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Maronese CA, Derlino F, Moltrasio C, Cattaneo D, Iurlo A, Marzano AV. Neutrophilic and eosinophilic dermatoses associated with hematological malignancy. Front Med (Lausanne) 2024; 10:1324258. [PMID: 38249974 PMCID: PMC10796805 DOI: 10.3389/fmed.2023.1324258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Accepted: 12/20/2023] [Indexed: 01/23/2024] Open
Abstract
Cutaneous manifestations of hematologic malignancy represent both a clinical challenge for the treating physician and a pathophysiological model for advancing the knowledge on individual neoplasms. Indeed, a growing body of evidence supports the concept of recurrent molecular defects associating with specific clinical features, as best exemplified by VEXAS. Herein neutrophilic and eosinophilic dermatoses of potential interest for both hematologists and dermatologists will be reviewed, including subcorneal pustular dermatosis-type IgA pemphigus, neutrophilic eccrine hidradenitis, Sweet's syndrome as well as myelodysplasia cutis and VEXAS, pyoderma gangrenosum, eosinophilic annular erythema, eosinophilic dermatosis of hematological malignancy, Wells syndrome and cutaneous involvement in hypereosinophilic syndromes. Possible management approaches are discussed for each, emphasizing scenarios that require treatment of the underlying condition to achieve remission at the skin level.
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Affiliation(s)
- Carlo Alberto Maronese
- Dermatology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy
| | - Federica Derlino
- Dermatology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Chiara Moltrasio
- Dermatology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Daniele Cattaneo
- Hematology Division, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy
| | - Alessandra Iurlo
- Hematology Division, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Angelo Valerio Marzano
- Dermatology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Milan, Italy
- Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy
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Kazmi M, Elsensohn A, Junkins-Hopkins JM. Wells Syndrome-Like Histologic Pattern Caused by a Permanent Tattoo. Am J Dermatopathol 2022; 44:587-589. [PMID: 35120029 DOI: 10.1097/dad.0000000000002142] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
ABSTRACT Tattoo reactions have become more common as tattoos gain visibility and popularity worldwide. A variety of inflammatory patterns have been described in association with tattoos- more commonly fibrosing, granulomatous, lichenoid, pseudolymphomatous, and spongiotic patterns. To date, there has been one case report of a Wells syndrome-like inflammatory pattern associated with a temporary Henna tattoo. Here we present the first case of a permanent tattoo with resulting flame figures, histologically resembling Wells syndrome. We believe this uncommon histologic pattern might be of interest for pathologists to be aware of.
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Affiliation(s)
- Maha Kazmi
- University of California Davis School of Medicine, Sacramento, CA; Dermatology Department, Loma Linda University, Loma Linda, CA; and Dermatology Section, Geisinger Medical Center, Wilkes-Barre, PA
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Aubert H, Hamidou M, Barbarot S, Piriou N, Lefebvre M, Néel A. [Cutaneous hypereosinophilia… Hypereosinophilic syndromes]. Ann Dermatol Venereol 2020; 147:155-166. [PMID: 31948698 DOI: 10.1016/j.annder.2019.11.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2019] [Revised: 09/30/2019] [Accepted: 11/07/2019] [Indexed: 11/27/2022]
Affiliation(s)
- H Aubert
- Clinique dermatologique, CHU de Nantes, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France; Centre de compétence syndromes hyperéosinophiliques, CHU de Nantes, 44000 Nantes, France.
