1
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Masson AD, Ram-Wolff C, Bouaziz JD, Cayuela JM, Lorillon G, Frumholtz L, Cassius C, Petit A, Léonard-Louis S, Battistella M, Vignon-Pennamen MD, Rivet J, Meignin V, Duverger L, Jachiet M, Bagot M, Lazaridou I. Dermatomyositis versus mycosis fungoides: Challenges in the diagnosis of erythroderma with associated myositis. Ann Dermatol Venereol 2023; 150:129-133. [PMID: 36682974 DOI: 10.1016/j.annder.2021.04.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 09/08/2020] [Revised: 03/21/2021] [Accepted: 04/12/2021] [Indexed: 01/22/2023]
Affiliation(s)
- A de Masson
- Department of Dermatology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France; Université de Paris, INSERM U976, 1 Avenue Claude Vellefaux, 75010 Paris, France
| | - C Ram-Wolff
- Department of Dermatology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - J D Bouaziz
- Department of Dermatology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France; Université de Paris, INSERM U976, 1 Avenue Claude Vellefaux, 75010 Paris, France
| | - J M Cayuela
- Laboratory of Hematology, University Hospital Saint-Louis AP-HP and EA3518 Université de Paris, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - G Lorillon
- Department of Pulmonology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - L Frumholtz
- Department of Dermatology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - C Cassius
- Department of Dermatology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France; Université de Paris, INSERM U976, 1 Avenue Claude Vellefaux, 75010 Paris, France
| | - A Petit
- Department of Dermatology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - S Léonard-Louis
- Department of Neuropathology, AP-HP, Pitié Salpêtrière Hospital, 47-83 Boulevard de l'Hôpital, 75013 Paris, France
| | - M Battistella
- Université de Paris, INSERM U976, 1 Avenue Claude Vellefaux, 75010 Paris, France; Department of Pathology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - M D Vignon-Pennamen
- Université de Paris, INSERM U976, 1 Avenue Claude Vellefaux, 75010 Paris, France; Department of Pathology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - J Rivet
- Université de Paris, INSERM U976, 1 Avenue Claude Vellefaux, 75010 Paris, France; Department of Pathology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - V Meignin
- Université de Paris, INSERM U976, 1 Avenue Claude Vellefaux, 75010 Paris, France; Department of Pathology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - L Duverger
- Université de Paris, INSERM U976, 1 Avenue Claude Vellefaux, 75010 Paris, France; Department of Pathology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - M Jachiet
- Department of Dermatology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
| | - M Bagot
- Department of Dermatology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France; Université de Paris, INSERM U976, 1 Avenue Claude Vellefaux, 75010 Paris, France.
| | - I Lazaridou
- Department of Dermatology, AP-HP, Saint-Louis Hospital, 1, avenue Claude Vellefaux, 75010 Paris, France
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2
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Calmettes V, Badrignans M, Konstantinou MP, Tancrède-Bohin E, Vignon-Pennamen MD, Castel M, Pham-Ledard A, Le Roux-Villet C, Misery L, Schoenlaub P, Tronquoy AF, Cordel N, Ortonne N, Sohier P, Cellier L, Tournier E, De La Salle EM, Le Flahec G, Plantier F, Grootenboer-Mignot S, Jouen F, Hillion B, Aractingi S, Duvert-Lehembre S, Dupin N, Ingen-Housz-Oro S. IgA and IgG/IgA intercellular dermatosis: a clinicopathological case series of 15 patients. J Eur Acad Dermatol Venereol 2022; 36:e896-e898. [PMID: 35694900 DOI: 10.1111/jdv.18325] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/23/2022] [Accepted: 06/03/2022] [Indexed: 12/16/2022]
Affiliation(s)
- V Calmettes
- Department of Dermatology, Henri Mondor University Hospital, AP-HP, Créteil, France
| | - M Badrignans
- Department of Pathology, Henri Mondor University Hospital, AP-HP, Créteil, France
| | - M P Konstantinou
- Department of Dermatology, University Hospital of Toulouse, Toulouse, France
| | - E Tancrède-Bohin
- Department of Dermatology, Saint Louis University Hospital, APHP, Paris, France
| | - M D Vignon-Pennamen
- Department of Pathology, Saint Louis University Hospital, APHP, Paris, France
| | - M Castel
- Department of Dermatology, University Hospital of Rouen, Rouen, France
| | - A Pham-Ledard
- Department of Dermatology, CHU Bordeaux and INSERM U1312, Bordeaux, France
| | - C Le Roux-Villet
- Department of Dermatology, University Hospital Avicenne, Bobigny, France
| | - L Misery
- Department of Dermatology, University Hospital of Brest, Brest, France
| | - P Schoenlaub
- Department of Dermatology, Hopital d'Instruction des Armées, Brest, France
| | - A F Tronquoy
- Department of Dermatology, Hospital of Boulogne-sur-Mer, Boulogne-sur-Mer, France
| | - N Cordel
- Department of Dermatology and Clinical Immunology, Guadeloupe University Hospital, Pointe-à-Pitre, France
| | - N Ortonne
- Department of Pathology, Henri Mondor University Hospital, AP-HP, Créteil, France
| | - P Sohier
- Department of Pathology, Cochin Hospital, AP-HP, AP-HP, Centre-Université de Paris, Paris, France
| | - L Cellier
- Department of Pathology, University Hospital of Rouen, Rouen, France
| | - E Tournier
- Derpartment of Pathology, University Hospital of Toulouse, Toulouse, France
| | - E M De La Salle
- Department of Pathology, University Hospital of Lille, Lille, France
| | - G Le Flahec
- Department of Pathology, University Hospital of Brest, Brest, France
| | - F Plantier
- Cabinet de Pathologie Mathurin Moreau, Paris, France
| | | | - F Jouen
- Department of Immunology, University Hospital of Rouen, Rouen, France
| | - B Hillion
- Department of Dermatology, Hospital of Marne la Vallée, Jossigny, France
| | - S Aractingi
- Department of Dermatology, Cochin Hospital, AP-HP, AP-HP, Centre-Université de Paris, Paris, France
| | - S Duvert-Lehembre
- Department of Dermatology, Hospital of Dunkerque, Dunkerque, France.,Department of Dermatology, University Hospital of Lille, Lille, France
| | - N Dupin
- Department of Dermatology, Cochin Hospital, AP-HP, AP-HP, Centre-Université de Paris, Paris, France
| | - S Ingen-Housz-Oro
- Department of Dermatology, Henri Mondor University Hospital, AP-HP, Créteil, France.,Univ Paris Est Créteil EpidermE, Créteil, France
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- French Bullous Diseases Study Group Paris, Paris, France
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3
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Galadari A, Ram-Wolff C, Al Hage J, Battistella M, Vignon-Pennamen MD, Rivet J, Cayuela JM, Gabison G, Moins-Teisserenc H, Mourah S, Ingen-Housz-Oro S, Le Corre Y, Bagot M, de Masson A. Cutaneous Gamma Delta T-Cell Lymphoma with indolent evolution: A series of five cases. J Eur Acad Dermatol Venereol 2022; 36:e715-e717. [PMID: 35535450 DOI: 10.1111/jdv.18204] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2022] [Accepted: 05/03/2022] [Indexed: 12/01/2022]
Affiliation(s)
- A Galadari
- Department of Dermatology, Saint-Louis Hospital, APHP, Paris, France
| | - C Ram-Wolff
- Department of Dermatology, Saint-Louis Hospital, APHP, Paris, France.,French Cutaneous Lymphomas Study Group, Paris, France
| | - J Al Hage
- Department of Dermatology, Saint-Louis Hospital, APHP, Paris, France
| | - M Battistella
- INSERM U976, Institut de Recherche Saint-Louis, Paris, France.,Université de Paris, Paris, France.,Department of Pathology, Saint-Louis Hospital, APHP, Paris, France.,French Cutaneous Lymphomas Study Group, Paris, France
| | - M D Vignon-Pennamen
- Department of Pathology, Saint-Louis Hospital, APHP, Paris, France.,French Cutaneous Lymphomas Study Group, Paris, France
| | - J Rivet
- Department of Pathology, Saint-Louis Hospital, APHP, Paris, France.,French Cutaneous Lymphomas Study Group, Paris, France
| | - J M Cayuela
- Université de Paris, Paris, France.,Laboratory of Hematology and EA3518, Saint-Louis Hospital, APHP, Paris, France
| | - G Gabison
- Department of Dermatology, Saint-Louis Hospital, APHP, Paris, France
| | - H Moins-Teisserenc
- Université de Paris, Paris, France.,Laboratory of Hematology and INSERM U1160, Saint-Louis Hospital, APHP, Paris, France
| | - S Mourah
- INSERM U976, Institut de Recherche Saint-Louis, Paris, France.,Université de Paris, Paris, France.,Department of Pharmacology and Tumor Genomics, Saint-Louis Hospital, Paris, France
| | - S Ingen-Housz-Oro
- Department of Dermatology, Henri Mondor Hospital, APHP, Créteil, France.,Univ Paris Est Créteil Epiderme, Créteil, France.,French Cutaneous Lymphomas Study Group, Paris, France
| | - Y Le Corre
- Department of Dermatology, Centre University Hospital of Angers, Angers, France.,French Cutaneous Lymphomas Study Group, Paris, France
| | - M Bagot
- Department of Dermatology, Saint-Louis Hospital, APHP, Paris, France.,INSERM U976, Institut de Recherche Saint-Louis, Paris, France.,Université de Paris, Paris, France.,French Cutaneous Lymphomas Study Group, Paris, France
| | - A de Masson
- Department of Dermatology, Saint-Louis Hospital, APHP, Paris, France.,INSERM U976, Institut de Recherche Saint-Louis, Paris, France.,Université de Paris, Paris, France.,French Cutaneous Lymphomas Study Group, Paris, France
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4
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Darbord D, Hickman G, Pironon N, Barbieux C, Bonnet-des-Claustres M, Titeux M, Miskinyte S, Cordoliani F, Vignon-Pennamen MD, Amode R, Hovnanian A, Bourrat E. Dystrophic epidermolysis bullosa pruriginosa: a new case series of a rare phenotype unveils skewed Th2 immunity. J Eur Acad Dermatol Venereol 2021; 36:133-143. [PMID: 34543471 DOI: 10.1111/jdv.17671] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2021] [Accepted: 08/03/2021] [Indexed: 12/16/2022]
Abstract
BACKGROUND Dystrophic epidermolysis bullosa pruriginosa (DEB-Pr) is a rare subtype of hereditary epidermolysis bullosa, with a poorly understood pathogenesis and no satisfactory treatment. OBJECTIVES To assess the clinical and biological features, genetic basis and therapeutic management, to better characterize this rare genodermatosis. METHODS We have conducted a retrospective study, reviewing the clinical presentation, genetic diagnosis, immunohistopathological findings and biological characteristics and management of patients with dystrophic epidermolysis bullosa pruriginosa. This study was conducted in the Department of Dermatology at Saint-Louis Hospital and the Department of Genetics at Necker Hospital (Paris, France). All patients with a diagnosis of DEB-Pr seen between 2010 and 2020 were included. RESULTS Seven patients were included, the average age of 50.1 years [range 36-76]. Pruriginous-lichenified papules, plaques or nodules appeared at 27.6 years on average [range 7-66] on pretibial areas and forearms, associated with milia and toenails dystrophy. All patients received multiple treatments, but none could sustainably reduce pruritus. Immunohistopathological analysis of lesion skin revealed subepidermal blister with fibrosis, milia and mast cell infiltration. Serum TNFα, IL1β and IL6 levels were elevated in 2/6 patients. Total serum IgE levels were increased in 7/7 patients, with no history of atopy. Immunophenotyping of circulating T-cells revealed an increased Th2 subset in 4/4 patients, with reduced Th1 and Th17 subpopulations. Genetic analysis of COL7A1 identified 7 distinct causative mutations, six of which were new. Intra-familial clinical variability was documented in 5/7 patients and was associated with the co-inheritance of a recessive COL7A1 mutation or an FLG2 mutation in 2 families. CONCLUSION Our study confirms the stereotyped presentation of DEB-Pr with large intra-familial variability in disease expression. Mast cell infiltration, elevated IgE and increased Th2 subset without atopy strongly support a role of Th2-mediated immunity in DEB-Pr, and further argue for new targeted therapeutic options such as dupilumab.
