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Saini K, Sathishkumar D, Mathew L, Gupta A, Thomas M. A rare case of congenital cutaneous mucinosis with spontaneous regression. Australas J Dermatol 2021; 62:e611-e613. [PMID: 34370297 DOI: 10.1111/ajd.13682] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Kriteeka Saini
- Department of Dermatology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
| | - Dharshini Sathishkumar
- Department of Dermatology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
| | - Lydia Mathew
- Department of Dermatology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
| | - Ankan Gupta
- Department of Dermatology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
| | - Meera Thomas
- Department of Pathology, Christian Medical College and Hospital, Vellore, Tamil Nadu, India
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Eholzer L, Oschlies I, Berneburg M, Karrer S. [Cutaneous mucinosis of infancy]. Hautarzt 2020; 72:797-800. [PMID: 33354742 PMCID: PMC8416887 DOI: 10.1007/s00105-020-04743-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/03/2020] [Indexed: 11/29/2022]
Abstract
Die kutane Muzinose der Kindheit ist eine sehr seltene Hauterkrankung mit nur wenigen beschriebenen Fällen in der Literatur. Wir berichten über einen 11-jährigen Jungen mit seit 9 Monaten bestehenden, asymptomatischen, hautfarbenen Papeln und Plaques am rechten Arm. Histologisch zeigten sich dermal und tief dermal zwischen den Kollagenbändern ausgeprägte Muzinablagerungen und Fibroblastenproliferationen. Da es sich bei der kutanen Muzinose der Kindheit um eine benigne Erkrankung mit guter Prognose handelt, ist eine Therapie nicht notwendig.
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Affiliation(s)
- Lisa Eholzer
- Klinik und Poliklinik für Dermatologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93042, Regensburg, Deutschland
| | - Ilske Oschlies
- Institut für Pathologie, Sektion Hämatopathologie und Lymphknotenregister, Universitätsklinikum Schleswig-Holstein, Kiel, Deutschland
| | - Mark Berneburg
- Klinik und Poliklinik für Dermatologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93042, Regensburg, Deutschland
| | - Sigrid Karrer
- Klinik und Poliklinik für Dermatologie, Universitätsklinikum Regensburg, Franz-Josef-Strauß-Allee 11, 93042, Regensburg, Deutschland.
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Morgado-Carrasco D, Jou Muñoz C, Gonzalez-Enseñat MA, Vicente Villa A. Long-term follow-up of a patient with congenital cutaneous mucinosis of infancy and description of a new case. Int J Dermatol 2019; 59:e153-e155. [PMID: 31868226 DOI: 10.1111/ijd.14750] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/28/2019] [Revised: 11/12/2019] [Accepted: 11/22/2019] [Indexed: 12/01/2022]
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Cárdenas-Gonzalez RE, Ruelas MEH, Candiani JO. Lichen myxedematosus: a rare group of cutaneous mucinosis. An Bras Dermatol 2019; 94:462-469. [PMID: 31644623 PMCID: PMC7007042 DOI: 10.1590/abd1806-4841.20198478] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/28/2018] [Accepted: 01/14/2019] [Indexed: 11/22/2022] Open
Abstract
Cutaneous mucinoses are a heterogeneous group of dermatoses in which excess deposition of mucin in the dermis gives the skin a waxy appearance, with papules and plaques that can vary from self-healing mucinosis to even disrupting the normal shape of a patient's face, conferring a leonine facies, or be part of life threatening diseases like scleromyxedema. This review will describe the most recent classification on lichen myxedematosus in the generalized (scleromyxedema) and the localized forms, as well as the different organ systems involved in scleromyxedema, diagnostic workup, current management, and prognosis.
