1
|
Wollina U, Fölster-Holst R, Karadağ AS. Miscellaneous annular diseases. Clin Dermatol 2023; 41:413-421. [PMID: 37453713 DOI: 10.1016/j.clindermatol.2023.07.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/18/2023]
Abstract
Annular lesions represent a unique macro-morphologic pattern in various skin disorders that may be found in pityriasis rotunda, elastosis perforans serpiginosa, subacute nodular migratory panniculitis, keratolysis exfoliativa, neutrophilic eccrine hidradenitis, hemophagocytic lymphohistiocytosis, and intentionally induced annular lesions. This group is highly heterogenous and variable in clinical presentation. Whereas some are benign self-limiting disorders like pityriasis rotunda, others such as hemophagocytic lymphohistiocytosis follow a chronic course or have a potential of being life-threatening. Epidemiology, pathogenesis, histopathology, clinical presentation and diagnosis, differential diagnosis, and treatment are discussed.
Collapse
Affiliation(s)
- Uwe Wollina
- Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Academic Teaching Hospital, Dresden, Germany.
| | - Regina Fölster-Holst
- Department of Dermatology, Venereology and Allergology, University Hospital Schleswig-Holstein, Campus Kiel, Kiel, Germany
| | | |
Collapse
|
2
|
Li G, Xu Z, Huang L, Xue R. Pityriasis rotunda. Int J Dermatol 2022. [DOI: 10.1111/ijd.16369] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2021] [Revised: 06/26/2022] [Accepted: 07/26/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Guomin Li
- Southern Medical University Guangzhou China
- Dermatology Hospital Southern Medical University Guangzhou China
| | - Zhijun Xu
- Southern Medical University Guangzhou China
- Dermatology Hospital Southern Medical University Guangzhou China
| | - Lining Huang
- Aesthetic Department, Dermatology Hospital Southern Medical University Guangzhou China
| | - Ruzeng Xue
- Dermatology Department, Dermatology Hospital Southern Medical University Guangzhou China
| |
Collapse
|
3
|
DELL’ANTONIA M, ATZORI L, PILLONI L, FERRELI C. Non-familial paraneoplastic pityriasis rotunda associated with chronic lymphocytic leukemia in a Sardinian patient. Ital J Dermatol Venerol 2022; 157:375-376. [DOI: 10.23736/s2784-8671.21.07113-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
|
4
|
Shih AF, Shen LY. A Circular Rash in a Teenager. J Pediatr 2022; 242:253-254. [PMID: 34785252 DOI: 10.1016/j.jpeds.2021.11.018] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/15/2021] [Revised: 11/05/2021] [Accepted: 11/10/2021] [Indexed: 11/19/2022]
Affiliation(s)
- Allen F Shih
- Boston University Department of Dermatology, Boston, Massachusetts
| | - Lisa Y Shen
- Boston University Department of Dermatology, Boston, Massachusetts
| |
Collapse
|
5
|
Chin LD, Parvinnejad N, Haber RM. Pityriasis in dermatology: an updated review. Int J Dermatol 2020; 60:141-158. [PMID: 32783190 DOI: 10.1111/ijd.15097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/16/2020] [Revised: 05/30/2020] [Accepted: 07/14/2020] [Indexed: 11/30/2022]
Abstract
Dermatology has a very distinctive lexicon. The term pityriasis refers to several dermatologic conditions which all feature scaling of the skin. According to the Merriam-Webster dictionary, the term pityriasis was first used in print in 1684. Although the diseases beginning with the name pityriasis are of diverse causation, they do represent important dermatologic diseases, with some common and others quite rare. It is important for dermatologists to be aware and updated on all pityriasis conditions in dermatology.
