphigoid of the penis: Notes on two cases. Ann Dermatol Venereol 2021; 148:202-203. [PMID: 34183172 DOI: 10.1016/j.annder.2021.02.005] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/11/2020] [Revised: 12/15/2020] [Accepted: 02/26/2021] [Indexed: 11/20/2022]
Affiliation(s)
- E Joly
- Dermatology department, Hôpital Cochin, APHP.CUP, 89, rue d'Assas, 75006 Paris, France
| | - V Seta
- Dermatology department, Hôpital Cochin, APHP.CUP, 89, rue d'Assas, 75006 Paris, France; Université de Paris,, 75006 Paris, France
| | - F Plantier
- Pathology department, Hôpital Cochin, APHP.CUP, 75014 Paris, France
| | - N Dupin
- Dermatology department, Hôpital Cochin, APHP.CUP, 89, rue d'Assas, 75006 Paris, France; Université de Paris,, 75006 Paris, France; Centre de santé sexuelle Hôtel-Dieu, Hôpital Hôtel-Dieu, APHP.CUP, 1, place du Parvis Notre-Dame, 75004 Paris, France
| | - J Chanal
- Dermatology department, Hôpital Cochin, APHP.CUP, 89, rue d'Assas, 75006 Paris, France; Centre de santé sexuelle Hôtel-Dieu, Hôpital Hôtel-Dieu, APHP.CUP, 1, place du Parvis Notre-Dame, 75004 Paris, France.
| |
Collapse
|
12
|
Juzot C, Sibaud V, Amatore F, Mansard S, Seta V, Jeudy G, Pham-Ledard A, Benzaquen M, Peuvrel L, Le Corre Y, Lesage C, Viguier M, Baroudjian B, Dréno B, Quéreux G. Clinical, biological and histological characteristics of bullous pemphigoid associated with anti-PD-1/PD-L1 therapy: A national retrospective study. J Eur Acad Dermatol Venereol 2021; 35:e511-e514. [PMID: 33783881 DOI: 10.1111/jdv.17253] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/13/2022]
Affiliation(s)
- C Juzot
- Department of Dermatology, Nantes University Hospital, Nantes, France
| | - V Sibaud
- Oncodermatology, Institut Claudius Regaud, Institut Universitaire du Cancer, Toulouse Oncopole, France
| | - F Amatore
- Department of dermatology, Timone Hospital, Aix-Marseille University, Marseille, France
| | - S Mansard
- Department of Dermatology, University Hospital Estaing, Clermont Ferrand, France
| | - V Seta
- Department of Dermatology, Cochin University Hospital, Paris, France
| | - G Jeudy
- Department of Dermatology, Dijon University Hospital, Dijon, France
| | - A Pham-Ledard
- Inserm U1053, Department of Dermatology, Bordeaux University Hospital, University of Bordeaux, Bordeaux, France
| | - M Benzaquen
- Department of Dermatology, Hôpital Nord, Aix-Marseille University, Marseille, France
| | - L Peuvrel
- Department of Medical Oncology, Institut de Cancérologie de l'Ouest, Saint-Herblain, France
| | - Y Le Corre
- Department of Dermatology, Angers University Hospital, Angers, France
| | - C Lesage
- Department of Dermatology, Montpellier University Hospital, Montpellier, France
| | - M Viguier
- Department of Dermatology, Robert Debré University Hospital, Reims University, Reims, France
| | - B Baroudjian
- Department of Dermatology, Saint-Louis University Hospital, Paris, France
| | - B Dréno
- Department of Dermatology, CIC 1413, CRCINA, Nantes University Hospital, Nantes, France
| | - G Quéreux
- Department of Dermatology, CIC 1413, CRCINA, Nantes University Hospital, Nantes, France
| |
Collapse
|
13
|
Lampros A, Seta V, Husson C, Isnard C, Gerhardt P, Dupin N. Formes buccales de syphilis secondaire. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.438] [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]
|
14
|
Oumrani S, Seta V, Abouali E, Belle A, Berson A, Dhooge M, Coriat R, Chaussade S, Dupin N, Barret M. Œsophagites atypiques sténosantes : les dermatologues à l’aide des gastroentérologues. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.128] [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]
|
15
|
Juzot C, Sibaud V, Amatore F, Mansard S, Seta V, Jeudy G, Pham-Ledard A, Benzaquen M, Dinulescu M, Le Corre Y, Lesage C, Viguier M, Baroudjian B, Clerc CJ, Funck-Brentano E, Giacchero D, Mortier L, Peuvrel L, Machet L, Duvert-Lehembre S, Viarnaud A, Joachim C, Bara C, Baubion E, Bergeret B, Brunet-Possenti F, Debarbieux S, Hébert V, Konstantinou MP, Marzouki-Zerouali A, Moreau-Huguen J, Phan C, Templier I, Celerier P, Aubin F, Modiano P, Poinas A, Vibet MA, Dréno B, Quéreux G. Pemphigoïdes bulleuses associées aux anti-PD-1/PDL-1 : étude nationale de 85 cas. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.123] [Citation(s) in RCA: 1] [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] [Indexed: 10/22/2022]
|
16
|
