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Yadlapati S, Kaul S, Gonzalez‐Molina V, Shama‐Brown L, Yousefian F. Erythema gyratum repens‐like presentation of urticaria multiforme. Int J Dermatol 2022; 62:e355-e356. [PMID: 35792872 DOI: 10.1111/ijd.16339] [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: 03/16/2022] [Revised: 05/16/2022] [Accepted: 06/14/2022] [Indexed: 11/29/2022]
Affiliation(s)
- Sujitha Yadlapati
- HCA Corpus Christi Medical Center‐Bay Area Dermatology Residency Program McAllen Texas USA
| | - Subuhi Kaul
- Department of Internal Medicine John H. Stroger Hospital of Cook County Chicago Illinois USA
| | | | - Leah Shama‐Brown
- HCA Corpus Christi Medical Center‐Bay Area Dermatology Residency Program McAllen Texas USA
| | - Faraz Yousefian
- Texas Institute for Graduate Medical Education and Research (TIGMER) Internal Medicine Department San Antonio Texas USA
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Cárdenas AGS, Lima MS, Mendez-Flores S. Systemic lupus erythematosus-associated neutrophilic dermatosis presenting with an erythema gyratum repens-like appearance. Int J Dermatol 2021; 60:857-859. [PMID: 33792025 DOI: 10.1111/ijd.15520] [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: 07/22/2020] [Revised: 12/09/2020] [Accepted: 02/25/2021] [Indexed: 11/28/2022]
Affiliation(s)
- Ana G S Cárdenas
- Dermatology Department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico
| | - Marcela S Lima
- Dermatopathology Department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico
| | - Silvia Mendez-Flores
- Dermatology Department, Instituto Nacional de Ciencias Médicas y Nutrición "Salvador Zubirán", Mexico City, Mexico
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Fernandez-Flores A, Hermosa-Gelbard A, Pérez A, Bello JA, Cabo F. Scarring alopecia in chronic cutaneous lupus erythematosus with neutrophils: A new scenario with therapeutic connotations. J Cutan Pathol 2020; 47:976-982. [PMID: 32483922 DOI: 10.1111/cup.13764] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/04/2020] [Revised: 05/18/2020] [Accepted: 05/25/2020] [Indexed: 11/30/2022]
Abstract
The relationship between autoinflammatory and autoimmune conditions has been demonstrated in recent decades. Several autoimmune conditions exhibit an autoinflammatory component, which can manifest in various ways. Neutrophilic dermatosis in the context of lupus erythematosus (LE) is one example. Otherwise, neutrophils are rare in LE, except for the bullous variant and nonbullous neutrophilic LE. In this paper, we describe a case of scarring alopecia due to LE that stopped responding to a treatment that had been effective for years. The biopsy specimen demonstrated the presence of neutrophils in the inflammatory infiltrate. A treatment with dapsone was prescribed and yielded rapid improvement. This first case of scarring alopecia in the context of nonbullous neutrophilic LE emphasizes the importance of the infiltrate in determining the optimal therapeutic choice.
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Affiliation(s)
- Angel Fernandez-Flores
- Department of Cellular Pathology, Hospital El Bierzo, Ponferrada, Spain.,Department of Cellular Pathology, Hospital de la Reina, Ponferrada, Spain.,Research Department, Institute for Biomedical Research of A Coruña (INIBIC), University of A Coruña (UDC) A Coruña, Spain
| | - Angela Hermosa-Gelbard
- Dermatology Department, Hospital Universitario Ramón y Cajal, Madrid, Spain.,Dermatology Department, Hospital Universitario Quirón San José, Madrid, Spain.,Dermatology Department, Hospital Universitario HM Montepríncipe, Madrid, Spain
| | - Alberto Pérez
- Department of Anatomic Pathology, Complexo Hospitalario Universitario de Ourense, Ourense, Spain
| | - José Antonio Bello
- Department of Anatomic Pathology, Complexo Hospitalario Universitario de Ourense, Ourense, Spain
| | - Fernando Cabo
- Department of Dermatology, Complexo Hospitalario Universitario de Ourense, Ourense, Spain
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4
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Leukocytoclastic Vasculitis Concurrent With Bullous Systemic Lupus Erythematosus Manifesting Striking Wood-Grain and Wi-Fi Sign-like Purpuric Lesions. J Clin Rheumatol 2020; 25:e104-e105. [PMID: 29652701 DOI: 10.1097/rhu.0000000000000717] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Sahin S, Adrovic A, Barut K, Durmus S, Gelisgen R, Uzun H, Kasapcopur O. Pentraxin-3 levels are associated with vasculitis and disease activity in childhood-onset systemic lupus erythematosus. Lupus 2017; 26:1089-1094. [PMID: 28420068 DOI: 10.1177/0961203317699286] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Objectives Childhood-onset systemic lupus erythematosus (cSLE) is a multisystemic autoimmune disease characterized by inflammatory organ damage by means of vasculitis. Pentraxin-3 (PTX3) is expressed locally at the sites of inflammatory processes, predominantly from endothelial cells. In adult studies, PTX3 has shown to be an indicator of active vasculitis both in large-vessel and small-vessel vasculitides, as well as in SLE. Moreover, in SLE it has found to be correlated with disease activity, and with some of the clinical manifestations and laboratory parameters. We aimed to ascertain if PTX3 might be a significant mediator in cSLE and if it might indicate active vasculitis during the course of the disease. Methods Serum PTX3 levels were measured in 76 patients with cSLE and 41 healthy subjects. We have investigated its relation with disease activity, damage, clinical features, laboratory parameters and medications. Results Serum levels of PTX3 were found to be increased in cSLE compared to healthy controls (mean ± SD; 10.6 ± 8.2 ng/mL vs 2.7 ± 1.3 ng/mL, p < 0.001). PTX3 concentrations were also in correlation with SLEDAI-2K ( r = 0.57, p < 0.001). When viewed from the clinical perspective, serum PTX3 levels were significantly higher only in patients with active vasculitis ( p < 0.001), Raynaud phenomenon ( p = 0.006) and mucocutaneous manifestations ( p < 0.001). However, an association between PTX3 and age, age at disease onset, disease duration, complement levels, PedSDI score (pediatric version of the Systemic Lupus International Collaborating Clinics/American College of Rheumatology Damage Index), ESR, CRP, procalcitonin levels, anti-ds DNA antibody, anticardiolipin antibodies was not detected. Conclusions Patients with cSLE have increased levels of serum PTX3 compared to healthy controls. Thus, serum PTX-3 level might be a significant mediator in cSLE. Apart from these, the results support that PTX3 reflects active cutaneous vasculitis in cSLE and correlates with disease activity.
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Affiliation(s)
- S Sahin
- 1 Department of Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
| | - A Adrovic
- 1 Department of Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
| | - K Barut
- 1 Department of Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
| | - S Durmus
- 2 Department of Biochemistry, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
| | - R Gelisgen
- 2 Department of Biochemistry, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
| | - H Uzun
- 2 Department of Biochemistry, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
| | - O Kasapcopur
- 1 Department of Pediatric Rheumatology, Istanbul University, Cerrahpasa Medical School, Istanbul, Turkey
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Mechid F, Hanni F, Ali E, Ben Mohand C, Sibilia J, Dahou C. Des lésions cutanées atypiques. Rev Med Interne 2016; 37:857-858. [DOI: 10.1016/j.revmed.2016.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2016] [Revised: 06/03/2016] [Accepted: 06/16/2016] [Indexed: 11/27/2022]
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Fruchter R, Shaikh G, Myers KL, Eungdamrong NJ, Lee HS, Franks AG. An erythema gyratum repens variant of bullous lupus erythematosus. JAAD Case Rep 2016; 2:111-3. [PMID: 27051846 PMCID: PMC4810286 DOI: 10.1016/j.jdcr.2016.01.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
| | | | | | | | | | - Andrew G. Franks
- Correspondence to: Andrew G. Franks, Jr, MD, Director, Connective Tissue Diseases Section, Professor of Dermatology and Medicine, The Ronald O. Perelman Department of Dermatology, New York University School of Medicine, 240 E 38th St, Floor 12, New York, NY 10016.Connective Tissue Diseases SectionProfessor of Dermatology and MedicineThe Ronald O. Perelman Department of DermatologyNew York University School of Medicine240 E 38th St, Floor 12New YorkNY10016
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Spierings NMK, Natkunarajah J. Leucocytoclastic vasculitis presenting as an erythema gyratum repens-like eruption. Clin Exp Dermatol 2015; 41:320-2. [DOI: 10.1111/ced.12749] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/07/2015] [Indexed: 11/29/2022]
Affiliation(s)
- N. M. K. Spierings
- Dermatology Department; Ground Floor; Lanesborough Wing; St. George's Hospital NHS Trust; Blackshaw Road London SW17 0QT UK
| | - J. Natkunarajah
- Dermatology Department; Kingston Hospital NHS Trust; London UK
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Mohanan S, Devi AS, Kumari R, Thappa DM, Ganesh RN. Novel presentation of lepromatous leprosy in an erythema gyratum repens-like pattern. Int J Dermatol 2013; 53:210-2. [DOI: 10.1111/ijd.12237] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Saritha Mohanan
- Department of Skin and Sexually Transmitted Diseases; Jawaharlal Institute of Postgraduate Medical Education and Research; Puducherry India
| | - Abarna S. Devi
- Department of Skin and Sexually Transmitted Diseases; Jawaharlal Institute of Postgraduate Medical Education and Research; Puducherry India