Collapse
Affiliation(s)
- Laura D Chin
- Cumming School of Medicine, University of Calgary, Calgary, AB, Canada
| | - Nikoo Parvinnejad
- Department of Pathology & Laboratory Medicine, University of Calgary, Calgary, AB, Canada
| | - Richard M Haber
- Division of Dermatology, Department of Medicine, University of Calgary, Calgary, AB, Canada
| |
Collapse
|
6
|
Wetzel M, Owen CE, Callen JP. Paraneoplastic Syndromes for the Inpatient Dermatologist. CURRENT DERMATOLOGY REPORTS 2019. [DOI: 10.1007/s13671-019-00277-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
7
|
Caccavale S, Brancaccio G, Agozzino M, Vitiello P, Alfano R, Argenziano G. Obligate and facultative paraneoplastic dermatoses: an overview. Dermatol Pract Concept 2018; 8:191-197. [PMID: 30116663 PMCID: PMC6092071 DOI: 10.5826/dpc.0803a09] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2018] [Accepted: 03/09/2018] [Indexed: 12/17/2022] Open
Abstract
Dermatological paraneoplastic syndromes are a group of cutaneous diseases associated with malignancy, but not directly related to the primary tumor itself or to its metastases. It is of utmost importance for the dermatologist to recognize the major cutaneous paraneoplastic syndromes to diagnose the underlying tumors that trigger them as early as possible. In this overview, skin conditions that are highly correlated with malignancy, whose recognition implies a mandatory investigation of internal cancer, are described.
Collapse
Affiliation(s)
- Stefano Caccavale
- Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy
| | | | - Marina Agozzino
- Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Paola Vitiello
- Dermatology Unit, University of Campania Luigi Vanvitelli, Naples, Italy
| | - Roberto Alfano
- Department of Anesthesiology, Surgery and Emergency, University of Campania Luigi Vanvitelli, Naples, Italy
| | | |
Collapse
|
8
|
Al-Refu K, Al-Tarawneh A, Odeibat H. Pityriasis rotunda. A clinical study in Jordan: experience of 10 years. Int J Dermatol 2018; 57:759-762. [DOI: 10.1111/ijd.13994] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/05/2018] [Revised: 03/07/2018] [Accepted: 03/17/2018] [Indexed: 11/29/2022]
Affiliation(s)
| | | | - Hussein Odeibat
- Department of Dermatology, Venereology and Laser; Laser King Hussein Medical Center; Amman Jordan
| |
Collapse
|
9
|
Suzuki Y, Aoshima M, Fujiyama T, Ito T, Tokura Y. Pityriasis rotunda associated with acute myeloid leukemia. J Dermatol 2017; 45:105-106. [DOI: 10.1111/1346-8138.13802] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Yuno Suzuki
- Department of Dermatology; Hamamatsu University School of Medicine; Hamamatsu Japan
| | - Masahiro Aoshima
- Department of Dermatology; Hamamatsu University School of Medicine; Hamamatsu Japan
| | - Toshiharu Fujiyama
- Department of Dermatology; Hamamatsu University School of Medicine; Hamamatsu Japan
| | - Taisuke Ito
- Department of Dermatology; Hamamatsu University School of Medicine; Hamamatsu Japan
| | - Yoshiki Tokura
- Department of Dermatology; Hamamatsu University School of Medicine; Hamamatsu Japan
| |
Collapse
|
10
|
Pityriasis Rotunda and Hyperprolactinemia. ACTAS DERMO-SIFILIOGRAFICAS 2016. [DOI: 10.1016/j.adengl.2016.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
11
|
Hejna M, Wöll E, Tschandl P, Raderer M. Cutaneous paraneoplastic disorders in stomach cancer: Collaboration between oncologically active dermatologists and clinical oncologists. Crit Rev Oncol Hematol 2016; 103:78-85. [PMID: 27247117 DOI: 10.1016/j.critrevonc.2016.04.013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2015] [Revised: 03/14/2016] [Accepted: 04/26/2016] [Indexed: 01/25/2023] Open
Abstract
To our knowledge this is the first systemic review that provides an overview of the cutaneous paraneoplastic syndromes (CPS) (i.e., clinical manifestations, pathomechanisms, and treatment modalities) occurring in stomach cancer. CPS are caused by substances produced by stomach cancer and may precede, coincide with, or follow the diagnosis of this malignancy. More than 20 possible CPS in association with stomach cancer have been identified. CPS mostly compromises the patient's quality of life by skin impairment plus discomfort and are often associated with a dismal prognosis on survival. Studies of these CPS not only in stomach cancer have partially contributed to the understanding of pathomechanism and since CPS may be the presenting sign of an occult cancer, cognizance of their features and clinical implications are of considerable importance. Patients with these syndromes should have an appropriate work-up for a possibly occult malignancy with consecutive successful early treatment.