Charpentier C, Isnard C, Seta V, Quéreux G, Goulvestre C, Lheure C, Kramkimel N, Franck N, Aractingi S, Dupin N. Les pemphigoïdes bulleuses avec sérotype discordant (BP180 +, BP230 −) : identification d’un phénotype clinique singulier ? Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.006] [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]
|
17
|
Font G, Staumont-Salle D, Oro S, Seta V, Dupin N, Richard M, Jeudy G, Mallet S, Alexandre M, Le Roux-Villet C, Joly P, Prost-Squarcioni C, Duvert-Lehembre S. Efficacité du rituximab dans les maladies à IgA linéaire : une cohorte rétrospective. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.010] [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] [Indexed: 11/26/2022]
|
18
|
Flament J, Jouen F, Tancrède-Bohin E, Oro S, Picard-Dahan C, Konstantinou M, Dereure O, Seta V, Quereux G, Prost C, Bedane C, Debarbieux S, Bourgault-Villada I, Delaporte E, Lacour JP, Richard MA, Pham-Ledard A, D’Incan M, Abasq C, Duvert-Lehembre S, Lombart F, Dupuy A, Hainaut E, Dompmartin A, Leccia MT, Vabres P, Alcaraz I, Michel C, Lagrange B, Litrowski N, Estève E, Machet L, Martin L, Del Giudice P, Fenot M, Belmondo T, Morin F, Tressières B, Joly P, Cordel N. Étude du taux d’anticorps anti-BPAG2, mesuré par technique ELISA, comme biomarqueur des complications gravidiques au cours de la pemphigoïde de la grossesse. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.013] [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]
|
19
|
Isnard C, Seta V, Cesbron E, Bergeron C, Chanal J, Aynaud O. Human papillomavirus-induced lesions of the anogenital tract among women with vulvar high-grade squamous intraepithelial lesions. J Am Acad Dermatol 2020; 84:1749-1750. [PMID: 33011323 DOI: 10.1016/j.jaad.2020.09.057] [Citation(s) in RCA: 1] [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] [Received: 05/05/2020] [Revised: 09/21/2020] [Accepted: 09/23/2020] [Indexed: 11/26/2022]
Affiliation(s)
| | - Vannina Seta
- Dermatology Department, Hôpital Cochin, Paris, France
| | - Elise Cesbron
- Dermatology Department, Centre Hospitalier du Mans, Le Mans, France
| | | | - Johan Chanal
- Dermatology Department, Hôpital Cochin, Paris, France; Centre Gratuit d'Information, de Dépistage et de Diagnostic, Hôpital Hôtel Dieu, Paris, France
| | - Olivier Aynaud
- Dermatology Department, Hôpital Cochin, Paris, France; Clinique Hartman, Neuilly Sur Seine, France
| |
Collapse
|
20
|
Lampros A, Seta V, Gerhardt P, Isnard C, Dupin N. Les formes buccales de la syphilis secondaire, un exemple des pièges tendus par la grande simulatrice. Med Mal Infect 2020. [DOI: 10.1016/j.medmal.2020.06.284] [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: 10/23/2022]
|
21
|
Lampros A, Seta V, Gerhardt P, Isnard C, Husson C, Dupin N. Oral forms of secondary syphilis: An illustration of the pitfalls set by the great imitator. J Am Acad Dermatol 2020; 84:348-353. [PMID: 32339705 DOI: 10.1016/j.jaad.2020.04.089] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [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: 03/11/2020] [Revised: 03/31/2020] [Accepted: 04/17/2020] [Indexed: 12/26/2022]
Abstract
INTRODUCTION Syphilis is reemerging in certain populations, such as in men who have sex with men in particular. Oral manifestations are not uncommon and can render diagnosis difficult, particularly if occurring in isolation. MATERIALS AND METHODS We recovered clinical data for all patients receiving a diagnosis of secondary syphilis who were referred to the National Reference Center for Syphilis in Paris, France, from January 2000 to July 2019. We selected patients presenting oral symptoms only and analyzed their general characteristics, time to diagnosis, and clinical presentations. RESULTS Secondary syphilis was diagnosed in 206 patients, 38 of whom (18%) presented oral manifestations, which were isolated in 14 patients (37%). The main oral manifestations were subacute erosive or ulcerative lesions (55%), mucous patches on the tongue (53%), and nodular (10%) and leukokeratotic lesions (5%). Mean time to diagnosis was 4.5 months, but was significantly longer for patients with isolated oral symptoms (8.8 vs 1.8 months; P = .02). CONCLUSION Oral presentations of secondary syphilis are frequent and challenging for diagnosis, even in patients with epidemiologic risk factors. Clinicians confronted with subacute oral lesions in such patients should bear in mind the possibility of this contagious, curable, and sometimes severe disease.
