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Calado R, Figueiredo C, Cardoso JC, Oliveira HS. Generalized Papular Granuloma Annulare Presenting With Pseudoxanthoma Elasticum-Like Lesions. ACTAS DERMO-SIFILIOGRAFICAS 2023; 114:T839-T840. [PMID: 37506833 DOI: 10.1016/j.ad.2023.07.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Accepted: 05/25/2022] [Indexed: 07/30/2023] Open
Affiliation(s)
- R Calado
- Servicio de Dermatología del Hospital Universitario de Coimbra, Coimbra, Portugal.
| | - C Figueiredo
- Servicio de Dermatología del Hospital Universitario de Coimbra, Coimbra, Portugal
| | - J C Cardoso
- Servicio de Dermatología del Hospital Universitario de Coimbra, Coimbra, Portugal
| | - H S Oliveira
- Servicio de Dermatología del Hospital Universitario de Coimbra, Coimbra, Portugal
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Calado R, Figueiredo C, Cardoso JC, Oliveira HS. Generalized Papular Granuloma Annulare Presenting With Pseudoxanthoma Elasticum-Like Lesions. ACTAS DERMO-SIFILIOGRAFICAS 2023; 114:839-840. [PMID: 36740175 DOI: 10.1016/j.ad.2022.05.041] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2022] [Revised: 04/18/2022] [Accepted: 05/25/2022] [Indexed: 02/05/2023] Open
Affiliation(s)
- R Calado
- Coimbra Hospital University Centre, Department of Dermato-venereology, Coimbra, Portugal.
| | - C Figueiredo
- Coimbra Hospital University Centre, Department of Dermato-venereology, Coimbra, Portugal
| | - J C Cardoso
- Coimbra Hospital University Centre, Department of Dermato-venereology, Coimbra, Portugal
| | - H S Oliveira
- Coimbra Hospital University Centre, Department of Dermato-venereology, Coimbra, Portugal
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Branisteanu D, Dirzu D, Toader M, Branisteanu D, Nicolescu A, Brihan I, Bogdanici C, Branisteanu G, Dimitriu A, Anton N, Porumb E. Phototherapy in dermatological maladies (Review). Exp Ther Med 2022; 23:259. [PMID: 35251325 PMCID: PMC8892600 DOI: 10.3892/etm.2022.11184] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/29/2021] [Accepted: 10/29/2021] [Indexed: 11/16/2022] Open
Abstract
Since the introduction of modern phototherapy in 1903 by Nobel Prize-winner Niels Ryberg Finsen, the usage of this therapy in the medical field has grown, techniques have been refined and developed, and it has gained widespread acceptance. Psoriasis vulgaris, parapsoriasis, lichen planus, atopic dermatitis, neonatal jaundice, urticaria, morphea, vitiligo, granuloma annulare and cutaneous T cell lymphoma are only a few dermatological indications that come along with satisfactory results. Most often, it is a 2nd or 3rd line therapy being an alternative in more severe or refractory diseases. Despite the side effects that may occur after phototherapy, which are often minor, the benefits can be significant. Unfortunately, the absolute contraindications limit the use of this type of treatment and implicitly the management of these patients. The current review aimed to combine the recommendations of phototherapy in dermatology, the types of phototherapy that can be suitable for certain dermatological diseases and to emphasize its importance in certain conditions that are associated with significant remission rates.