Collapse
Affiliation(s)
- Michael Hejna
- Comprehensive Cancer Center-GET, Medical University of Vienna, Vienna, Austria.
| | - Ewald Wöll
- St.Vinzenz Krankenhaus Betriebs GmbH, Zams, Austria
| | - Philipp Tschandl
- Department of Dermatology, Medical University of Vienna, Vienna, Austria
| | - Markus Raderer
- Department of Internal Medicine I, Division of Oncology Medical University of Vienna, Vienna, Austria
| |
Collapse
|
12
|
Lefkowitz EG, Natow AJ. Pityriasis Rotunda: A Case Report of Familial Disease in an American-Born Black Patient. Case Rep Dermatol 2016; 8:71-4. [PMID: 27065844 PMCID: PMC4821143 DOI: 10.1159/000445043] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Pityriasis rotunda is an uncommon dermatosis with an unusual geographic and racial distribution. The skin disorder is characterized by sharply defined, perfectly circular, scaly patches with no inflammatory changes. Notably, it may be associated with underlying malignancy or chronic infection. We report an uncommon familial case in an American-born female.
Collapse
Affiliation(s)
| | - Allen J Natow
- Ronald O. Perelman Department of Dermatology, NYU Langone Medical Center, New York, N.Y., USA
| |
Collapse
|
13
|
Pityriasis Rotunda and Hyperprolactinemia. ACTAS DERMO-SIFILIOGRAFICAS 2016; 107:535-7. [PMID: 27006018 DOI: 10.1016/j.ad.2015.10.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2015] [Revised: 10/03/2015] [Accepted: 10/18/2015] [Indexed: 11/22/2022] Open
|
14
|
Ataş H, Gönül M, Koyuncu D, Alper M. Pityriasis rotunda: a case from Turkey. Int J Dermatol 2015; 55:e362-4. [PMID: 26695453 DOI: 10.1111/ijd.13190] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/15/2015] [Revised: 08/12/2015] [Accepted: 08/22/2015] [Indexed: 11/26/2022]
Affiliation(s)
- Hatice Ataş
- Department of Dermatology, School of Medical Research, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
| | - Muzeyyen Gönül
- Department of Dermatology, School of Medical Research, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
| | - Dilek Koyuncu
- Department of Pathology, School of Medical Research, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
| | - Murat Alper
- Department of Pathology, School of Medical Research, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey
| |
Collapse
|
15
|
Zur RL, Shapero J, Shapero H. Pityriasis rotunda diagnosed in Canada: case presentation and review of the literature. J Cutan Med Surg 2013; 17:426-8. [PMID: 24138982 DOI: 10.2310/7750.2013.13013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
BACKGROUND Pityriasis rotunda is a rare cutaneous disorder characterized by scaly, circular, well-demarcated, hypo- or hyperpigmented, fine plaques over the trunk and extremities. OBJECTIVE We present a case of pityriasis rotunda in a 44-year-old African-Canadian woman who presented to a community dermatology practice in Toronto. RESULTS Pityriasis rotunda has been well described in Japan, Italy, and South Africa. It is extremely rare in North America, with nine reported cases to date, the majority of which were diagnosed in the United States. CONCLUSION Pityriasis rotunda is a rare cutaneous disorder associated with systemic disease. To the best of our knowledge, this is the second report of pityriasis rotunda diagnosed in Canada.