Collapse
Affiliation(s)
- Alexandre Lampros
- Service de Dermatologie, Hôpital Cochin, Assistance Publique des Hôpitaux, Paris, France; Sorbone University, Paris
| | - Vannina Seta
- Service de Dermatologie, Hôpital Cochin, Assistance Publique des Hôpitaux, Paris, France
| | - Phillippe Gerhardt
- CeGIDD, Hôpital Hôtel Dieu, Assistance Publique des Hôpitaux, Paris, France
| | - Camille Isnard
- Service de Dermatologie, Hôpital Cochin, Assistance Publique des Hôpitaux, Paris, France
| | | | - Nicolas Dupin
- Service de Dermatologie, Hôpital Cochin, Assistance Publique des Hôpitaux, Paris, France; CeGIDD, Hôpital Hôtel Dieu, Assistance Publique des Hôpitaux, Paris, France; Centre National de Référence des infections sexuellement transmissibles, Laboratoire associé Syphilis, Paris, France; Institut Cochin, Inserm 1016, Université de Paris, Paris, France.
| |
Collapse
|
22
|
Joly E, Seta V, Plantier F, Alexandre M, Dupin N, Chanal J. Pemphigoïde du pénis. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.220] [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: 10/25/2022]
|
23
|
Seta V, Gaouar H, Badaoui A, Francès C, Barbaud A, Soria A. Low‐dose provocation and skin tests in patients with hypersensitivity to gadolinium‐based contrast agents. Clin Exp Allergy 2018; 49:724-728. [DOI: 10.1111/cea.13306] [Citation(s) in RCA: 10] [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] [Received: 05/29/2018] [Revised: 10/02/2018] [Accepted: 10/15/2018] [Indexed: 11/29/2022]
Affiliation(s)
- Vannina Seta
- Service de Dermatologie et d'Allergologie Hôpital Tenon Paris HUEP APHP, Paris France Sorbonne Universités Paris France
| | - Hafida Gaouar
- Service de Dermatologie et d'Allergologie Hôpital Tenon Paris HUEP APHP, Paris France Sorbonne Universités Paris France
| | - Antoine Badaoui
- Service de Dermatologie et d'Allergologie Hôpital Tenon Paris HUEP APHP, Paris France Sorbonne Universités Paris France
| | - Camille Francès
- Service de Dermatologie et d'Allergologie Hôpital Tenon Paris HUEP APHP, Paris France Sorbonne Universités Paris France
| | - Annick Barbaud
- Service de Dermatologie et d'Allergologie Hôpital Tenon Paris HUEP APHP, Paris France Sorbonne Universités Paris France
| | - Angèle Soria
- Service de Dermatologie et d'Allergologie Hôpital Tenon Paris HUEP APHP, Paris France Sorbonne Universités Paris France
- Centre d'Immunologie et des Maladies Infectieuses—Paris (Cimi‐Paris) INSERM U1135 Paris France
| |
Collapse
|
24
|
Seta V, Le Roux-Villet C, Mellottée B, Taïeb C, Alexandre M, Caux F, Joly P, Falissard B, Prost-Squarcioni C. Construction d’un questionnaire Fardeau pour les pemphigus et les pemphigoïdes des muqueuses. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.008] [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: 10/27/2022]
|
25
|
Kramkimel N, Kurihara F, Seta V, Lheure C, Heidelberger V, Guegan S, Isnard C, Franck N, Avril MF, Aractingi S, Chanal J, Dupin N. Première étude en « vie réelle » comparant le pembrolizumab et le nivolumab dans le traitement du mélanome métastatique. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.100] [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]
|
26
|
Mongereau M, Lheure C, Guegan S, Franck N, Paepegaey AC, Dohan A, Isnard C, Seta V, Chanal J, Dupin N, Aractingi S, Kramkimel N. Hypophysites sous immunothérapie : une complication potentiellement grave à ne pas méconnaître. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.495] [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: 11/29/2022]
|
27
|
Raynal M, Lheure C, Seta V, Chanal J, Franck N, Sarah G, Dupin N, Aractingi S, Meyer N, Kramkimel N. Traitement de mélanomes métastatiques avec mutation de NRAS par inhibiteur de MEK après échec de l’immunothérapie. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.496] [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]
|
28
|
Seta V, Chanal J, Le Pelletier F, Avouac J, Avril MF. Une pseudo-tumeur sous-unguéale révélatrice de sarcoïdose osseuse. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.320] [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]
|
29
|