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Affiliation(s)
- D Darbord
- Department of Dermatology, Hôpital Saint Louis, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France
| | - G Hickman
- Department of Dermatology, Hôpital Saint Louis, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.,Centre de référence maladies rares MAGEC Nord Site Saint Louis, Hôpital Saint Louis, Paris, France
| | - N Pironon
- INSERM UMR 1163, Laboratory of genetic skin diseases, Institut Imagine, Paris Université, Paris, France
| | - C Barbieux
- INSERM UMR 1163, Laboratory of genetic skin diseases, Institut Imagine, Paris Université, Paris, France
| | - M Bonnet-des-Claustres
- INSERM UMR 1163, Laboratory of genetic skin diseases, Institut Imagine, Paris Université, Paris, France
| | - M Titeux
- INSERM UMR 1163, Laboratory of genetic skin diseases, Institut Imagine, Paris Université, Paris, France
| | - S Miskinyte
- INSERM UMR 1163, Laboratory of genetic skin diseases, Institut Imagine, Paris Université, Paris, France
| | - F Cordoliani
- Department of Dermatology, Hôpital Saint Louis, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France
| | | | - R Amode
- Department of Dermatology, Hôpital Bichat, AP-HP, Paris, France
| | - A Hovnanian
- INSERM UMR 1163, Laboratory of genetic skin diseases, Institut Imagine, Paris Université, Paris, France.,Department of Genetics, Hôpital Necker-enfants malades, AP-HP, Paris, France
| | - E Bourrat
- Department of Dermatology, Hôpital Saint Louis, Assistance Publique des Hôpitaux de Paris (AP-HP), Paris, France.,Centre de référence maladies rares MAGEC Nord Site Saint Louis, Hôpital Saint Louis, Paris, France
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5
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Dobos G, de Masson A, Ram-Wolff C, Beylot-Barry M, Pham-Ledard A, Ortonne N, Ingen-Housz-Oro S, Battistella M, d'Incan M, Rouanet J, Franck F, Vignon-Pennamen MD, Franck N, Carlotti A, Boulinguez S, Lamant L, Petrella T, Dalac S, Joly P, Courville P, Rivet J, Dereure O, Amatore F, Taix S, Grange F, Durlach A, Quéreux G, Josselin N, Moulonguet I, Mortier L, Dubois R, Maubec E, Laroche L, Michel L, Templier I, Barete S, Nardin C, Augereau O, Vergier B, Bagot M. Epidemiological changes in cutaneous lymphomas: an analysis of 8593 patients from the French Cutaneous Lymphoma Registry. Br J Dermatol 2020; 184:1059-1067. [PMID: 33131055 DOI: 10.1111/bjd.19644] [Citation(s) in RCA: 34] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 10/28/2020] [Indexed: 12/16/2022]
Abstract
BACKGROUND Primary cutaneous lymphomas (PCLs) are a heterogeneous group of T-cell (CTCL) and B-cell (CBCL) malignancies. Little is known about their epidemiology at initial presentation in Europe and about potential changes over time. OBJECTIVES The aim of this retrospective study was to analyse the frequency of PCLs in the French Cutaneous Lymphoma Registry (GFELC) and to describe the demography of patients. METHODS Patients with a centrally validated diagnosis of primary PCL, diagnosed between 2005 and 2019, were included. RESULTS The calculated incidence was unprecedently high at 1·06 per 100 000 person-years. The number of included patients increased yearly. Most PCL subtypes were more frequent in male patients, diagnosed at a median age of 60 years. The relative frequency of rare CTCL remained stable, the proportion of classical mycosis fungoides (MF) decreased, and the frequency of its variants (e.g. folliculotropic MF) increased. Similar patterns were observed for CBCL; for example, the proportion of marginal-zone CBCL increased over time. CONCLUSIONS Changes in PCL frequencies may be explained by the emergence of new diagnostic criteria and better description of the entities in the most recent PCL classification. Moreover, we propose that an algorithm should be developed to confirm the diagnosis of PCL by central validation of the cases.
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Affiliation(s)
- G Dobos
- Dermatology Department, Saint-Louis Hospital, AP-HP, Paris, France.,INSERM U976, Human Immunology Pathophysiology and Immune Therapies, Paris, France.,Université de Paris, Paris, France
| | - A de Masson
- Dermatology Department, Saint-Louis Hospital, AP-HP, Paris, France.,INSERM U976, Human Immunology Pathophysiology and Immune Therapies, Paris, France.,Université de Paris, Paris, France
| | - C Ram-Wolff
- Dermatology Department, Saint-Louis Hospital, AP-HP, Paris, France.,INSERM U976, Human Immunology Pathophysiology and Immune Therapies, Paris, France.,Université de Paris, Paris, France
| | - M Beylot-Barry
- Dermatology Department, Université de Bordeaux, Bordeaux, France
| | - A Pham-Ledard
- Dermatology Department, Université de Bordeaux, Bordeaux, France
| | - N Ortonne
- Pathology Department, Henri Mondor Hospital, INSERM U955, Université Paris Est, AP-HP, Paris, France
| | - S Ingen-Housz-Oro
- Dermatology Department, Henri Mondor Hospital, INSERM U955, Université Paris Est, AP-HP, Paris, France
| | - M Battistella
- INSERM U976, Human Immunology Pathophysiology and Immune Therapies, Paris, France.,Université de Paris, Paris, France.,Pathology Department, Saint-Louis Hospital, AP-HP, Paris, France
| | - M d'Incan
- Dermatology and Cutaneous Oncology, Estaing University Hospital, Université de Clermont-Ferrand, Clermont-Ferrand, France
| | - J Rouanet
- Pathology Department, NHE Clermont et SIPATH UNILABS, Clermont-Ferrand, France
| | - F Franck
- Pathology Department, NHE Clermont et SIPATH UNILABS, Clermont-Ferrand, France
| | | | - N Franck
- Dermatology Department, Cochin Hospital, AP-HP, Paris, France
| | - A Carlotti
- Pathology Department, Cochin Hospital, AP-HP, Paris, France
| | - S Boulinguez
- Dermatology Department, Cahors Hospital, Toulouse, France
| | - L Lamant
- Pathology and Cytopathology Department, Institut Universitaire du Cancer Toulouse, Toulouse, France
| | - T Petrella
- Pathology Department, Dijon Bourgogne University Hospital, Dijon, France
| | - S Dalac
- Dermatology Department, Dijon Bourgogne University Hospital, Dijon, France
| | - P Joly
- Dermatology Department, Rouen University Hospital, INSERM U1234, Rouen Institute for Research and Innovation in Biomedicine, Rouen, France
| | - P Courville
- Pathology Department, Rouen University Hospital, INSERM U1234, Rouen Institute for Research and Innovation in Biomedicine, Rouen, France
| | - J Rivet
- Dermatology Department, Université de Bordeaux, Bordeaux, France.,Pathology Department, Henri Mondor Hospital, INSERM U955, Université Paris Est, AP-HP, Paris, France
| | - O Dereure
- Dermatology Department, Montpellier University Hospital, Montpellier, France
| | - F Amatore
- Department of Dermatology and Oncodermatology, Aix-Marseille University, AP-HM, Timone Hospital, Marseille, France
| | - S Taix
- Department of Pathology, Aix-Marseille University, AP-HM, Timone Hospital, Marseille, France
| | - F Grange
- Dermatology Department, Robert Debré University Hospital, Reims, France
| | - A Durlach
- Pathology Department, Reims University Hospital, Reims, France
| | - G Quéreux
- Dermatology Department, Nantes University Hospital, Nantes, France
| | - N Josselin
- Pathology Department, Nantes University Hospital, Nantes, France
| | - I Moulonguet
- Dermatology Department, Saint-Louis Hospital, AP-HP, Paris, France
| | - L Mortier
- Dermatology Department, Claude Huriez University Hospital, INSERM U1189, Université de Lille, Lille, France
| | - R Dubois
- Pathology Department, Claude Huriez University Hospital, Lille, France
| | - E Maubec
- Dermatology Department, Avicenne Hospital, AP-HP, Paris, France
| | - L Laroche
- Dermatology Department, Avicenne Hospital, AP-HP, Paris, France
| | - L Michel
- INSERM U976, Human Immunology Pathophysiology and Immune Therapies, Paris, France.,Université de Paris, Paris, France
| | - I Templier
- Dermatology Department, Grenoble University Hospital, Grenoble, France
| | - S Barete
- Dermatology Department, Pité-Salpêtrière Hospital, AP-HP, Paris, France
| | - C Nardin
- Dermatology Department, Minjoz Hospital, Besancon, France, INSERM U1098, University of Franche Comté, EFS Bourgogne Franche-Comté and Franche-Comté University, Besançon, France
| | - O Augereau
- Pathology Department, Saint-André Hospital, Bordeaux University Hospital, INSERM U1053 - UMR BaRITOn, Eq 3 Oncogenèse des Lymphomes Cutanés, Université de Bordeaux, Bordeaux, France
| | - B Vergier
- Pathology Department, Saint-André Hospital, Bordeaux University Hospital, INSERM U1053 - UMR BaRITOn, Eq 3 Oncogenèse des Lymphomes Cutanés, Université de Bordeaux, Bordeaux, France
| | - M Bagot
- Dermatology Department, Saint-Louis Hospital, AP-HP, Paris, France.,INSERM U976, Human Immunology Pathophysiology and Immune Therapies, Paris, France.,Université de Paris, Paris, France
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6
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Dobos G, Battistella M, Jouenne F, Mourah S, Vignon-Pennamen MD, Ram-Wolff C, Herms F, Dauendorffer JN, Rivet J, Cayuela JM, Bouaziz D, Brice P, Lebbé C, Bagot M, de Masson A. Challenges in the diagnosis of primary cutaneous CD30 + anaplastic large-cell lymphoma. Br J Dermatol 2019; 182:233-234. [PMID: 31278742 DOI: 10.1111/bjd.18328] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- G Dobos
- Department of Dermatology, APHP, Saint-Louis Hospital, Paris, France.,Université de Paris, INSERM U976, Paris, France.,Skin Cancer Centre, Charité-Universitätsmedizin Berlin, Germany
| | - M Battistella
- Université de Paris, INSERM U976, Paris, France.,Department of Pathology, APHP, Saint-Louis Hospital, Paris, France
| | - F Jouenne
- Université de Paris, INSERM U976, Paris, France.,Department of Pharmacogenomics, APHP, Saint-Louis Hospital, Paris, France