Collapse
|
16
|
Affiliation(s)
- Marcia Ramos-E-Silva
- Sector of Dermatology and Post Graduation Course of Dermatology, University Hospital Clementino Fraga Filho andSchool of Medicine, Federal University of Rio de Janeiro, 22280-020 Rio de Janeiro, Brazil.
| | | | | |
Collapse
|
17
|
Rudikoff D. Differential diagnosis of round or discoid lesions. Clin Dermatol 2011; 29:489-97. [PMID: 21855723 DOI: 10.1016/j.clindermatol.2010.09.016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/19/2022]
Abstract
Dermatologists are called on to diagnose a variety of skin conditions in diverse age groups. Dermatologic diagnosis, based on identification of a primary lesion, uses morphologic clues to categorize the pathologic process causing the eruption. In addition, distribution and grouping of lesions helps support a specific diagnosis. Dermatologists consciously or unconsciously use pattern recognition to arrive at their differential diagnosis based on clinical experience and their having previously viewed similarly appearing skin lesions in lectures, texts, and journals. Round and discoid patches and plaques are extremely common in the clinical practice of dermatology. This contribution reviews the dermatologic conditions that present as round or discoid lesions and presents an approach to diagnosis.
Collapse
Affiliation(s)
- Donald Rudikoff
- Division of Dermatology, Bronx Lebanon Hospital Center, 1650 Selwyn Avenue, Bronx, NY 10457, USA.
| |
Collapse
|
18
|
|
19
|
Friedmann AC, Ameen M, Swale VJ. Familial pityriasis rotunda in black-skinned patients; a first report. Br J Dermatol 2007; 156:1365-7. [PMID: 17441953 DOI: 10.1111/j.1365-2133.2007.07874.x] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
|
20
|
Abe M, Hashimoto C, Hasegawa M, Sogabe Y, Shyuto T, Ishikawa O. Pityriasis circinata Toyama successfully treated with high-concentration tacalcitol ointment. J Dermatol 2005; 32:153-5. [PMID: 15906551 DOI: 10.1111/j.1346-8138.2005.tb00737.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
|
21
|
Teraki Y, Nishikawa T. Skin diseases described in Japan 2004. In Japan beschriebene Dermatosen 2004. J Dtsch Dermatol Ges 2005; 3:9-25. [PMID: 16353745 DOI: 10.1046/j.1439-0353.2005.04076.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2023]
Abstract
During the last century of modern dermatology, more than 30 skin diseases have been described first by physicians from Japan. Many of those conditions were disorders of pigmentation and keratinization, which are quite common in Oriental patients. Since the late 1940s, a number of skin diseases first reported in Japan have gained attention internationally among them being Kimura disease, hypomelanosis of Ito, Kawasaki disease, adult T-cell leukemia/ lymphoma, eosinophilic pustular folliculitis, prurigo pigmentosa, and Ofuji's papuloerythroderma. In this article, we review skin diseases that were first established as distinct entities in Japan, in order to familiarize readers of the Western literature with these conditions.