Merlant M, Seta V, Bernard P, Fourati S, Meritet JF, Wolkenstein P, Dupin N, Joly P, Chosidow O, Ingen-Housz-Oro S. [Pemphigus and herpes: Multicentre survey and literature review]. Ann Dermatol Venereol 2018; 145:477-485. [PMID: 29866471 DOI: 10.1016/j.annder.2018.03.169] [Citation(s) in RCA: 2] [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: 10/01/2017] [Revised: 12/10/2017] [Accepted: 03/16/2018] [Indexed: 01/17/2023]
Abstract
BACKGROUND Although herpes superinfection is a well-known complication of pemphigus, it has not been widely investigated. AIM To investigate the frequency and features of herpes infection in patients with ongoing pemphigus. PATIENTS AND METHODS We carried out a multicenter retrospective study between 2008 and 2016 in patients with newly diagnosed pemphigus presenting active herpes infection. Clinical, virological, immunological and therapeutic data were collated. We performed a literature review for pemphigus and herpes. RESULTS Among the 191 pemphigus patients, screening for herpes (PCR or culture) was carried out in 11 to 71 % of subjects, depending on the center in question. Twenty-four patients (12 women, mean age 58 years) presented at least one episode of herpes infection. The frequency of positivity ranged from 0 to 42 % by center. Twenty-one cases consisted of pemphigus vulgaris and infection occurred at a mucosal site in 19 patients. Herpes infection was identified at the time of diagnosis in 15 patients and 17 patients received no specific treatment for their pemphigus. The virus was identified using PCR in 23 cases. Ten patients subsequently received prophylactic treatment for herpes. The mean duration of follow-up was 36 months (0-89 months). Thirteen of the 24 patients had 23 relapses of pemphigus; PCR testing for herpes was performed 19 times and was positive in 6 cases (31.5 %). CONCLUSION Our study showed wide variation in the incidence of herpes superinfection in patients with pemphigus, reflecting the different screening approach at each center (being performed either routinely or only in the event of strong suspicion). The prognostic value of routine screening for herpes in patients with active pemphigus lesions remains to be demonstrated by further prospective investigations.
Collapse
Affiliation(s)
- M Merlant
- Service de dermatologie, hôpital Henri-Mondor, Assistance publique-Hôpitaux de Paris (AP-HP), 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France
| | - V Seta
- Service de dermatologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), pavillon Tarnier, 89, rue d'Assas, 75006 Paris, France; Centre de référence des maladies bulleuses auto-immunes MALIBUL, 76000 Rouen France
| | - P Bernard
- Service de dermatologie, hôpital Robert-Debré, CHU de Reims, 1, avenue du Général-Koening, 51100 Reims, France; Centre de référence des maladies bulleuses auto-immunes MALIBUL, 76000 Rouen France
| | - S Fourati
- Laboratoire de virologie, hôpital Henri-Mondor, Assistance publique-Hôpitaux de Paris (AP-HP), 94010 Créteil, France
| | - J-F Meritet
- Laboratoire de virologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), 89, rue d'Assas, 75006 Paris, France
| | - P Wolkenstein
- Service de dermatologie, hôpital Henri-Mondor, Assistance publique-Hôpitaux de Paris (AP-HP), 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France; Centre de référence des maladies bulleuses auto-immunes MALIBUL, 76000 Rouen France; Université Paris Est Créteil Val-de-Marne, UPEC, 94010 Créteil, France
| | - N Dupin
- Service de dermatologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), pavillon Tarnier, 89, rue d'Assas, 75006 Paris, France; Centre de référence des maladies bulleuses auto-immunes MALIBUL, 76000 Rouen France
| | - P Joly
- Service de dermatologie, hôpital Charles-Nicolle, CHU de Rouen, 1, rue de Germont, 76000 Rouen, France; Centre de référence des maladies bulleuses auto-immunes MALIBUL, 76000 Rouen France
| | - O Chosidow
- Service de dermatologie, hôpital Henri-Mondor, Assistance publique-Hôpitaux de Paris (AP-HP), 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France; Centre de référence des maladies bulleuses auto-immunes MALIBUL, 76000 Rouen France; Université Paris Est Créteil Val-de-Marne, UPEC, 94010 Créteil, France
| | - S Ingen-Housz-Oro
- Service de dermatologie, hôpital Henri-Mondor, Assistance publique-Hôpitaux de Paris (AP-HP), 51, avenue du Maréchal-de-Lattre-de-Tassigny, 94010 Créteil, France; Centre de référence des maladies bulleuses auto-immunes MALIBUL, 76000 Rouen France.