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Affiliation(s)
- Ramiro Eugenio Cárdenas-Gonzalez
- Dermatology Service, Hospital Universitario, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
| | - Maira Elizabeth Herz Ruelas
- Dermatology Service, Hospital Universitario, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
| | - Jorge Ocampo Candiani
- Dermatology Service, Hospital Universitario, Facultad de Medicina, Universidad Autónoma de Nuevo León, Monterrey, Nuevo León, México
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5
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Rongioletti F. Primary paediatric cutaneous mucinoses. Br J Dermatol 2019; 182:29-38. [DOI: 10.1111/bjd.18004] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2019] [Indexed: 12/11/2022]
Affiliation(s)
- F. Rongioletti
- Unit of Dermatology Department of Medical Sciences and Public Health University of Cagliari Cagliari Italy
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Skin-Colored Plaque on the Lower Back of a 13-Year-Old Boy: Answer. Am J Dermatopathol 2018; 40:302. [DOI: 10.1097/dad.0000000000000797] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Fang X, Yang B, Zhou G, Zhang F. Localized lichen myxedematosus in childhood: what is the accurate diagnosis? Int J Dermatol 2016; 56:333-336. [PMID: 27667483 DOI: 10.1111/ijd.13429] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2016] [Revised: 03/09/2016] [Accepted: 06/29/2016] [Indexed: 11/28/2022]
Affiliation(s)
- Xiangang Fang
- Shandong Provincial Hospital for Skin Diseases, Shandong University, Jinan, Shandong, China.,Department of Dermatology, Weifang People's Hospital, Weifang, Shandong, China
| | - Baoqi Yang
- Department of Dermatology, Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China
| | - Guizhi Zhou
- Department of Pathology, Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China
| | - Furen Zhang
- Shandong Provincial Hospital for Skin Diseases, Shandong University, Jinan, Shandong, China.,Department of Dermatology, Shandong Provincial Institute of Dermatology and Venereology, Shandong Academy of Medical Sciences, Jinan, Shandong, China
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10
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Mir-Bonafé JM, Vicente-Villa A, Suñol M, Soria X, González-Enseñat MA. Cutaneous Mucinosis of Infancy: A Rare Congenital Case with Coexisting Progressive, Eruptive, and Spontaneously Involuting Lesions. Pediatr Dermatol 2015; 32:e255-8. [PMID: 26446951 DOI: 10.1111/pde.12679] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Cutaneous mucinosis in infancy is rare. We report an infant with multiple congenital papules distributed over the trunk, neck, and extremities. These papules were mainly dispersed, but they also coalesced into plaques. Histopathologic findings showed features of cutaneous mucinosis of infancy (CMI). Over 2 years of follow-up, we observed that the preexisting lesions on the lower back and left trunk progressively increased in size, and a few new scattered papules continued to appear, mainly on the trunk; several lesions spontaneously resolved with no further complications. CMI is considered to be a persistent cutaneous disorder, even though spontaneously regressing cases have rarely been reported. This case demonstrates the broad clinical spectrum of CMI, with progressive, eruptive, and spontaneously involuting lesions all present in the same patient. This condition should be considered in the differential diagnosis of congenital or infantile-onset papules and plaques, especially those yellowish in color.
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Affiliation(s)
- José M Mir-Bonafé
- Department of Dermatology, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
| | - Asunción Vicente-Villa
- Department of Dermatology, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
| | - Mariona Suñol
- Department of Pathology, Hospital Sant Joan de Déu, University of Barcelona, Barcelona, Spain
| | - Xavier Soria
- Department of Dermatology, Hospital Universitari Arnau de Vilanova, University of Lleida, Lleida, Spain
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Abstract
Self-healing juvenile cutaneous mucinosis (SHJCM) is a rare disorder of unknown origin, which occurs in children in good health. It is characterized by the multiplication of transient cutaneous papules and nodules, mainly located on the head and periarticular areas that spontaneously resolve. Histological features of SHJCM have been well described; therefore, the diagnosis is usually made easily when papules are biopsied. We report a series of 3 new cases of SHJCM presenting mainly with nodular lesions. Histological examination of these nodules showed either lesions consistent with nodular or proliferative fasciitis or nonspecific panniculitis. Mucinous deposits were present but often inconspicuous, so could be disregarded. We wanted to emphasize this misleading presentation because a biopsy for histological examination is always mandatory in cases of proliferating nodules to rule out malignant tumors. Therefore, the diagnosis always requires discussion between pathologists and clinicians to rapidly reassure the parents and avoid inappropriate therapy.
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Aboutalebi A, Kearney DL, Metry DW. Flesh-colored, rubbery nodules in a young girl. Pediatr Dermatol 2010; 27:299-300. [PMID: 20609150 DOI: 10.1111/j.1525-1470.2010.01156.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: 12/01/2022]
Affiliation(s)
- Amir Aboutalebi
- Department of Dermatology, Baylor College of Medicine, Houson, TX, USA
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Müntener T, Rüfenacht S, Di Palma S, Hartmeier G, Welle M. Scleromyxedema-like Syndrome With Systemic Involvement in a Cat. Vet Pathol 2010; 47:346-50. [DOI: 10.1177/0300985809358039] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Scleromyxedema—the generalized form of lichen myxedematosus, a primary mucinosis—is a rare disease in human patients. It is characterized by dermal mucin deposits, increased numbers of fibroblasts, and variable fibrosis in the absence of thyroid disease. It is accompanied in 80% of cases by a monoclonal gammopathy. To date, scleromyxedema with systemic involvement has not been documented in domestic animals. This is the first report of a scleromyxedema-like syndrome in a cat, which had a substantial deposition of mucin in the dermis of the head and paws with a mild gammaglobulinemia of 2.25 g/dl (reference range, 1.39–2.22 g/dl). At necropsy, multiple nodules of connective tissue intermingled with mucin deposits were conspicuous on the surface of thoracic and abdominal organs. Such severe systemic accumulations of mucin have not been reported in human or veterinary medicine.