| | - S Mourah
- Université de Paris, INSERM U976, Paris, France.,Department of Pharmacogenomics, APHP, Saint-Louis Hospital, Paris, France
| | | | - C Ram-Wolff
- Department of Dermatology, APHP, Saint-Louis Hospital, Paris, France
| | - F Herms
- Department of Dermatology, APHP, Saint-Louis Hospital, Paris, France
| | - J N Dauendorffer
- Department of Dermatology, APHP, Saint-Louis Hospital, Paris, France
| | - J Rivet
- Skin Cancer Centre, Charité-Universitätsmedizin Berlin, Germany
| | - J M Cayuela
- Laboratory of Hematology, APHP, Saint-Louis Hospital, Paris, France
| | - D Bouaziz
- Department of Dermatology, APHP, Saint-Louis Hospital, Paris, France.,Université de Paris, INSERM U976, Paris, France
| | - P Brice
- Department of Hmatological Oncology, APHP, Saint-Louis Hospital, Paris, France
| | - C Lebbé
- Department of Dermatology, APHP, Saint-Louis Hospital, Paris, France.,Université de Paris, INSERM U976, Paris, France
| | - M Bagot
- Department of Dermatology, APHP, Saint-Louis Hospital, Paris, France.,Université de Paris, INSERM U976, Paris, France
| | - A de Masson
- Department of Dermatology, APHP, Saint-Louis Hospital, Paris, France.,Université de Paris, INSERM U976, Paris, France
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7
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Bettuzzi T, Ram-Wolff C, Hau E, de Masson A, Vignon-Pennamen MD, Beylot-Barry M, Cormier C, Bagot M. Severe hypercalcemia complicating granulomatous slack skin disease: an exceptional case. J Eur Acad Dermatol Venereol 2019; 33:e354-e356. [PMID: 31026372 DOI: 10.1111/jdv.15646] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- T Bettuzzi
- Dermatology Department, Hospital St Louis, Paris 7 University, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - C Ram-Wolff
- Dermatology Department, Hospital St Louis, Paris 7 University, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - E Hau
- Dermatology Department, Hospital St Louis, Paris 7 University, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - A de Masson
- Dermatology Department, Hospital St Louis, Paris 7 University, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - M D Vignon-Pennamen
- Pathology Department, Hospital St Louis, Paris 7 University, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - M Beylot-Barry
- Dermatology Department, CHU Bordeaux, Bordeaux University, Hospital Saint-André, 1 rue Jean Burguet, 33075, Bordeaux, France
| | - C Cormier
- Rhumatology Department, Hospital Cochin, Paris 5 University, 27 rue du faubourg saint Jacques, 75014, Paris, France
| | - M Bagot
- Dermatology Department, Hospital St Louis, Paris 7 University, 1 Avenue Claude Vellefaux, 75010, Paris, France
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8
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Toumi A, Litaiem N, Moulonguet I, Bacha T, Vignon-Pennamen MD, Rammeh S, Zeglaoui F. A self-limited infiltrative plaque on the back. Clin Exp Dermatol 2019; 45:212-214. [PMID: 30666689 DOI: 10.1111/ced.13910] [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] [Accepted: 12/11/2018] [Indexed: 11/29/2022]
Affiliation(s)
- A Toumi
- Department of Dermatology, Charles Nicolle Hospital, University of Tunis El Manar, Tunis, Tunisia
| | - N Litaiem
- Department of Dermatology, Charles Nicolle Hospital, University of Tunis El Manar, Tunis, Tunisia
| | - I Moulonguet
- Department of Pathology, Paris Diderot University, Saint Louis Hospital, Paris, France
| | - T Bacha
- Department of Dermatology, Charles Nicolle Hospital, University of Tunis El Manar, Tunis, Tunisia
| | - M D Vignon-Pennamen
- Department of Pathology, Paris Diderot University, Saint Louis Hospital, Paris, France
| | - S Rammeh
- Department of Pathology, Charles Nicolle Hospital, University of Tunis El Manar, Tunis, Tunisia
| | - F Zeglaoui
- Department of Dermatology, Charles Nicolle Hospital, University of Tunis El Manar, Tunis, Tunisia
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9
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El Alami J, Le Corre Y, Battistella M, Vignon-Pennamen MD, Frumholtz L, Herms F, Bouaziz JD, Ram-Wolff C, Bagot M, De Masson A. Mycosis fungoides presenting as vulvar plaques. J Eur Acad Dermatol Venereol 2019; 33:e172-e174. [PMID: 30653269 DOI: 10.1111/jdv.15429] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- J El Alami
- Department of Dermatology, INSERM U976, Saint-Louis Hospital, APHP, Paris Diderot University, 49100 Angers, Paris, France
| | - Y Le Corre
- Department of Dermatology, University Hospital of Angers, UBL University, Angers, 75010 Paris, France
| | - M Battistella
- Department of Pathology, Saint-Louis Hospital, APHP, Paris Diderot University, 49100 Angers, Paris, France
| | - M D Vignon-Pennamen
- Department of Pathology, Saint-Louis Hospital, APHP, Paris Diderot University, 49100 Angers, Paris, France
| | - L Frumholtz
- Department of Dermatology, INSERM U976, Saint-Louis Hospital, APHP, Paris Diderot University, 49100 Angers, Paris, France
| | - F Herms
- Department of Dermatology, INSERM U976, Saint-Louis Hospital, APHP, Paris Diderot University, 49100 Angers, Paris, France
| | - J-D Bouaziz
- Department of Dermatology, INSERM U976, Saint-Louis Hospital, APHP, Paris Diderot University, 49100 Angers, Paris, France
| | - C Ram-Wolff
- Department of Dermatology, INSERM U976, Saint-Louis Hospital, APHP, Paris Diderot University, 49100 Angers, Paris, France
| | - M Bagot
- Department of Dermatology, INSERM U976, Saint-Louis Hospital, APHP, Paris Diderot University, 49100 Angers, Paris, France
| | - A De Masson
- Department of Dermatology, INSERM U976, Saint-Louis Hospital, APHP, Paris Diderot University, 49100 Angers, Paris, France
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10
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Roupie AL, Battistella M, Talbot A, Jachiet M, Bouaziz JD, Vignon-Pennamen MD, Royer B, Fermand JP, Arnulf B, Harel S. Coexisting cutaneous macroglobulinosis and scleredema of Buschke in a patient with a Waldenström Macroglobulinemia. J Eur Acad Dermatol Venereol 2018; 33:e104-e106. [PMID: 30267590 DOI: 10.1111/jdv.15268] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- A L Roupie
- Department of Immuno-Hematology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
| | - M Battistella
- Department of Pathology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale (GEDIM), Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
| | - A Talbot
- Department of Immuno-Hematology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale (GEDIM), Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
| | - M Jachiet
- Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale (GEDIM), Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France.,Department of Dermatology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
| | - J D Bouaziz
- Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale (GEDIM), Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France.,Department of Dermatology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
| | - M D Vignon-Pennamen
- Department of Pathology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale (GEDIM), Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
| | - B Royer
- Department of Immuno-Hematology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale (GEDIM), Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
| | - J P Fermand
- Department of Immuno-Hematology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale (GEDIM), Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
| | - B Arnulf
- Department of Immuno-Hematology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale (GEDIM), Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
| | - S Harel
- Department of Immuno-Hematology, Saint-Louis Hospital, Assistance Publique - Hôpitaux de Paris, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale (GEDIM), Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010, Paris, France
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11
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Zuelgaray E, Salle de Chou C, Gottlieb J, Battistella M, Vignon-Pennamen MD, Bagot M, Guibal F, Bouaziz JD. Human orf complicated by epidermolysis bullosa acquisita. Br J Dermatol 2017; 178:547-550. [PMID: 28338219 DOI: 10.1111/bjd.15496] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2017] [Indexed: 11/30/2022]
Abstract
Orf is a DNA parapoxvirus transmitted to humans by contact with infected goats and sheep. Many complications have been reported after orf infection, including erythema multiforme. A few cases of autoimmune bullous dermatosis complicating orf disease have been reported to date. They are usually characterized by tense blister eruptions with or without mucosal involvement; linear deposition of C3, IgG and/or IgA along the basement membrane; and negativity of indirect immunofluorescence analysis and enzyme-linked immunosorbent assay (ELISA) (performed in four of 11 reported cases). These analyses have targeted antigens of bullous pemphigoid, mucous membrane pemphigoid or epidermolysis bullosa acquisita, except one case of mucosal pemphigoid with antilaminin-332 antibodies. We describe the case of a patient who presented with an ulceration on his finger 10 days after direct contact with a lamb during Eid al-Adha. Four weeks later he developed a severe tense blistering eruption associated with mucous membrane erosions. Indirect immunofluorescence analysis using the patient's serum revealed circulating antibasement membrane IgG that bound the dermal side of salt-split skin. ELISA was positive for recombinant immunodominant NC1 domain of type VII collagen. We finally diagnosed epidermolysis bullosa acquisita complicating probable human orf infection.