| |
Collapse
|
30
|
Gaudin O, Seta V, Alexandre M, Bohelay G, Aucouturier F, Mignot-Grootenboer S, Ingen-Housz-Oro S, Bernardeschi C, Schneider P, Mellottee B, Caux F, Prost-Squarcioni C. Gliptin Accountability in Mucous Membrane Pemphigoid Induction in 24 Out of 313 Patients. Front Immunol 2018; 9:1030. [PMID: 29881377 PMCID: PMC5976795 DOI: 10.3389/fimmu.2018.01030] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2018] [Accepted: 04/24/2018] [Indexed: 01/27/2023] Open
Abstract
Mucous membrane pemphigoids (MMPs) and bullous pemphigoid (BP) are autoimmune bullous diseases that share physiopathological features: both can result from autoantibodies directed against BP180 or BP230 antigens. An association has been reported between BP and intake of gliptins, which are dipeptidyl peptidase-IV inhibitors used to treat type 2 diabetes mellitus. Clinical and immunological differences have been reported between gliptin-induced BPs and classical BPs: mucosal involvement, non-inflammatory lesions, and target BP180 epitopes other than the NC16A domain. Those findings accorded gliptins extrinsic accountability in triggering MMP onset. Therefore, we examined gliptin intrinsic accountability in a cohort of 313 MMP patients. To do so, we (1) identified MMP patients with gliptin-treated (challenge) diabetes; (2) selected those whose interval between starting gliptin and MMP onset was suggestive or compatible with gliptin-induced MMP; (3) compared the follow-ups of patients who did not stop (no dechallenge), stopped (dechallenge) or repeated gliptin intake (rechallenge); (4) compared the clinical and immunological characteristics of suggestive-or-compatible-challenge patients to 121 never-gliptin-treated MMP patients serving as controls; and (5) individually scored gliptin accountability as the trigger of each patient's MMP using the World Health Organization-Uppsala Monitoring Center, Naranjo- and Begaud-scoring systems. 17 out of 24 gliptin-treated diabetic MMP patients had suggestive (≤12 weeks) or compatible challenges. Complete remission at 1 year of follow-up was more frequent in the 11 dechallenged patients. One rechallenged patient's MMP relapsed. These 17 gliptin-treated diabetic MMP patients differed significantly from the MMP controls by more cutaneous, less buccal, and less severe involvements and no direct immunofluorescence IgA labeling of the basement membrane zone. Multiple autoantibody-target antigens/epitopes (BP180-NC16A, BP180 mid- and C-terminal parts, integrin α6β4) could be detected, but not laminin 332. Last, among the 24 gliptin-treated diabetic MMP patients, five had high (I4-I3), 12 had low (I2-I1) and 7 had I0 Begaud intrinsic accountability scores. These results strongly suggest that gliptins are probably responsible for some MMPs. Consequently, gliptins should immediately be discontinued for patients with a positive accountability score. Moreover, pharmacovigilance centers should be notified of these events.
Collapse
Affiliation(s)
- Olivier Gaudin
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris 13 University, Bobigny, France
| | - Vannina Seta
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris 13 University, Bobigny, France
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Cochin Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Université Paris Descartes, Paris, France
| | - Marina Alexandre
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris 13 University, Bobigny, France
| | - Gérôme Bohelay
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris 13 University, Bobigny, France
| | - Françoise Aucouturier
- Department of Immunology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Saint-Louis Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris, France
| | - Sabine Mignot-Grootenboer
- Department of Immunology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Bichat Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris, France
| | - Saskia Ingen-Housz-Oro
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Henri-Mondor Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Créteil, France
| | - Céline Bernardeschi
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Cochin Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Université Paris Descartes, Paris, France
| | - Pierre Schneider
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Saint-Louis Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris, France
| | - Benoît Mellottee
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris 13 University, Bobigny, France
| | - Frédéric Caux
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris 13 University, Bobigny, France
| | - Catherine Prost-Squarcioni
- Department of Dermatology, Referral Center for Autoimmune Bullous Diseases (MALIBUL), Avicenne Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris 13 University, Bobigny, France
- Department of Histology, UFR Léonard de Vinci, Paris 13 University, Bobigny, France
- Department of Pathology, Avicenne Hospital, Assistance Publique Hôpitaux De Paris (AP-HP), Paris 13 University, Bobigny, France
| |
Collapse
|
31
|
Denis D, Seta V, Regnier-Rosencher E, Kramkimel N, Chanal J, Avril MF, Dupin N. A fifth subtype of Kaposi's sarcoma, classic Kaposi's sarcoma in men who have sex with men: a cohort study in Paris. J Eur Acad Dermatol Venereol 2018; 32:1377-1384. [DOI: 10.1111/jdv.14831] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/12/2017] [Accepted: 01/10/2018] [Indexed: 12/29/2022]
Affiliation(s)
- D. Denis
- Service de Dermatologie; Hôpital Cochin; APHP; France et Université Paris Descartes; Paris France
| | - V. Seta
- Service de Dermatologie; Hôpital Cochin; APHP; France et Université Paris Descartes; Paris France
| | - E. Regnier-Rosencher
- Service de Dermatologie; Hôpital Cochin; APHP; France et Université Paris Descartes; Paris France