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Affiliation(s)
- T. Müntener
- Institute of Animal Pathology, Vetsuisse Faculty University Berne, Switzerland
| | - S. Rüfenacht
- Department for Clinical Veterinary Medicine, Section for Dermatology, Vetsuisse Faculty University Berne, Switzerland
| | - S. Di Palma
- Institute of Animal Pathology, Vetsuisse Faculty University Berne, Switzerland
| | - G. Hartmeier
- Animal Clinic Aarau West, Oberentfelden, Switzerland
| | - M. Welle
- Institute of Animal Pathology, Vetsuisse Faculty University Berne, Switzerland
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Feliciani C, Pennacchia I, Massi G. Adult self-healing papular mucinosis on genital skin. Clin Exp Dermatol 2009; 34:e760-2. [DOI: 10.1111/j.1365-2230.2009.03483.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Chen CW, Tsai TF, Chang SP, Chen YF, Hung CM. Congenital cutaneous mucinosis with spontaneous regression: an atypical cutaneous mucinosis of infancy? Clin Exp Dermatol 2009; 34:804-7. [DOI: 10.1111/j.1365-2230.2008.03000.x] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Concheiro J, Pérez-Pérez L, Peteiro C, Labandeira J, Toribio J. Discrete papular lichen myxoedematosus: a rare subtype of cutaneous mucinosis. Clin Exp Dermatol 2009; 34:e608-10. [PMID: 19486062 DOI: 10.1111/j.1365-2230.2009.03294.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Primary cutaneous mucinoses are characterized by abnormal mucin deposits in the skin. Discrete papular lichen myxoedematosus (DPLM) is an unusual subtype. Only 11 of the cases described in the literature to date showed no relation to human immunodeficiency virus (HIV) infection. We report a 21-year-old woman with numerous symmetrical asymptomatic papules on her trunk, arms and thighs. Results of investigations were normal. On histological examination, the upper dermis showed a focal mucin deposit. DPLM can be associated with HIV or C hepatitis virus (HCV) infection and therefore an early diagnosis is very important.
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Affiliation(s)
- J Concheiro
- Dermatology Service, Faculty of Medicine, University Hospital Complex, Santiago de Compostela, Spain.
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Rongioletti F. Lichen Myxedematosus (Papular Mucinosis): New Concepts and Perspectives for an Old Disease. ACTA ACUST UNITED AC 2006; 25:100-4. [PMID: 16908401 DOI: 10.1016/j.sder.2006.04.001] [Citation(s) in RCA: 78] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
Abstract
Lichen myxedematosus (LM) is an idiopathic cutaneous mucinosis; its classification dates back to 1953, when Montgomery and Underwood distinguished 4 types of LM. In the literature, the terms LM, papular mucinosis, and scleromyxedema often have been used indiscriminately as synonyms, but most reported cases of LM or papular mucinosis without indication of the subtype appear in fact to be cases of scleromyxedema. Actually, LM includes 2 clinicopathologic subsets: a generalized papular and sclerodermoid form (the only one which should be called scleromyxedema) with systemic, even lethal, manifestations and a localized form, which does not run a disabling course. The localized form is subdivided into 4 subtypes: (1) a discrete papular form involving any site; (2) acral persistent papular mucinosis involving only the extensor surface of the hands and wrists; (3) papular mucinosis of infancy, a pediatric variant of the discrete form or the acral form of persistent papular mucinosis; and (4) nodular form. A third group of atypical or intermediate forms, not meeting the criteria for either scleromyxedema or the localized form, includes cases of (1) scleromyxedema without monoclonal gammopathy, (2) localized forms with monoclonal gammopathy and/or systemic symptoms, (3) localized forms with mixed features of the subtypes, and (4) not well-specified cases.
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Affiliation(s)
- Franco Rongioletti
- Dermatology Section, Department of Endocrinological and Metabolic Diseases, Universiyy of Genoa, Genoa, Italy.
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Abstract
Self-healing juvenile cutaneous mucinosis is an extremely uncommon disorder characterized by the acute eruption of multiple papules and subcutaneous nodules. In this report, we describe one of the youngest patients reported to date with self-healing juvenile cutaneous mucinosis and further define several of the histologic and clinical characteristics unique to the disorder. Awareness of this disease is important because, despite an ominous presentation, all reported cases have resolved spontaneously. Therefore, aggressive therapy should be avoided.
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Affiliation(s)
- Edward W Cowen
- Department of Dermatology, University of Rochester School of Medicine and Dentistry, 601 Elmwood Avenue, Rochester, NY 14642, USA
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