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Affiliation(s)
- E Zuelgaray
- Dermatology Department, Saint-Louis Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - C Salle de Chou
- Dermatology Department, Saint-Louis Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France.,Paris VII Sorbonne Paris Cité University, Paris, France
| | - J Gottlieb
- Dermatology Department, Saint-Louis Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - M Battistella
- Paris VII Sorbonne Paris Cité University, Paris, France.,Pathology Department, Saint-Louis Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - M D Vignon-Pennamen
- Pathology Department, Saint-Louis Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - M Bagot
- Dermatology Department, Saint-Louis Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France.,Paris VII Sorbonne Paris Cité University, Paris, France
| | - F Guibal
- Dermatology Department, Saint-Louis Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France
| | - J D Bouaziz
- Dermatology Department, Saint-Louis Hospital, 1 Avenue Claude Vellefaux, 75010, Paris, France.,Paris VII Sorbonne Paris Cité University, Paris, France
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12
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AlGain M, Szalat R, Vignon-Pennamen MD, Malphettes M, Vignon M, de Masson A, Bagot M, Rybojad M, Asli B, Arnulf B, Bouaziz JD. A rare case of disseminated skin and mucosal necrobiotic xanthogranuloma and xanthoma. J Eur Acad Dermatol Venereol 2016; 31:e3-e5. [PMID: 26810089 DOI: 10.1111/jdv.13577] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- M AlGain
- Department of Dermatology, Saint-Louis Hospital, Paris, France.,Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France
| | - R Szalat
- Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France.,Department of Clinical Immunology, Saint-Louis Hospital, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale, Paris, France
| | - M D Vignon-Pennamen
- Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France.,Department of Clinical Immunology, Saint-Louis Hospital, Paris, France.,Department of Pathology, Saint-Louis Hospital, Paris, France
| | - M Malphettes
- Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France.,Department of Clinical Immunology, Saint-Louis Hospital, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale, Paris, France
| | - M Vignon
- Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France.,Department of Clinical Immunology, Saint-Louis Hospital, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale, Paris, France
| | - A de Masson
- Department of Dermatology, Saint-Louis Hospital, Paris, France.,Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France
| | - M Bagot
- Department of Dermatology, Saint-Louis Hospital, Paris, France.,Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France
| | - M Rybojad
- Department of Dermatology, Saint-Louis Hospital, Paris, France.,Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale, Paris, France
| | - B Asli
- Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France.,Department of Clinical Immunology, Saint-Louis Hospital, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale, Paris, France
| | - B Arnulf
- Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France.,Department of Clinical Immunology, Saint-Louis Hospital, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale, Paris, France
| | - J-D Bouaziz
- Department of Dermatology, Saint-Louis Hospital, Paris, France.,Université Paris Diderot-Paris VII, Sorbonne Paris Cité, Paris, France.,Groupe d'Etude des Dermatoses associées à une Immunoglobuline Monoclonale, Paris, France
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13
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Frouin E, Vignon-Pennamen MD, Balme B, Cavelier-Balloy B, Zimmermann U, Ortonne N, Carlotti A, Pinquier L, André J, Cribier B. Anatomoclinical study of 30 cases of sclerosing sweat duct carcinomas (microcystic adnexal carcinoma, syringomatous carcinoma and squamoid eccrine ductal carcinoma). J Eur Acad Dermatol Venereol 2015; 29:1978-94. [PMID: 25873411 DOI: 10.1111/jdv.13127] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2015] [Accepted: 03/02/2015] [Indexed: 11/27/2022]
Abstract
BACKGROUND Microcystic adnexal carcinoma (MAC), syringomatous carcinoma (SC) and "Squamoid eccrine ductal carcinoma" (SEDC) are rare sclerosing adnexal tumours. OBJECTIVE To understand the histogenesis of these tumours and possible clinical implications. METHODS We conducted a retrospective study of 30 cases, 18 MAC, 5 SC and 7 SEDC reviewed and classified by a panel of dermatopathology experts, with immunohistochemical analysis of keratins, including K77, a new keratin specific of eccrine ducts, and PHLDA1 expressed in adnexal structures. RESULTS There was a strong female predominance, with only five cases occurring in men. Patients with MAC and SC were younger (mean age 56 and 47 years) than those with SEDC (mean age 81 years). The most common localization was the cheek in SC and SEDC and the periocular area in MAC. Two cases of SEDC were found in organ transplant patients. No recurrence or metastases were observed after complete surgery of MAC, or SC (mean follow-up 7.2 years and 4.7 years), whereas one case of SEDC recurred and another could not be fully excised. MAC and SC had similar histological features, except for cysts. In MAC, calcifications, granulomas, connection to follicles, keratin expression pattern, PHLDA1 positivity and K77 negativity indicated a follicular histogenesis, whereas in SC, K77 positivity and keratin expression pattern were consistent with a differentiation towards eccrine apparatus. SEDC was composed of strands centred by ducts and nests with squamous differentiation and displayed K77 ductal positivity in all cases, a finding consistent with an eccrine origin. CONCLUSION Our study demonstrated that MAC and SC have similar clinical characteristics, although histogenesis differs and show arguments for the individualization of SEDC.