| | - N. Kramkimel
- Service de Dermatologie; Hôpital Cochin; APHP; France et Université Paris Descartes; Paris France
| | - J. Chanal
- Service de Dermatologie; Hôpital Cochin; APHP; France et Université Paris Descartes; Paris France
| | - M.-F. Avril
- Service de Dermatologie; Hôpital Cochin; APHP; France et Université Paris Descartes; Paris France
| | - N. Dupin
- Service de Dermatologie; Hôpital Cochin; APHP; France et Université Paris Descartes; Paris France
| |
Collapse
|
32
|
Seta V, Capri Y, Battistella M, Bagot M, Bourrat E. Pachydermoperiostosis: The value of molecular diagnosis. Ann Dermatol Venereol 2017; 144:799-803. [PMID: 28916395 DOI: 10.1016/j.annder.2017.03.027] [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: 03/24/2016] [Revised: 11/22/2016] [Accepted: 03/14/2017] [Indexed: 10/18/2022]
Abstract
BACKGROUND Pachydermoperiostosis is a rare autosomal recessive genetic disorder characterized by the association of periostosis and pachydermia. To date, two genes involved in prostaglandin metabolism, HPGD and SLCO2A1, have been identified. PATIENTS AND METHODS A 7-year-old girl presented digital clubbing of the hands and feet, curved nails, hyperhidrosis, and pachydermia, as well as eczema of the trunk and limbs. The diagnosis of pachydermoperiostosis was confirmed by the detection of a homozygous mutation in the HPGD gene. The second case concerned a 41-year-old male with acral and cephalic pachydermia (cutis verticis gyrata), and palmoplantar keratoderma. Bone X-rays showed changes in the distal ends of several bones. The diagnosis of pachydermoperiostosis was confirmed by the detection of a homozygous mutation in the SLCO2A1 gene. DISCUSSION The genotype/phenotype correlation suggests that patients with SLCO2A1 mutations will develop the symptoms later in life, but that these will be more severe, with a greater likelihood of cutis verticis gyrata and joint involvement compared with patients presenting HPGD mutations. In addition, hereditary enteropathy has recently been described in patients with SLCO2A1 mutations, which could account for the gastrointestinal picture seen in the second patient. Finally, on account of cases involving myelofibrosis associated with mutations in the SLCO2A gene, these patients should have a hematologic follow-up. CONCLUSION Given the genotype/phenotype correlations illustrated by these cases, it would appear useful to propose molecular diagnosis for patients presenting pachydermoperiostosis.
Collapse
Affiliation(s)
- V Seta
- Department of Dermatology, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France
| | - Y Capri
- Department of Genetics, hôpital Robert-Debré, AP-HP, 48, boulevard Sérurier, 75019 Paris, France
| | - M Battistella
- Histopathology, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France
| | - M Bagot
- Department of Dermatology, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France
| | - E Bourrat
- Department of Dermatology, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France; MAGEC, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75475 Paris cedex 10, France.
| |
Collapse
|
33
|
Merlant M, Seta V, Bernard P, Fourati S, Dupin N, Joly P, Chosidow O, Oro S. Pemphigus et surinfection herpétique : audit de pratiques multicentrique. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.219] [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]
|
34
|
Gaudin O, Seta V, Alexandre M, Bohelay G, Oro S, Bernardeschi C, Schneider P, Mellottee B, Caux F, Prost-Squarcioni C. Pemphigoïdes des muqueuses (PM) et gliptines : étude de 24 cas. Ann Dermatol Venereol 2017. [DOI: 10.1016/j.annder.2017.09.084] [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: 10/18/2022]
|
35
|
Seta V, Fichel F, Méritet JF, Bouam S, Franck N, Avril MF, Dupin N. [Dermatoses and herpes superinfection: A retrospective study of 34 cases]. Ann Dermatol Venereol 2017; 144:176-181. [PMID: 28242091 DOI: 10.1016/j.annder.2017.01.011] [Citation(s) in RCA: 2] [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: 04/12/2016] [Revised: 10/18/2016] [Accepted: 01/13/2017] [Indexed: 12/24/2022]
Abstract
BACKGROUND Although varicelliform Kaposi eruption is a well-known complication of dermatoses, it has not been widely investigated. AIM To investigate features of dermatoses and herpes superinfection in patients hospitalized in a dermatology department. PATIENTS AND METHODS We performed a single-centre, retrospective study between 2008 and 2014 that included cases of Kaposi varicelliform eruptions defined by positive PCR of an unconventional site of herpetic recurrence in a setting of active dermatitis. A record was compiled of each case giving details of the history, clinical and laboratory findings, therapeutic data and outcome. RESULTS Thirty-four cases of Kaposi varicelliform eruptions in 30 subjects were studied. Mean age at diagnosis was 63.3±24.2 years. The underlying dermatoses were as follows: 7 pemphigus, 6 bullous pemphigoid, 3 cicatricial pemphigoid, 3 atopic dermatitis, 1 Darier disease, and 14 other dermatoses. Patients presented with skin (94.1 %) or mucous membrane lesions (62 %), mostly erosive (79 %), vesicular (27 %) or bullous (41 %), often painful (56 %) or pruritic (29 %). At diagnosis, 41.2 % were undergoing systemic immunotherapy and 24 % were on topical corticosteroids. PCR was positive for HSV1 in 20 cases and for HSV2 in 4 cases, and indeterminate in 10 cases. Lymphocytopenia was seen in 59 % of cases. The majority of patients received treatment. Nine patients experienced at least one relapse. CONCLUSION Our study confirms the over-representation not only of the expected dermatoses (pemphigus and atopic dermatitis), but also of others such as pemphigoid and acute dermatoses; these results should be investigated in a more systematic prospective study.