Collapse
Affiliation(s)
- Yuichi Teraki
- Department of Dermatology, Kyorin University School of Medicine, Tokyo, Japan
| | | |
Collapse
|
22
|
Hashimoto Y, Suga Y, Chikenji T, Matsuba S, Mizoguchi M, Kakuta M, Ogawa H. Immunohistological characterization of a Japanese case of pityriasis rotunda. Br J Dermatol 2003; 149:196-8. [PMID: 12890220 DOI: 10.1046/j.1365-2133.2003.05400.x] [Citation(s) in RCA: 11] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
23
|
Abstract
Pityriasis rotunda is a rare disease characterized by round or oval patches, localized mainly on the trunk, arms, and legs. The patches are usually lighter than the surrounding skin, but sometimes may be darker, and are covered by fine, adherent scales. Two types of pityriasis rotunda have been described. Type I has been observed mainly in oriental and black patients older than 60 years of age, and is often associated with systemic disease or malignancy. Type II has been observed in white patients younger than 40 years of age, is often familial, and has never been observed in association with malignancy or internal disease. On Sardinia, a cluster of patients with type II pityriasis rotunda has been described. From 1981 until 1998, 51 cases of this disease have been observed in the Department of Dermatology, University of Sassari; 32 of them were children. The great prevalence of pityriasis rotunda on Sardinia, an island which until 40 years ago had limited contact with the Italian mainland, and the presence of a large number of familial cases suggest that type II pityriasis rotunda should be considered a genetically determined disease. The trend toward spontaneous resolution after the age of 20 years suggests that pityriasis rotunda should be considered a genodermatosis with a temporary phenotypic expression.
Collapse
Affiliation(s)
- P Ena
- Institute of Dermatology, University of Sassari, Sassari, Italy
| | | |
Collapse
|
24
|
Abstract
Pityriasis versicolor is a common dermatomycosis, occurring throughout the world, characterized by irregular, slightly scaly patches, varying in color from red/light brown to white. Pityriasis rotunda, on the other hand, is an uncommon disease, reported in specific ethnic groups, and characterized by perfectly round or oval patches of varying color, with a scaly surface. The histologic pattern is that of ichthyosis vulgaris. We report here the case of a male patient, aged 31, from Sardinia (Italy), affected by Pityriasis versicolor mimicking Pityriasis rotunda. Mycological examination allowed us to formulate the correct diagnosis, and ensuing treatment with antifungal drugs was entirely successful. The authors, while pointing out the rarity of this case, stress the possibility that Pityriasis versicolor mimics Pityriasis rotunda and vice-versa, especially in those countries in which the two diseases are endemic. More widespread recourse to microscopic examination can help avoid the risk of mistaken diagnosis and consequent incorrect treatment.
Collapse
|
25
|
|
26
|
Affiliation(s)
- S Brenner
- Department of Dermatology, Tel-Aviv Sourasky Medical Center, and Sackler Faculty of Medicine, Tel-Aviv University, Israel
| | | | | | | |
Collapse
|
27
|
Abstract
Pityriasis rotunda is a rare disease characterized by perfectly round to oval, sharply defined, scaly, hypo/hyperpigmented patches of variable number and size located mainly over the trunk and proximal extremities. More than 95% of the reported cases in medical literature are from three countries/ethnic populations, namely Japan, South Africa (Bantu), and Italy (Sardinian islanders). To the best of my knowledge, no patient with the characteristic clinico-pathologic features has been reported from the Indian subcontinent. I report a 44-year-old man with eighteen pityriasis rotunda patches, persistent for nearly 20 years. The lesions in the groin and axillae closely resembled erythrasma and tinea, and he had received treatment for these conditions several times in the past. Histopathology of the skin biopsy showed thinning of the epidermis with a thinned-out granular layer and a sparse lymphomononuclear infiltrate in the dermis. A review of literature suggests that there are two subsets of the disease. The type I subset is comprised of pityriasis rotunda associated with systemic illness and is seen in Black or Oriental patients with no family history of the disease. The lesions tend to subside on treatment of the underlying illness. The type II subset patients are Caucasians as well as Blacks and Orientals with no underlying systemic illness. Familial occurrence is possible; lesions tend to be persistent and unresponsive to therapy.
Collapse
Affiliation(s)
- S Gupta
- Department of Dermatology, Venerology & Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
| |
Collapse
|
28
|
Correspondence. Int J Dermatol 1999. [DOI: 10.1046/j.1365-4362.1999.00788.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
29
|
|
30
|
Affiliation(s)
- E Loucas
- Department of Dermatology, Tulane University Medical Centre, New Orleans, Louisiana 70112, USA
| | | | | |
Collapse
|