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Affiliation(s)
- E Frouin
- Laboratoire d'Anatomie et de Cytologie Pathologiques, Hôpital Jean Bernard, CHU, Poitiers, France
| | - M D Vignon-Pennamen
- Service d'Anatomie pathologique, Hôpital Saint Louis, APHP, Paris, France.,Centre de Pathologie cutanée de la Roquette, 56 rue de la Roquette, Paris, France
| | - B Balme
- Laboratoire d'Anatomie pathologique, Centre hospitalier Lyon Sud, Lyon, France
| | - B Cavelier-Balloy
- Service d'Anatomie pathologique, Hôpital Saint Louis, APHP, Paris, France.,Cabinet d'Anatomie pathologique dermatologique, 35 avenue Mathurin Moreau, Paris, France
| | - U Zimmermann
- Centre de Pathologie cutanée de la Roquette, 56 rue de la Roquette, Paris, France.,Laboratoire d'Anatomie pathologique, Hôpital Ambroise Paré, APHP, Boulogne-Billancourt, France
| | - N Ortonne
- Département de Pathologie, Hôpital Henri Mondor, APHP, Créteil, France
| | - A Carlotti
- Service d'Anatomie et de cytologie pathologiques, Hôpital Cochin-Tarnier, APHP, Paris, France
| | - L Pinquier
- Service d'Anatomie pathologique, Hôpital Saint Louis, APHP, Paris, France.,Laboratoire d'Anatomie pathologique, Centre hospitalier Lyon Sud, Lyon, France
| | - J André
- Centre d'Anatomie pathologique et de cytologie, Avenue du Diamant, Bruxelles, Belgium
| | - B Cribier
- Laboratoire d'Histopathologie cutanée, Clinique Dermatologique, Hôpital Civil, Strasbourg, France
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14
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Crickx E, Saussine A, Vignon-Pennamen MD, Cordoliani F, Mouly F, Bagot M, Rybojad M. Diffuse dermal angiomatosis associated with severe atherosclerosis: two cases and review of the literature. Clin Exp Dermatol 2015; 40:521-4. [DOI: 10.1111/ced.12565] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/11/2014] [Indexed: 11/30/2022]
Affiliation(s)
- E. Crickx
- Department of Dermatology; Université Paris-Diderot; Assistance Publique-Hôpitaux de Paris; Hôpital Saint Louis; Paris France
| | - A. Saussine
- Department of Dermatology; Université Paris-Diderot; Assistance Publique-Hôpitaux de Paris; Hôpital Saint Louis; Paris France
| | - M. D. Vignon-Pennamen
- Department of Pathology; Université Paris-Diderot; Assistance Publique-Hôpitaux de Paris; Hôpital Saint Louis; Paris France
| | - F. Cordoliani
- Department of Dermatology; Université Paris-Diderot; Assistance Publique-Hôpitaux de Paris; Hôpital Saint Louis; Paris France
| | - F. Mouly
- Department of Dermatology; Université Paris-Diderot; Assistance Publique-Hôpitaux de Paris; Hôpital Saint Louis; Paris France
| | - M. Bagot
- Department of Dermatology; Université Paris-Diderot; Assistance Publique-Hôpitaux de Paris; Hôpital Saint Louis; Paris France
| | - M. Rybojad
- Department of Dermatology; Université Paris-Diderot; Assistance Publique-Hôpitaux de Paris; Hôpital Saint Louis; Paris France
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15
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Duval A, Boissel N, Servant JM, Santini C, Petit A, Vignon-Pennamen MD. Pyoderma gangrenosum of the breast: a diagnosis not to be missed. J Plast Reconstr Aesthet Surg 2010; 64:e17-20. [PMID: 20851068 DOI: 10.1016/j.bjps.2010.07.022] [Citation(s) in RCA: 23] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2010] [Revised: 07/02/2010] [Accepted: 07/20/2010] [Indexed: 11/25/2022]
Abstract
Pyoderma gangrenosum (PG) is a non-infectious purulent ulcerative disease triggered mainly by chronic inflammatory bowel disease, monoclonal gammapathy, polyarthritis and haematological malignancies; exceptionally, it can be triggered by surgery alone. When PG is associated with fever, it can mimic infectious cellulitis. When it is located on the breast, unnecessary and deleterious surgical debridement may be performed. We present two cases of PG of the breast. The first is a postoperative PG and the second was associated with acute myeloid leukaemia - both led to unnecessary surgery. Several elements may have helped to make the diagnosis: nipples little affected by PG, symmetrical lesions on both breasts, other similar lesions elsewhere on the body, resistance to wide spectrum antibiotherapy, complete blood count abnormalities and negativity of bacterial culture. We propose an index to help the surgeon in his decision to realise a surgical debridement or to postpone it and consider the diagnosis of PG.
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Affiliation(s)
- A Duval
- Dermatology department, Saint-Louis Hospital, Paris, France.
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16
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Kérob D, Bouaziz JD, Sarfati C, Pavie J, Vignon-Pennamen MD, Menotti J, Hamane S, Pralong F, Buffet P, Morel P, Lebbe C. First case of cutaneous reconstitution inflammatory syndrome associated with HIV infection and leishmaniasis. Clin Infect Dis 2006; 43:664-6. [PMID: 16886165 DOI: 10.1086/506572] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
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17
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Fardet L, Kerob D, Rybojad M, Vignon-Pennamen MD, Schlemmer B, Guermazi A, Morel P, Lebbé C. Idiopathic systemic capillary leak syndrome: cutaneous involvement can be misleading. Dermatology 2005; 209:291-5. [PMID: 15539891 DOI: 10.1159/000080851] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/26/2004] [Accepted: 06/18/2004] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Systemic capillary leak syndrome (SCLS) is a severe disorder characterized by unexplained rapid transfer of considerable volumes of plasma from the intravascular to the extravascular compartment. For some cases of SCLS, no aetiology is evident and these cases are reported as idiopathic (ISCLS). OBJECTIVES To describe the cutaneous findings in 3 patients with ISCLS. RESULTS Cutaneous involvement consisted in sclerosis, livedo, purpura and photodistributed maculopapular erythematous rash. Dermal mucinosis was proven by biopsy in 1 patient. No underlying disease was diagnosed during follow-up. CONCLUSION The above-mentioned cutaneous findings can be present during acute attacks of ISCLS. They seem specifically related to the ISCLS and not indicative of an underlying disease.
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Affiliation(s)
- L Fardet
- Department of Dermatology, Centre Hospitalier Universitaire Saint-Louis, Paris, France
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18
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Schartz NE, Alaoui S, Vignon-Pennamen MD, Cordoliani F, Fermand JP, Morel P, Rybojad M. Successful treatment in two cases of steroid-dependent cutaneous polyarteritis nodosa with low-dose methotrexate. Dermatology 2002; 203:336-8. [PMID: 11752825 DOI: 10.1159/000051785] [Citation(s) in RCA: 30] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
To the best of our knowledge, only 3 cases of cutaneous polyarteritis nodosa (PAN) treated successfully with methotrexate (MTX) have been reported in the medical literature. We report 2 further cases of steroid-dependent cutaneous PAN treated successfully with low-dose weekly MTX therapy. The clinical and biological tolerance of MTX was excellent. The cutaneous lesions started to regress within 3 weeks. One of the patients reported full recovery which lasted 2 years after stopping the therapy. So, MTX seems to be an interesting therapy in the treatment of PAN because of its relatively low toxicity, its simple use, its quick action and prolonged results after MTX has been stopped.
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Affiliation(s)
- N E Schartz
- Department of Dermatology, Hôpital Saint-Louis, Paris, France.
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19
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Ingen-Housz-Oro S, Vignon-Pennamen MD, Blanchet-Bardon C. Bullous and non-bullous ichthyosiform erythroderma associated with generalized pustular psoriasis of von Zumbusch type. Br J Dermatol 2001; 145:823-5. [PMID: 11736910 DOI: 10.1046/j.1365-2133.2001.04478.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Bullous ichthyosiform erythroderma (BIE) and non-bullous ichthyosiform erythroderma (NBIE) are rare congenital ichthyoses. Generalized pustular psoriasis (GPP) of von Zumbusch type is a rare and severe form of psoriasis marked by desquamative and pustular erythroderma associated with fever and altered general conditions. We report two adults with an ichthyosis typical of BIE in the first case and NBIE in the second, without any previous history of psoriasis, who presented with a severe and relapsing GPP of von Zumbusch type. Using current knowledge of the genetic relationship between psoriasis and congenital ichthyoses, we discuss the possibility of a common physiopathological link between congenital ichthyoses and GPP, and examine the possible therapeutic problems resulting from this pathological association, especially in BIE.
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Affiliation(s)
- S Ingen-Housz-Oro
- Department of Dermatology, Unit of Dermatopathology, Saint-Louis Hospital, 1 avenue C.Vellefaux, 75475 Paris cedex 10, France.
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20
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Abstract
Reactive angioendotheliomatosis (RAE) is a rare benign cutaneous vascular proliferation characterized by intravascular hyperplasia of endothelial cells and tuft-like proliferation of vessels. A 75-year-old man had erythematous and violaceous macules, some stellate and others arranged in a livedoid pattern, evolving toward necrosis with central areas having an "atrophie blanche" appearance spread on the trunk, inguinal folds, and right thigh. He was on hemodialysis and had a benign monoclonal gammopathy. Cutaneous biopsy revealed RAE characterized by the proliferation of epithelioid and spindle-shaped cells in superficial and middermis lining vascular channels, arranged in clusters, and sometimes displaying an intravascular growth pattern. These cells stained for CD31, CD34, and actin. Interestingly, prominent amyloid deposits were found in the wall of some vessels in deep dermis, often causing obstruction of their lumina. The cause of RAE is unknown, but it can be associated with infections, antiphospholipid syndrome, dysglobulinemia, cryoproteinemia, and lower extremities arteritis, and it may occur near arteriovenous fistulas. In this patient, we believe that RAE was caused by obliteration of dermal vessels by amyloid deposits. Indeed, it is thought that RAE could be caused by ischemia secondary to vascular obstruction. This is the first reported patient with RAE associated with amyloid deposits.
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Affiliation(s)
- N Ortonne
- Department of Pathology, Hôpital Saint-Louis, Paris, France
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Lebbé C, Agbalika F, Flageul B, Pellet C, Rybojad M, Cordoliani F, Farge D, Vignon-Pennamen MD, Sheldon J, Morel P, Calvo F, Schulz TF. No evidence for a role of human herpesvirus type 8 in sarcoidosis: molecular and serological analysis. Br J Dermatol 1999; 141:492-6. [PMID: 10583053 DOI: 10.1046/j.1365-2133.1999.03043.x] [Citation(s) in RCA: 24] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
The aim of this study was to analyse the association between human herpesvirus type 8 (HHV8) and sarcoidosis. Using nested polymerase chain reaction (PCR), we tested the presence of HHV8 DNA sequences in 13 skin specimens and peripheral blood mononuclear cells from eight patients suffering from sarcoidosis. We also looked for the presence of HHV8 antibodies in the sera of 28 patients with sarcoidosis using three techniques: two indirect immunofluorescence assays and an enzyme-linked immunosorbent assay with recombinant capsid protein fragment encoded by open-reading frame 65. HHV8 PCR analysis was negative while HHV8 serological studies showed an overall prevalence of 18% among patients suffering from sarcoidosis: 43% in patients from sub-Saharan Africa, 17% in patients from Northern Africa, 12.5% in patients from the French West Indies and 0% in French patients. In conclusion, our results do not indicate an association between HHV8 and sarcoidosis but reflect the seroepidemiology of this virus in different geographical regions.