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Affiliation(s)
- Daciana Branisteanu
- Department of Dermatology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Diana Dirzu
- Department of Dermatology, Railway Clinical Hospital, 700506 Iasi, Romania
| | - Mihaela Toader
- Department of Oral Dermatology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Daniel Branisteanu
- Department of Ophthalmology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Alin Nicolescu
- Department of Dermatology, ‘Roma’ Medical Center for Diagnosis and Treatment, 011773 Bucharest, Romania
| | - Ilarie Brihan
- Dermatology Department, Dermatology Clinic, Faculty of Medicine and Pharmacy, University of Oradea, 410073 Oradea, Romania
| | - Camelia Bogdanici
- Department of Ophthalmology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - George Branisteanu
- Faculty of Medicine, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Andreea Dimitriu
- Department of Dermatology, ‘Arcadia’ Hospitals and Medical Centers, 700620 Iasi, Romania
| | - Nicoleta Anton
- Department of Ophthalmology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania
| | - Elena Porumb
- Department of Dermatology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania
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Muylaert BPB, Almada R, Vasconcelos RCFD. Granuloma annulare treated with narrowband UVB phototherapy. An Bras Dermatol 2018; 92:82-84. [PMID: 29267455 PMCID: PMC5726686 DOI: 10.1590/abd1806-4841.20174994] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/02/2015] [Accepted: 04/24/2016] [Indexed: 11/21/2022] Open
Abstract
Granuloma annulare is a benign cutaneous inflammatory disease, whose lesions have
spontaneous improvement in two years in 50% of cases, but there is recurrence in
40% of patients. Treatment may be topical, intralesional or systemic. The use of
phototherapy with narrowband UVB is highlighted, whose mechanism of action in
this disease is still unclear, probably related to the inhibition of T
lymphocytes. Herein, a case of a disseminated granuloma annulare of difficult
therapeutic management is described. It was treated with narrowband UVB
phototherapy twice a week for six months, with good clinical improvement, being
a good low-risk therapeutic option and that, in this case, provided quick and
satisfactory response.
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Mikami E, Yanase M, Ito M, Kanzaki A, Saeki H. Generalized granuloma annulare successfully treated with narrowband ultraviolet B and anti-hepatitis C virus therapy. J Dermatol 2016; 43:975-7. [PMID: 26891771 DOI: 10.1111/1346-8138.13320] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Affiliation(s)
- Erina Mikami
- Department of Dermatology, Nippon Medical School, Tokyo, Japan
| | - Mikio Yanase
- Department of Gastroenterology and Hepatology, National Center for Global Health and Medicine, Tokyo, Japan
| | - Michiko Ito
- Department of Dermatology, Nippon Medical School, Tokyo, Japan
| | - Akiko Kanzaki
- Department of Dermatology, Nippon Medical School, Tokyo, Japan
| | - Hidehisa Saeki
- Department of Dermatology, Nippon Medical School, Tokyo, Japan
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Cunningham L, Kirby B, Lally A, Collins P. The efficacy of PUVA and narrowband UVB phototherapy in the management of generalised granuloma annulare. J DERMATOL TREAT 2015; 27:136-9. [PMID: 26447167 DOI: 10.3109/09546634.2015.1087461] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Generalised granuloma annulare (GGA) is a significant cosmetic issue for patients but evidence is lacking to guide optimum treatment. We reviewed our patients with GGA treated with PUVA and narrowband UVB (NBUVB). A telephone questionnaire obtained the patients' perspective in terms of treatment response, remission and overall satisfaction. Twenty patients, all female, were treated. Twelve patients had 15 courses of PUVA therapy (10 oral, 5 bath PUVA) and 10 had 12 courses of NB UVB (two patients had both). There was clearance or minimal residual disease (MRD) on clinical examination in eight of 12 patients after PUVA. Remission was for six months in seven patients extending to one year or more in five patients. Nine patients were contactable after PUVA therapy. They reported their satisfaction as excellent (n = 1), very good (n = 2) or good (n = 4), and two were disappointed. There was clearance or MRD in seven patients treated with NBUVB. Remission was for six months in at least three patients and greater than 1 year in at least 2 patients. Eight patients were contactable and reported satisfaction as excellent (n = 1) or good (n = 5) and two were disappointed. PUVA and NBUVB were effective in at least half of patients and they achieved satisfactory remission. Patients' perceptions of the improvement after phototherapy were lower compared with their dermatologists' assessment.
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Affiliation(s)
- L Cunningham
- a Department of Dermatology , The Charles Centre, St. Vincent's University Hospital , Dublin , Ireland
| | - B Kirby
- a Department of Dermatology , The Charles Centre, St. Vincent's University Hospital , Dublin , Ireland
| | - A Lally
- a Department of Dermatology , The Charles Centre, St. Vincent's University Hospital , Dublin , Ireland
| | - P Collins
- a Department of Dermatology , The Charles Centre, St. Vincent's University Hospital , Dublin , Ireland
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