Collapse
Affiliation(s)
- V Seta
- Service de dermatologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), pavillon Tarnier, 89, rue d'Assas, 75006 Paris, France
| | - F Fichel
- Service de dermatologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), pavillon Tarnier, 89, rue d'Assas, 75006 Paris, France
| | - J-F Méritet
- Service de virologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France
| | - S Bouam
- Unité d'information médicale, hôpital Cochin, HUPC, Assistance publique-Hôpitaux de Paris (AP-HP), 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France
| | - N Franck
- Service de dermatologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), pavillon Tarnier, 89, rue d'Assas, 75006 Paris, France
| | - M-F Avril
- Service de dermatologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), pavillon Tarnier, 89, rue d'Assas, 75006 Paris, France
| | - N Dupin
- Service de dermatologie, hôpital Cochin, université Paris Descartes, Assistance publique-Hôpitaux de Paris (AP-HP), pavillon Tarnier, 89, rue d'Assas, 75006 Paris, France.
| |
Collapse
|
36
|
Denis D, Seta V, Regnier-Rosencher E, Chanal J, Kramkimel N, Avril MF, Dupin N. Maladie de Kaposi classique, facteurs pronostiques et individualisation d’un 5e type chez les hommes ayant des rapports avec d’autres hommes (HSH). Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.156] [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]
|
37
|
Seta V, Saussine A, Galicier L, Fieschi C, Bagot M, Bouaziz JD, Rybojad M. Lésions cutanées type Crohn associées au syndrome lymphoprolifératif lié à l’X de type 2. Ann Dermatol Venereol 2016. [DOI: 10.1016/j.annder.2016.09.352] [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]
|
38
|
Seta V, Aucouturier F, Bonnefoy J, Le Roux-Villet C, Pendaries V, Alexandre M, Grootenboer-Mignot S, Heller M, Lièvre N, Laroche L, Caux F, Titeux M, Hovnanian A, Prost-Squarcioni C. Comparison of 3 type VII collagen (C7) assays for serologic diagnosis of epidermolysis bullosa acquisita (EBA). J Am Acad Dermatol 2016; 74:1166-72. [DOI: 10.1016/j.jaad.2016.01.005] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2015] [Revised: 12/26/2015] [Accepted: 01/01/2016] [Indexed: 10/22/2022]
|
39
|
Seta V, Alexandre M, Zumelzu C, Oro S, Bernardeschi C, Schneider P, Le Roux-Villet C, Pascal F, Weber P, Doan S, Soued I, Raynaud J, Benamouzig R, Vibert J, Tancrède E, Dupin N, Laroche L, Caux F, Tubach F, Prost-Squarcioni C, Gault N. Morbidité et facteurs pronostiques dans la pemphigoïde cicatricielle : étude de cohorte rétrospective. Rev Epidemiol Sante Publique 2016. [DOI: 10.1016/j.respe.2016.03.041] [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] Open
|
40
|
Seta V, Gault N, Alexandre M, Zumelzu C, Oro S, Bernardeschi C, Schneider P, Le Roux Villet C, Pascal F, Weber P, Doan S, Soued I, Raynaud JJ, Lièvre N, Heller M, Tancrède E, Benamouzig R, Vibert JF, Dupin N, Wolkenstein P, Laroche L, Caux F, Tubach F, Prost-Squarcioni C. Morbidité et facteurs pronostiques dans la pemphigoïde cicatricielle : étude rétrospective sur 121 patients. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.054] [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]
|
41
|
Seta V, Capri Y, Battistella M, Bagot M, Bourrat E. Pachydermopériostose primitive : intérêt du diagnostic moléculaire. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.350] [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: 11/26/2022]
|
42
|
Gottlieb J, Seta V, Hovnanian A, Titeux M, Pironon N, Battistella M, Bagot M, Bourrat E. Risque de carcinome épidermoïde cutané au cours de l’épidermolyse bulleuse héréditaire : faut-il surveiller aussi les formes simples de type Dowling-Meara ? Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.211] [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: 11/24/2022]
|
43
|
Alexandre M, Seta V, Zumelzu C, Vibert JF, Le Roux Villet C, Doan S, Soued I, Pascal F, Lièvre N, Heller M, Caux F, Laroche L, Prost C. Efficacité du rituximab dans les pemphigoïdes des muqueuses. Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.055] [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]
|
44
|
Seta V, Teicher E, Fortineau N, Ladouceur M, Lambotte O. [Infective endocarditis caused by Streptococcus sinensis]. Med Mal Infect 2014; 45:56-7. [PMID: 25481726 DOI: 10.1016/j.medmal.2014.11.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2014] [Revised: 10/17/2014] [Accepted: 11/04/2014] [Indexed: 11/29/2022]
Affiliation(s)
- V Seta
- Service de médecine interne, hôpital Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - E Teicher
- Service de médecine interne, hôpital Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - N Fortineau
- Laboratoire de microbiologie, hôpital Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France
| | - M Ladouceur
- Unité de cardiopathies congénitales de l'adulte, hôpital européen Georges-Pompidou, AP-HP, 20, rue Leblanc, 75015 Paris, France
| | - O Lambotte
- Service de médecine interne, hôpital Bicêtre, AP-HP, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
| |
Collapse
|
45
|
Gasnault J, de Goër de Herve MG, Michot JM, Hendel-Chavez H, Seta V, Mazet AA, Croughs T, Stankoff B, Bourhis JH, Lambotte O, Delfraissy JF, Taoufik Y. Efficacy of recombinant human interleukin 7 in a patient with severe lymphopenia-related progressive multifocal leukoencephalopathy. Open Forum Infect Dis 2014; 1:ofu074. [PMID: 25734144 PMCID: PMC4281783 DOI: 10.1093/ofid/ofu074] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/13/2014] [Accepted: 07/08/2014] [Indexed: 12/24/2022] Open
Abstract
In this study, we report the case of a patient with profound lymphopenia after allogenic bone marrow transplantation who developed severe progressive multifocal leukoencephalopathy. Single-agent recombinant human interleukin-7 therapy was associated with restoration of anti-John Cunningham polyomavirus (JCV) T-cell responses, JCV clearance from cerebrospinal fluid, and a dramatic clinical improvement.