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Affiliation(s)
- C Lebbé
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
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23
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Chatelain D, Vignon-Pennamen MD, Rivet J, Verola O, Polivka M, Janin A. [Eruptive epithelioid hemangioendothelioma with spindle cells. Nosological place in the spectrum of epithelioid vascular tumors]. Ann Pathol 1999; 19:312-5. [PMID: 10544767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023]
Abstract
The epithelioid vascular tumors include epithelioid hemangioma, epithelioid hemangioendothelioma and epithelioid angiosarcoma. We report the case of a difficult to define vascular epithelioid tumor. The tumor localized in the head developed in an eruptive way in multiple bone and skin locations in a 22-year-old man. The lesions had the same histological features as those of epithelioid hemangioma and epithelioid hemangioendothelioma with a spindle-cell component. This tumor was called eruptive epithelioid hemangioendothelioma with spindle cells. In our case, its development with recurrences and destructive features has some similarities to tumors of intermediate malignancy.
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Affiliation(s)
- D Chatelain
- Service d'Anatomie pathologique, Hôpital St-Louis, Paris
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24
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Rybojad M, Bredoux H, Vignon-Pennamen MD, Prigent F, Morel P, Bourrat E. [Neonatal monoblastic leukemia revealed by transitory specific skin lesions]. Ann Dermatol Venereol 1999; 126:157-9. [PMID: 10352833] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/12/2023]
Abstract
BACKGROUND Specific cutaneous involvement is frequently observed in congenital leukemia and may be the inaugural sign. Lesions may be non-specific and even regress spontaneously, misleading diagnosis and delaying care. CASE REPORT A infant in good health had diffuse ecchymotic maculae at birth which totally regressed within 10 days. On day 20, a macular rash and three violet nodules developed. The physical examination found enlarged nodes, liver enlargement and poor general status. Blood cell counts and the myelogram led to the diagnosis of type 5 acute myeloblastic leukemia (AML 5). Search for extension revealed cutaneous leukemia and meningeal and renal involvement. DISCUSSION The predominance of myelocyte forms is specific for neonatal leukemia (AML 5 and 4). Specific skin lesions are frequent (25 to 30 p. 100 of cases) and sometimes precede (7 p. 100) anomalies in peripheral and medullary smears. Skin biopsy with direct smear can provide rapid diagnosis. Classically subcutaneous nodules or bluish macropapulae give the blueberry muffin baby aspect. The polymorphous features and the remarkably fluctuating skin lesions in our case are unusual, especially since the infant did not have spontaneously reversible neonatal leukemia, a rare unpredictable phenomenon described in newborns with a normal phenotype which can mislead therapeutic management.
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Affiliation(s)
- M Rybojad
- Policlinique du Service de Dermatologie, Hôpital Saint-Louis, Paris
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25
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Rybojad M, Ducloy G, Reymond JL, Moraillon I, Flageul B, Vignon-Pennamen MD, Morel P, Bourrat E. [Sporadic superficial pemphigus in the child: 2 cases]. Ann Dermatol Venereol 1999; 126:41-3. [PMID: 10095891] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
INTRODUCTION Excepting the endemic foliaceus form, childhood pemphigus is uncommon. We report two cases of pemphigus foliaceus in children with typical clinical manifestations. CASE REPORTS Case n(o) 1. A 5-year-old girl was seen for a vesiculobullous crusted dermatosis involving the trunk and the face which had developed over the last 5 months, predominantly in periorificial and fold localizations. Histology showed intragranulous acatholysis. Direct skin immunofluorescence was positive for anti-intercellular substance IgG and C3. Indirect immunofluorescence was positive for anti-intercellular substance antibodies at 1/500. The diagnosis of superficial pemphigus was retained and the child was given dapsone associated with systemic prednisone (1.5 then 2.5 mg/kg/d). Dapsone was stopped on day 15 due to poor hematological tolerance. Outcome was favorable allowing withdrawal of prednisone at 18 months. Case n(o) 2. A 6-year-old had developed since the age of 18 months a generalized and polycyclic pruriginous erythemato-squamous dermatosis with oozing discharge which started and predominated on the face (periorificial zones). Trace element (copper, selenium, zinc) and vitamin (A, E and B1) assays were within the normal range. Glucagon was normal. Histological examinations of several biopsies were non-contributive. Diagnosis of pemphigus foliaceus was finally obtained after repeated direct immunofluorescence tests which revealed anti-intercellular substance IgG. Indirect immunofluorescence was negative. The child was given prednisone (2 mg/kg/d). DISCUSSION In children, pemphigus foliaceus has an exceptional frequency and diagnosis is often made quite late (mean 8 months). The diagnosis should always be entertained in children who develop chronic extensive erythemato-squamous and crusted dermatosis, even if formation is absent. Direct skin immunofluorescence confirms the diagnosis and should be repeated if negative in cases with highly suggestive clinical presentations. It would be reasonable to attempt "minor" treatments as the first line approach. Systemic corticosteroids are however the treatment of choice despite the risk of classical side effects. Childhood pemphigus foliaceus is not an attenuated clinical form of adult pemphigus. Mortality is not negligible and is close to that in adults.
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Affiliation(s)
- M Rybojad
- Service de Dermatologie, Hôpital Saint-Louis, Paris
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26
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Rybojad M, Guibal F, Vignon-Pennamen MD, Prigent F, Morel P, Bourrat E. [Eosinophilic pustulosis in an infant accompanied by immune deficit]. Ann Dermatol Venereol 1999; 126:29-31. [PMID: 10095887] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Abstract
BACKGROUND Eosinophilic is a skin eruption which occurs in the first years of life, progressing by pruriginous flare-ups with amicrobial papulopustulae on a hairless scalp. Eosinophil infiltration of the skin is variable (follicular or perifollicular dermal infiltration). In adults, eosinophilic pustulosis is often associated with immune deficiency, but this association has not been reported in children. We report two cases. CASE REPORTS Two boys had a pruriginous papulopustular eruption involving the scalp and the trunk which had progressed with periods of exacerbation since birth. Search for bacteriological or mycological involvement was negative. Histology showed folliculitis with major polynuclear eosinophil infiltration. Both children had a past history of repeated skin and extracutaneous infections strongly suggesting an immune deficit. Buckly syndrome was suspected in the second case. DISCUSSION Juvenile eosinophilic pustulosis belongs to the spectrum of childhood eosinophilic dermatoses. The presence of eosinophil infiltration in the skin demonstrates localized or systemic immune dysfunction. A hematology and immunology work-up is needed in case of associated skin or deep infections.
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Affiliation(s)
- M Rybojad
- Service de dermatologie, Hôpital St Louis, Paris
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27
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Chatelain D, Djian F, Vignon-Pennamen MD, Verola O, Champeau F, Servant JM, Janin A. [A tumor can hide another one]. Ann Pathol 1998; 18:503-4. [PMID: 10051920] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/11/2023]
Affiliation(s)
- D Chatelain
- Service d'Anatomie Pathologique Hôpital Saint-Louis, Paris
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28
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Rybojad M, Moraillon I, Laglenne S, Vignon-Pennamen MD, Bonvalet D, Prigent F, Saada V, Merle F, Crouzet F, Cambiaghi S, Morel P. [Lichen planus in children: 12 cases]. Ann Dermatol Venereol 1998; 125:679-81. [PMID: 9835955] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
OBJECTIVE Lichen planus is in children uncommon and poorly understood. The classical description is comparable to lichen planus in adults. We conducted a retrospective analysis of 12 cases in children. PATIENTS AND METHODS Twelve children with lichen planus consulted the Saint-Louis or Robert-Debré hospitals between February 1994 and March 1996. Data collected included: age, sex, ethnic origin, drug use, anti-hepatitis vaccination status, disease history, physical examination, skin histology, liver tests, hepatitis B and C serology, treatment and outcome. Histological proof was obtained in all cases but one (a child with isolated ungueal involvement whose sister had histologically proven ungueal lichen planus). RESULTS AND DISCUSSION The clinical features classically described in adults were atypical in all our childhood cases. A rapidly extensive eruption was the main sign in 6 cases. The localizations were unusual with lesions involving all four limbs and the trunk as well as the face in 5 cases and the scalp in 1. Mucosal involvement, observed in 65 p. 100 of adult cases was only found in one of our children. Unguel involvement also appears to be uncommon in children. The etiological pattern was also unusual since we did not observe a single case related to drugs or hepatitis B or C infection. Three children developed a lichen eruption after anti-hepatitis B infection. Four other cases of lichen planus after anti-hepatitis B vaccination have been reported in the literature. Mean delay between the booster vaccination and onset of eruption is reported to be 40 days. The increased incidence of childhood lichen planus in tropical zones suggests ethnic, genetic and climatic factors may be involved. Prognosis is poorly defined in the literature. Certain authors emphasize the long duration of the disease and resistance to treatment in cases of childhood lichen planus. Currently, there is no consensus on treatment. Dermocorticoids in combination with antihistaminics are usually prescribed. General corticosteroid therapy would appear to be warranted in extensive progressive forms with important functional and esthetic impact (scalp involvement with cicatricial alopecia, pigmentation sequellae). The role of other drugs, particularly retinoids, remains to be defined. This retrospective series was not statistically significant. Data in the literature are rather discordant, emphasizing the need for a prospective analysis to acquire a better understanding of the real incidence of childhood lichen planus and better define the therapeutic strategy.