| | - Rashmi Kumari
- Department of Skin and Sexually Transmitted Diseases; Jawaharlal Institute of Postgraduate Medical Education and Research; Puducherry India
| | - Devinder Mohan Thappa
- Department of Skin and Sexually Transmitted Diseases; Jawaharlal Institute of Postgraduate Medical Education and Research; Puducherry India
| | - Rajesh N. Ganesh
- Depratment of Pathology; Jawaharlal Institute of Postgraduate Medical Education and Research; Puducherry India
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Affiliation(s)
- Naveen Kikkeri Narayanasetty
- Department of Dermatology, Sri Dharmasthala Manjunatheshwara College of Medical Sciences and Hospital (SDMCMS and H), Sattur, Dharwad, India
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Noda S, Takekoshi T, Tamaki Z, Asano Y, Sugaya M, Sato S. Urticarial vasculitis presenting as erythema gyratum repens-like eruption. J Eur Acad Dermatol Venereol 2011; 25:493-5. [DOI: 10.1111/j.1468-3083.2010.03747.x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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12
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Obermoser G, Sontheimer RD, Zelger B. Overview of common, rare and atypical manifestations of cutaneous lupus erythematosus and histopathological correlates. Lupus 2010; 19:1050-70. [PMID: 20693199 DOI: 10.1177/0961203310370048] [Citation(s) in RCA: 123] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Abstract
The skin is the second most frequently affected organ system in lupus erythematosus. Although only very rarely life threatening--an example is lupus erythematosus-associated toxic epidermal necrolysis--skin disease contributes disproportionally to disease burden in terms of personal and psychosocial wellbeing, vocational disability, and hence in medical and social costs. Since several manifestations are closely associated with the presence and activity of systemic lupus erythematosus, prompt and accurate diagnosis of cutaneous lupus erythematosus is essential. This review aims to cover common, rare, and atypical manifestations of lupus erythematosus-associated skin disease with a detailed discussion of histopathological correlates. Cutaneous lupus erythematosus covers a wide morphological spectrum well beyond acute, subacute and chronic cutaneous lupus erythematosus, which are commonly classified as lupus-specific skin disease. Other uncommon or less well-known manifestations include lupus erythematosus tumidus, lupus profundus, chilblain lupus, mucosal lupus erythematosus, and bullous lupus erythematosus. Vascular manifestations include leukocytoclastic and urticarial vasculitis, livedoid vasculopathy and livedo reticularis/ racemosa. Finally, we discuss rare presentations such as lupus erythematosus-related erythema exsudativum multiforme (Rowell syndrome), Kikuchi-Fujimoto disease, extravascular necrotizing palisaded granulomatous dermatitis (Winkelmann granuloma), and neutrophilic urticarial dermatosis.
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Affiliation(s)
- G Obermoser
- Baylor Institute for Immunology Research, Dallas, TX, USA.
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Müller CSL, Lorenz MT, Tilgen W, Rass K. Primary manifestation of erythema gyratum repens as a transient erythroderma in a patient with bronchial carcinoma. Int J Dermatol 2010; 49:676-8. [PMID: 20618474 DOI: 10.1111/j.1365-4632.2009.04387.x] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Cornelia S L Müller
- The Saarland University Hospital, Department of Dermatology, Homburg/Saar, Germany.
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Fungal Leukocytoclastic Vasculitis as a Presentation of Systemic Vasculitis in a Patient With Systemic Lupus Erythematosus. J Clin Rheumatol 2009; 15:383-6. [DOI: 10.1097/rhu.0b013e3181c41b84] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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Dermitsu T, Sasaki K, Iida E, Azuma R, Umemoto N, Kakurai M, Yoneda K. Urticarial vasculitis presenting as erythema gyratum repens-like eruption. J Eur Acad Dermatol Venereol 2009; 23:215-7. [DOI: 10.1111/j.1468-3083.2008.02798.x] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Yasukawa K, Kato N, Hamasaka A, Hata H. Unusual annular purpura and erythema in a patient with malignant lymphoma accompanied with hyperglobulinemia. Int J Dermatol 2008; 47:302-4. [PMID: 18289340 DOI: 10.1111/j.1365-4632.2008.03357.x] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Khan Durani B, Andrassy K, Hartschuh W. Neutrophilic Dermatosis with an Erythema Gyratum Repens‐like Pattern in Systemic Lupus Erythematosus. Acta Derm Venereol 2005; 85:455-6. [PMID: 16159745 DOI: 10.1080/00015550510033732] [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: 10/25/2022] Open
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