| | - M Hamidou
- Centre de compétence syndromes hyperéosinophiliques, CHU de Nantes, 44000 Nantes, France; Service de médecine interne, CHU de Nantes, 44000 Nantes, France
| | - S Barbarot
- Clinique dermatologique, CHU de Nantes, CHU Hôtel-Dieu, 1, place Alexis-Ricordeau, 44000 Nantes, France; Centre de compétence syndromes hyperéosinophiliques, CHU de Nantes, 44000 Nantes, France
| | - N Piriou
- Service de cardiologie, CHU de Nantes, 44000 Nantes, France
| | - M Lefebvre
- Service de maladies infectieuses et tropicales, CHU de Nantes, 44000 Nantes, France
| | - A Néel
- Centre de compétence syndromes hyperéosinophiliques, CHU de Nantes, 44000 Nantes, France; Service de médecine interne, CHU de Nantes, 44000 Nantes, France
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Chen S, Li Z, Wang L. Cutaneous mastocytoma associated with abundant eosinophil infiltration and flame figures. J Cutan Pathol 2019; 46:397-400. [PMID: 31034654 DOI: 10.1111/cup.13452] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/03/2018] [Revised: 02/18/2019] [Accepted: 03/03/2019] [Indexed: 02/05/2023]
Affiliation(s)
- Siyu Chen
- Department of Dermatovenereology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Zhongtao Li
- Department of Dermatovenereology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
| | - Lin Wang
- Department of Dermatovenereology, West China Hospital, Sichuan University, Chengdu, Sichuan, China
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Inayat F, O'Neill SS, Zafar F, Marupudi S, Vasim I. Idiopathic hypereosinophilic syndrome with cutaneous involvement: a comparative review of 32 cases. BMJ Case Rep 2018; 11:11/1/bcr-2018-227137. [PMID: 30567176 DOI: 10.1136/bcr-2018-227137] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/19/2023] Open
Abstract
Although idiopathic hypereosinophilic syndrome (HES) is uncommon, we studied the clinical characteristics of this disorder in patients with cutaneous involvement. We chronicle the case of a patient with diffuse skin rash due to idiopathic HES from our clinical experience. Furthermore, a systematic literature search of the medical databases PubMed and Google Scholar was conducted. A total of 32 cases fulfilled the inclusion criteria. The data on patients' characteristics, epidemiology, clinical features, diagnosis, treatment and outcome were collected and analysed. This review illustrates that physicians should maintain a high index of clinical suspicion for idiopathic HES in patients presenting with dermatological lesions and hypereosinophilia, without an obvious cause. Randomised clinical trials are warranted to outline a generalised and efficient therapeutic approach in these patients. Additionally, this paper highlights the need for population-based studies to delineate the magnitude and scope of this association.
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Affiliation(s)
| | - Stacey S O'Neill
- Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA
| | - Fahad Zafar
- King Edward Medical University, Lahore, Pakistan
| | - Sindhuja Marupudi
- Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA
| | - Izzah Vasim
- Wake Forest Baptist Medical Center, Winston-Salem, North Carolina, USA
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Maglie R, Antiga E, Vannucchi M, Del Bianco E, Bianchi B, Massi D, Caproni M. Bullous eruption in a patient with B-cell chronic lymphocytic leukemia: a diagnostic challenge. Int J Dermatol 2017; 56:1445-1447. [PMID: 29076242 DOI: 10.1111/ijd.13807] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/19/2017] [Revised: 08/28/2017] [Accepted: 09/18/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Roberto Maglie
- Department of Medical and Surgical Critical Care, Section of Dermatology, University of Florence, Florence, Italy
| | - Emiliano Antiga
- Department of Medical and Surgical Critical Care, Section of Dermatology, University of Florence, Florence, Italy
| | - Margherita Vannucchi
- Division of Pathological Anatomy, Department of Surgery and Translational Medicine, University of Florence, Florence Italy
| | - Elena Del Bianco
- Department of Medical and Surgical Critical Care, Section of Dermatology, University of Florence, Florence, Italy
| | - Beatrice Bianchi
- Department of Medical and Surgical Critical Care, Section of Dermatology, University of Florence, Florence, Italy
| | - Daniela Massi
- Division of Pathological Anatomy, Department of Surgery and Translational Medicine, University of Florence, Florence Italy
| | - Marzia Caproni
- Department of Medical and Surgical Critical Care, Section of Dermatology, University of Florence, Florence, Italy
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Abstract
Some cutaneous inflammatory disorders are typified by a predominant or exclusive localization in the dermis. They can be further subdivided by the principal cell types into lymphocytic, neutrophilic, and eosinophilic infiltrates, and mixtures of them are also seen in a proportion of cases. This review considers such conditions. Included among the lymphoid lesions are viral exanthems, pigmented purpuras, gyrate erythemas, polymorphous light eruption, lupus tumidus, and cutaneous lymphoid hyperplasia. Neutrophilic infiltrates are represented by infections, Sweet syndrome, pyoderma gangrenosum, and hidradenitis suppurativa, as well as a group of so-called "autoinflammatory" dermatitides comprising polymorphonuclear leukocytes. Eosinophil-dominated lesions include arthropod bite reactions, cutaneous parasitic infestations, the urticarial phase of bullous pemphigoid, Wells syndrome (eosinophilic cellulitis), hypereosinophilic syndrome, and Churg-Strauss disease. In other conditions, eosinophils are admixed with neutrophils in the corium, with or without small-vessel vasculitis. Exemplary disorders with those patterns include drug eruptions, chronic idiopathic urticaria, urticarial vasculitis, granuloma faciale, and Schnitzler syndrome (chronic urticarial with a monoclonal gammopathy).
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Affiliation(s)
- Mark R Wick
- Section of Dermatopathology, Division of Surgical Pathology & Cytopathology, University of Virginia Medical Center, Room 3020 University of Virginia Hospital, 1215 Lee Street, Charlottesville, VA 22908-0214, USA.
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