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Cordoliani F, Gessain A, Vignon-Pennamen MD, Mouly F, Moulonguet I, Flageul B, Laglenne S, Akerman C, Morel P. [Adult T-cell lymphoma associated with HTLV-1: a familial form]. Ann Dermatol Venereol 1998; 125:708-10. [PMID: 9835961] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
Abstract
BACKGROUND Adult T-cell leukemia-lymphoma (ATL) can occur in siblings infected with HTLV-1. CASE REPORTS Two Caribbean siblings developed ATL a few years apart. One case has been reported previously. Both individuals had peripheral lymph node T-cell lymphoma and a few atypical lymphocytes on blood smear. Lymphocytosis, bone marrow biopsy, abdominal computed tomographic scanning, and chest radiography were normal. Clonal rearrangement of T-cell receptor was present in skin lesions for both patients and in the blood for one. HTLV-1 serology was positive. Clonal integration of HTLV-1 provirus was demonstrated in skin lesions in one patient and in blood lymphocytes in the other. Chemotherapy, then interferon alpha, were unsuccessful in the first patient. Topical metchloretamine was partially effective for the second patient. DISCUSSION ATL in siblings is explained by mother-to-child transmission of HTLV-1 infection during breastfeeding.
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Affiliation(s)
- F Cordoliani
- Dermatologie-Pr Morel, Hôpital Saint-Louis, Paris
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30
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Vignon-Pennamen MD, Rybojad M, Verola O, Puissant A, Morel P. [Epithelioid hemangioendothelioma: disease course in 3 cases]. Ann Dermatol Venereol 1998; 124:165-6. [PMID: 9740829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
INTRODUCTION Epithelioid hemangioendothelioma is an uncommon vascular neoplasm, one of intermediate-grade malignancy. Cutaneous epithelioid hemangioendothelioma is rare and often associated with multiple site involvement. CASES Three patients with cutaneous EHE without systemic involvement in one case, with skin, liver and lung tumoral lesions in two others cases are reported. One patient is in complete remission after one year. The second patient is stable without treatment after ten years. In the third patient, alpha interferon given for one year don't produce effective results and the lesions do not progress without treatment after eight years of follow-up. DISCUSSION Cutaneous presentation of EHE is quite variable. After the diagnosis is done, systemic involvement must be detected specially in bone, liver or lung. Metastatic spread or mulitcentric origin of the tumor are a matter of controversy. The pathobiologic behavior of EHE is not clearly recognized. Little data are available regarding the results of treatment with alpha interferon.
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Bourrat E, Faure C, Vignon-Pennamen MD, Rybojad M, Morel P, Navarro J. [Anitis, vulvar edema and macrocheilitis disclosing Crohn disease in a child: value of metronidazole]. Ann Dermatol Venereol 1998; 124:626-8. [PMID: 9739927] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND We report a case of oro-genital and perianal Crohn's disease which progressed for 4 years with no digestive involvement in a 12-year-old girl. CASE REPORT At the age of 8 years, a young girl developed recurrent anal fissures. Voluminous vulvar edema developed at 12 years with fissurar macrocheilitis. There were no digestive signs and the diagnosis of Crohn's disease was obtained on the basis of granulomatous epithelioid infiltration of biopsy specimens (Bauhin valve, anus, vulva). Metronidazole given per os at the dose of 25 mg/kg/day for 6 months led to partial significant symptomatic remission. DISCUSSION Unilateral or bilateral vulvar edema is highly suggestive of Crohn's disease even if the classical digestive inflammatory signs are absent. Demonstration of perianal lesions (erythema, pseudocondylomatous formations) must not mislead the diagnosis (sexual abuse). Simultaneous granulomatous lesions in the genital and labial regions is exceptional in Crohn's disease. Ileocolonoscopy is indicated in such cases and alone can demonstrate latent digestive inflammatory processes. Different agents have been proposed for treatment of local Crohn's disease skin lesions. It is difficult to evaluate their efficacy due to the spontaneous variability of disease expression.
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Affiliation(s)
- E Bourrat
- Service de Dermatologie, Hôpital St Louis, Paris
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Vignon-Pennamen MD, Clerici T. [Palisading granuloma]. Ann Dermatol Venereol 1998; 125:615-9. [PMID: 9805556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/09/2023]
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Champeau F, Verola O, Vignon-Pennamen MD. [Cutaneous and subcutaneous sarcomas]. ANN CHIR PLAST ESTH 1998; 43:421-38. [PMID: 9926474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/10/2023]
Abstract
Cutaneous sarcomas are uncommon tumors presenting many histological types. The diagnosis is based on pathological, immunohistochemical and sometimes ultrastructural studies. The development of cytogenetic and molecular analysis may constitute an additional aid to the diagnosis and classification. Prognosis and therapeutic strategies are established on the basis of various criteria using different types of staging and grading, but these classifications have not yet been standardized. The rarity of cutaneous sarcoma, and the diversity of clinical presentations account for the difficulties of management, which requires a multidisciplinary approach.
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Affiliation(s)
- F Champeau
- Service de Chirurgie Plastique et Reconstructrice, Hôpital Saint-Louis, Paris
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Bourrat E, Moraillon I, Vignon-Pennamen MD, Fraitag S, Cavelier-Balloy B, Cordoliani F, Bourillon A, Larrègue M, Morel P, Rybojad M. [Scleroderma-like patch on the thigh in infants after vitamin K injection at birth: six observations]. Ann Dermatol Venereol 1998; 123:634-8. [PMID: 9615122] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
INTRODUCTION Texier's disease or pseudosclerodermatous reaction after intramuscular injection of vitamin K1 is well known in adults although only 1 report of a case in a newborn was found in the literature. We report 6 cases. CASE REPORTS Six infants (4 boys, 2 girls) developed "peau d'orange" skin lesions after the age of 6 months which was localized in the lower third of the medial aspect of the thigh. Initial rapid locoregional extension was followed by stabilization and then regression. In all 6 cases, histology showed lesions of the fascia and/or the deep hypoderma associated with variable mononuclear inflammatory infiltration and hyalin fibrosis. When performed, immunological studies (complement fixation, search for autoantibodies) were always negative or normal. No visceral involvement was found. DISCUSSION A pseudosclerodermatous lesion of the lower third of the thigh occurred in 6 infants at the site of an intramuscular injection of vitamin K1 administered at birth. The history, clinical manifestations, histology and outcome of these cases are compatible with the diagnosis of Texier's disease. We discuss the role of the solvent in the Roche vitamin K1 injection. The pathogenesis of this side effect remains unknown. CONCLUSION Texier's disease in infants after injection of vitamin K1 at birth is a stereotypic dermatosis. Diagnosis is based on history and clinical presentation. The causal effect of injectable vitamin K1 should be entertained whenever pseudosclerodermatous lesions are observed in a young child.
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Affiliation(s)
- E Bourrat
- Service de Dermatologie, Hôpital Saint-Louis, Paris
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Bouloc A, Vignon-Pennamen MD, Caux F, Teillac D, Wechsler J, Heller M, Lebbé C, Flageul B, Morel P, Dubertret L, Prost C. Lichen planus pemphigoides is a heterogeneous disease: a report of five cases studied by immunoelectron microscopy. Br J Dermatol 1998; 138:972-80. [PMID: 9747357 DOI: 10.1046/j.1365-2133.1998.02262.x] [Citation(s) in RCA: 45] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Lichen planus pemphigoides (LPP) is a rare and controversial disease. It is characterized by bullae arising on lichen planus papules and on uninvolved skin, subepidermal bullae in histology, and linear deposits of IgG and C3 along the basal membrane zone on immunofluorescence of peribullous skin. Our goal was to identify the localization of the target antigen in cases of LPP. Five patients diagnosed with LPP on clinical, histological and immunofluorescence criteria were explored by immunoelectron microscopy and immunoblot. Our results show that the target antigen in LPP is not unique. The localization of the immune deposits was consistent with a diagnosis of bullous pemphigoid in two cases, of cicatricial pemphigoid in two cases and of epidermolysis bullosa acquisita in one case. Our study supports the view that LPP is a heterogeneous condition in which lichen planus may induce different subepidermal acquired bullous dermatoses.
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Affiliation(s)
- A Bouloc
- Department of Dermatology, Hôpital Saint Louis, Paris, France.
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Cordoliani F, Vignon-Pennamen MD, Assous MV, Vabres P, Dronne P, Rybojad M, Morel P. Atypical Lyme borreliosis in an HIV-infected man. Br J Dermatol 1997; 137:437-9. [PMID: 9349345] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/05/2023]
Abstract
We report the fourth case of Lyme borreliosis in a man infected with human immunodeficiency virus (HIV). The erythema chronicum migrans was persistent, overlapping with meningoradiculitis. Repeated immunofluorescence tests for Borrelia burgdorferi sensu lato remained negative in both sera and cerebrospinal fluid (CSF), the enzyme-linked immunosorbent assay was weakly positive in serum and CSF and a Western blot was positive. The skin infiltrate was composed mostly of T lymphocytes with a CD4/CD8 ratio of 0.5. The course of the disease was favourable after treatment with intravenous ceftriaxone. Further studies are necessary to evaluate whether HIV infection influences, as does syphilis, the course and response to treatment of Lyme borreliosis. Serological tests are insufficiently sensitive and the Western blot assay is necessary to confirm Lyme disease in HIV-positive patients.