Collapse
Affiliation(s)
- Jacques Gasnault
- Department of Internal Medicine , Assistance Publique-Hôpitaux de Paris (AP -HP), Hôpital Bicêtre , Le Kremlin-Bicêtre , France ; Institut National de la Santé et de la Recherche Médicale (INSERM) U1012, Faculté de Médecine , Université Paris Sud , Le Kremlin-Bicêtre , France
| | - Marie-Ghislaine de Goër de Herve
- Institut National de la Santé et de la Recherche Médicale (INSERM) U1012, Faculté de Médecine , Université Paris Sud , Le Kremlin-Bicêtre , France
| | - Jean-Marie Michot
- Department of Internal Medicine , Assistance Publique-Hôpitaux de Paris (AP -HP), Hôpital Bicêtre , Le Kremlin-Bicêtre , France ; Department of Haematology , Institut Gustave Roussy , Villejuif , France
| | - Houria Hendel-Chavez
- Institut National de la Santé et de la Recherche Médicale (INSERM) U1012, Faculté de Médecine , Université Paris Sud , Le Kremlin-Bicêtre , France
| | - Vannina Seta
- Department of Internal Medicine , Assistance Publique-Hôpitaux de Paris (AP -HP), Hôpital Bicêtre , Le Kremlin-Bicêtre , France
| | - Anne-Aurélie Mazet
- Department of Virology , AP-HP, Hôpital Paul Brousse , Villejuif , France
| | - Thérèse Croughs
- INSERM-Agence Nationale pour la Recherche sur le SIDA , Paris , France
| | - Bruno Stankoff
- Department of Neurology , AP-HP, Hôpital Tenon , Paris , France
| | - Jean-Henri Bourhis
- Department of Haematology , Institut Gustave Roussy , Villejuif , France
| | - Olivier Lambotte
- Department of Internal Medicine , Assistance Publique-Hôpitaux de Paris (AP -HP), Hôpital Bicêtre , Le Kremlin-Bicêtre , France ; Institut National de la Santé et de la Recherche Médicale (INSERM) U1012, Faculté de Médecine , Université Paris Sud , Le Kremlin-Bicêtre , France
| | - Jean-François Delfraissy
- Department of Internal Medicine , Assistance Publique-Hôpitaux de Paris (AP -HP), Hôpital Bicêtre , Le Kremlin-Bicêtre , France ; Institut National de la Santé et de la Recherche Médicale (INSERM) U1012, Faculté de Médecine , Université Paris Sud , Le Kremlin-Bicêtre , France ; INSERM-Agence Nationale pour la Recherche sur le SIDA , Paris , France
| | - Yassine Taoufik
- Institut National de la Santé et de la Recherche Médicale (INSERM) U1012, Faculté de Médecine , Université Paris Sud , Le Kremlin-Bicêtre , France
| |
Collapse
|
46
|
Seta V, Aucouturier F, Bonnefoy J, Le Roux C, Mignot S, Pendaries V, Alexandre M, Heller M, Caux F, Lièvre N, Titeux M, Hovnanian A, Prost-Squarcioni C. L’Elisa-collagène 7 (C7) sur la protéine entière (Elisa-C7 total) est plus sensible que celui sur les domaines NC1 et NC2 (Elisa-C7-NC1/NC2) pour le diagnostic d’épidermolyse bulleuse acquise (EBA). Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.051] [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: 11/29/2022]
|
47
|
Ratour C, Michot JM, Seta V, Denis D, Fourn E, Denier C, Rocher L, Teicher E, Guillevin L, Lambotte O. Un cas inhabituel de périartérite noueuse avec atteinte des vaisseaux du cou et des artères pulmonaires. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.10.186] [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]
|