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Affiliation(s)
- F Cordoliani
- Service de Dermatologie, Hôpital Saint-Louis, Paris, France
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Tancrede-Bohin E, Ochonisky S, Vignon-Pennamen MD, Flageul B, Morel P, Rybojad M. Schönlein-Henoch purpura in adult patients. Predictive factors for IgA glomerulonephritis in a retrospective study of 57 cases. Arch Dermatol 1997; 133:438-42. [PMID: 9126006 DOI: 10.1001/archderm.133.4.438] [Citation(s) in RCA: 35] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
OBJECTIVES To evaluate the incidence of extracutaneous manifestations and to identify predictive factors for renal involvement in adult patients with Schönlein-Henoch purpura. DESIGN Retrospective study with a comparative analysis of patients with and without renal involvement. SETTING Patients who were attending the dermatologic department of an academic medical center. PATIENTS In patients with purpura of the lower limbs and cutaneous vascular IgA deposits for which cases were recorded from 1985 to 1993, the following selection criteria were used: age older than 15 years and absence of thrombocytopenia, of IgA deposits in the basement membrane zone, and of a known hematologic or connective tissue disorder. MAIN OUTCOME MEASURES Clinical and biological data, results of histological studies, and findings from direct immunofluorescence studies of skin biopsy specimens were compared in patients with and without renal involvement. RESULTS Fifty-seven patients were included: 23% had an IgA glomerulonephritis confirmed by results of a renal biopsy, and a further 26% showed abnormalities on urine microscopy. Joint and gastrointestinal involvement was noted in, respectively, 33% and 19% of the patients. A comparative analysis of patients with and without renal involvement failed to reveal significant differences with regard to age, sex, the presence of bullous or necrotic cutaneous lesions, gastrointestinal or joint involvement, histological features, and findings from direct immunofluorescence studies. An IgA glomerulonephritis was significantly associated with purpura above the waist (P = .03), a recent infectious history (P = .02), pyrexia (P = .01), and biological markers of inflammation (P = .006). CONCLUSIONS Despite a lower incidence of systemic involvement compared with that in other published series, the incidence of renal involvement remained high (ie, between 23% and 49%). A recent infectious history, pyrexia, the spread of purpura to the trunk, and biological markers of inflammation were predictive factors for renal involvement.
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Rybojad MR, Cambiaghi S, Vignon-Pennamen MD, Blanchet-Bardon C, Moraillon I, Morel P. Nutritional deficiency and the skin in Shwachman syndrome. Br J Dermatol 1996; 135:340-2. [PMID: 8881700 DOI: 10.1111/j.1365-2133.1996.tb01189.x] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023]
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39
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Costa da Cunha CS, Lebbe C, Rybojad M, Agbalika F, Ferchal F, Rabian C, Vignon-Pennamen MD, Calvo F, Morel P. Long-term follow-up of non-HIV Kaposi's sarcoma treated with low-dose recombinant interferon alfa-2b. Arch Dermatol 1996; 132:285-90. [PMID: 8607632 DOI: 10.1001/archderm.132.3.285] [Citation(s) in RCA: 29] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/31/2023]
Abstract
BACKGROUND AND DESIGN We reviewed the follow-up of 16 patients with Kaposi's sarcoma not related to human immunodeficiency virus (13 with classic Kaposi's sarcoma and three with endemic Kaposi's sarcoma; median age, 58 years) treated by low-dose recombinant interferon alfa-2b (5 million U three times weekly for at least 6 months). RESULTS One patient had a complete response, nine had a major response, three had stable disease, and one had a minor response. Visceral disease stabilized and symptoms improved in three patients. Limited relapse was noted in four patients after withdrawal of interferon. CONCLUSION Our results confirm the efficacy and safety of low-dose recombinant interferon alfa-2b in the long-term treatment of both cutaneous and visceral lesions of Kaposi's sarcoma not related to human immunodeficiency virus.
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Aractingi S, Mallet V, Pinquier L, Chosidow O, Vignon-Pennamen MD, Degos L, Dubertret L, Dombret H. Neutrophilic dermatoses during granulocytopenia. Arch Dermatol 1995; 131:1141-5. [PMID: 7574830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
Abstract
BACKGROUND AND DESIGN Noninfectious cutaneous neutrophilic lesions can occur during granulocytopenia, but their mechanism remains unknown. We undertook a retrospective study of the neutrophilic dermatoses that developed during granulocytopenia induced by chemotherapy for acute myelogenous leukemia. RESULTS Seven men and one woman were included (2.6% of treated cases of acute myelogenous leukemia); half had acute myelogenous leukemia subtypes 4 and 5. The male-to-female ratio was 7:1. Neutrophilic eccrine hidradenitis was diagnosed in five cases, Sweet's syndrome in two cases, and difficult-to-classify neutrophilic dermatoses in one case. Cutaneous lesions appeared 12.5 days after the start of chemotherapy, and the mean leukocyte count was 0.426 x 10(9)/L. Three patients needed corticosteroids systemically. CONCLUSION Neutrophilic dermatoses during chemotherapy-induced granulocytopenia seem to occur more frequently in men with acute myelogenous leukemia subtypes 4 and 5.
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Affiliation(s)
- S Aractingi
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
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Blum L, Flageul B, Sow S, Launois P, Vignon-Pennamen MD, Coll A, Millan J. Leprosy reversal reaction in HIV-positive patients. Int J Lepr Other Mycobact Dis 1993; 61:214-7. [PMID: 8371030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
Abstract
We report two cases of leprosy in HIV-infected patients who, by their clinical, histological and immunological features, enhance the evidence that HIV-positive leprosy does not differ from nonHIV-positive leprosy. Moreover, extensive studies of reversal reactions in HIV-positive patients might be of great interest in determining the exact pathogenesis of this leprosy reactional state.
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Affiliation(s)
- L Blum
- Institut de Léprologie Appliquée, Dakar, Senegal
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Baccard M, Vignon-Pennamen MD, Janier M, Scrobohaci ML, Dubertret L. Livedo vasculitis with protein C system deficiency. Arch Dermatol 1992; 128:1410-1. [PMID: 1417041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/26/2022]
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Abstract
Seven patients with a complex form of neutrophilic dermatosis are reported. Clinically, they had variable associations of four types of lesions: blisters/pustules, plaques, nodules and ulcerations. Histologically, a neutrophilic infiltrate was observed at variable levels in the epidermis, dermis and subcutis. Systemic manifestations were present in all cases (general symptoms, joint, renal, ocular and lung involvements). Three patients had an associated disease (myelodysplasia, metastatic carcinoma, IgG gammopathy). Steroids were the most efficient treatment. These observations, as well as a review of the literature, support the opinion that the neutrophilic dermatosis represents a continuous spectrum encompassing four well-defined entities: subcorneal pustular dermatosis, Sweet's syndrome, erythema elevatum diutinum and pyoderma gangrenosum. We propose that the different patterns of the neutrophilic dermatosis are the most obvious manifestations of a potentially multisystemic neutrophilic disease and allow its recognition.
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Caumes E, Janier M, Janssen F, Feyeux C, Vignon-Pennamen MD, Morel P. [Acquired syphilis during human immunodeficiency virus infection. 6 cases]. Presse Med 1990; 19:369-71. [PMID: 2138319] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
Abstract
We retrospectively studied the clinical, serological, bacteriological and histopathological data obtained in 6 HIV seropositive patients seen in our department from 1986 to 1989 for secondary syphilis. The clinical presentation was atypical in 4 of the 6 patients, with 2 palmoplantar keratodermas and 2 ulcerative syphilids. The diagnosis was made on darkfield examination in 2 patients, high titers of antibodies in 6 and histopathological examination (numerous plasma cells) in 4. All were cured with the classical penicillin therapy recommended for early syphilis.
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Affiliation(s)
- E Caumes
- Clinique Dermatologique, Hôpital Saint-Louis, Paris
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Vignon-Pennamen MD, Zelinsky-Gurung A, Janssen F, Frija J, Wallach D. Pyoderma gangrenosum with pulmonary involvement. Arch Dermatol 1989; 125:1239-42. [PMID: 2774598] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/02/2023]
Abstract
A 60-year-old woman had a typical pyoderma gangrenosum with monoclonal IgA gammopathy and atrophic gastritis. Two years after the onset of her skin disease, she had evidence of pulmonary abscesslike involvement. Corticosteroid therapy led to healing of skin and lung diseases. This case stresses the multisystemic manifestations of neutrophilic dermatoses with special attention to pulmonary involvement.
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Vignon-Pennamen MD, Wallach D. [Infantile acropustulosis]. Ann Pediatr (Paris) 1988; 35:307-10. [PMID: 3041895] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
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Foldes C, Wallach D, Aubinière E, Vignon-Pennamen MD, Cottenot F. Generalized atrophic benign form of junctional epidermolysis bullosa. Dermatologica 1988; 176:83-90. [PMID: 2453379 DOI: 10.1159/000248677] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
There are at least six variants of junctional epidermolysis bullosa (JEB). About 20 cases of the generalized atrophic benign variant of JEB (GABEB) have been previously reported. We present an additional case of GABEB, occurring in a 14-year-old girl. Generalized cutaneous blisters occurred since birth and healed without severe scarring or milia, but with slight atrophy. In addition, mucous membrane involvement and hair, nail and tooth abnormalities were found. Electron microscopic examination showed a cleavage within the lamina lucida and the presence of numerically and structurally abnormal hemidesmosomes.
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Affiliation(s)
- C Foldes
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
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Wallach D, Janssen F, Vignon-Pennamen MD, Lemarchand-Venencie F, Cottenot F. Atypical neutrophilic dermatosis with subcorneal IgA deposits. Arch Dermatol 1987; 123:790-5. [PMID: 3555357] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/06/2023]
Abstract
A 26-year-old woman had a chronic vesiculopustular and ulcerating skin disease associated with fever and arthritis. Cutaneous biopsy specimens showed an extensive infiltration of the dermis and epidermis by neutrophils. Direct immunofluorescence (IF) revealed linear subcorneal IgA deposits. Indirect IF showed IgA antibodies reactive with the subcorneal zone of normal epidermis. The disease responded to dapsone therapy. The association between neutrophilic dermatoses, including pyoderma gangrenosum, subcorneal pustular dermatosis, and related entities, and IgA involvement, either IgA gammopathies and/or intraepidermal IgA deposits, is emphasized. Intraepidermal IgA deposits are possibly involved in the pathogenesis of our patient's condition and of other cases of unusual neutrophilic dermatoses.
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