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Kodali AT, Agni M, Marka A, Aaron D, Cloutier J, Sriharan A. Cutaneous Collagenous Vasculopathy: A Short Case Series and Literature Review. Am J Dermatopathol 2024; 46:292-304. [PMID: 38513131 DOI: 10.1097/dad.0000000000002662] [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: 03/23/2024]
Abstract
ABSTRACT Cutaneous collagenous vasculopathy (CCV) is a rare and idiopathic microangiopathy of superficial dermal blood vessels. There have been 75 cases described in the literature to date, not including the current report; however, given its clinical similarity to other primary telangiectasias, it is likely to be underreported and underdiagnosed. Here, we describe the clinical and histological features of 2 patients we newly diagnosed with CCV. Both generally fit the profile of prior cases and confirm previously described associations-they both are older White women, have rashes on their lower extremities, and have conditions and medications that are common among other reported cases. However, both are also somewhat atypical, as Patient 1 had symptomatic CCV and Patient 2 had a papular rash. As such, both cases broaden the spectrum of our current understanding of CCV. We also provide a comprehensive review of all published reports of CCV to date and uncover 2 previously unreported associations: one with visceral malignancy, and the other with hypothyroidism. Whether these association are coincidental is worth investigating in future studies.
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Affiliation(s)
| | - Meghana Agni
- Department of Pathology and Laboratory Medicine, Section of Dermatopathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and
| | - Arthur Marka
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH
| | - Denise Aaron
- Department of Dermatology, Dartmouth-Hitchcock Medical Center, Lebanon, NH
| | - Jeffrey Cloutier
- Department of Pathology and Laboratory Medicine, Section of Dermatopathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and
| | - Aravindhan Sriharan
- Department of Pathology and Laboratory Medicine, Section of Dermatopathology, Dartmouth-Hitchcock Medical Center, Lebanon, NH; and
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2
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Padniewski JJ, Mohan L, Okoli T, Nicholson C, Gaddis K. Tricky telangiectasias: a pediatric case report and literature review of cutaneous collagenous vasculopathy. Int J Dermatol 2024. [PMID: 38600615 DOI: 10.1111/ijd.17167] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2024] [Accepted: 03/23/2024] [Indexed: 04/12/2024]
Affiliation(s)
| | - Lauren Mohan
- University of Minnesota Dermatology Residency Program, Minneapolis, MN, USA
| | - Theodore Okoli
- Rosalind Franklin University of Medicine and Science, Chicago, IL, USA
| | - Cynthia Nicholson
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
| | - Kevin Gaddis
- Department of Dermatology, University of Minnesota, Minneapolis, MN, USA
- Department of Dermatopathology, University of Minnesota, Minneapolis, MN, USA
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3
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Aromolo IF, Di Michele E, Boggio FL, Cattaneo A, Marzano AV. Telangiectatic Macules Spreading During More Than 30 Years: A Quiz. Acta Derm Venereol 2024; 104:adv18429. [PMID: 38270259 PMCID: PMC10831866 DOI: 10.2340/actadv.v104.18429] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2023] [Accepted: 11/08/2023] [Indexed: 01/26/2024] Open
Abstract
Abstract is missing (Quiz)
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Affiliation(s)
| | - Eleonora Di Michele
- Department of Pathophysiology and Transplantation, Milan University, Milan, Italy
| | | | - Angelo Cattaneo
- Dermatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
| | - Angelo Valerio Marzano
- Department of Pathophysiology and Transplantation, Milan University, Milan, Italy; Dermatology Unit, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico, Milan, Italy
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4
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Flor D, Xará J, Martins F, Coutinho I, Cardoso JC. Acquired diffuse telangiectasias with an unequivocal immunohistochemistry. Clin Exp Dermatol 2023; 49:102-104. [PMID: 37706513 DOI: 10.1093/ced/llad321] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2023] [Revised: 09/06/2023] [Accepted: 09/09/2023] [Indexed: 09/15/2023]
Abstract
A 56-year-old woman presented with abdominal, lumbar and thoracic livedo with 2 years of evolution, consisting of violaceous poikilodermatous patches with scattered petechiae on a base of erythema and telangiectasia, accompanied by diffuse and mild skin atrophy. Histological analysis revealed vasodilation of the superficial dermis and thickening of capillary walls, highlighted by periodic acid–Schiff stain and immunohistochemistry for collagen type IV.
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Affiliation(s)
- Duarte Flor
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Joana Xará
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Francisco Martins
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - Inês Coutinho
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
| | - José C Cardoso
- Dermatology Department, Coimbra Hospital and University Centre, Coimbra, Portugal
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5
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Yun DK, Yeom K, Shon U, Park BC, Choi MS, Kim MH. Cutaneous Collagenous Vasculopathy: Report of First Korean Case and Review of the Literature. Ann Dermatol 2023; 35:S378-S380. [PMID: 38061752 PMCID: PMC10727894 DOI: 10.5021/ad.21.108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2021] [Revised: 04/28/2022] [Accepted: 08/01/2022] [Indexed: 12/20/2023] Open
Affiliation(s)
- Dea Kwan Yun
- Department of Dermatology, College of Medicine, Dankook University, Cheonan, Korea
| | - Kyujin Yeom
- Department of Dermatology, College of Medicine, Dankook University, Cheonan, Korea
| | - Uri Shon
- Department of Dermatology, College of Medicine, Dankook University, Cheonan, Korea
| | - Byung Cheol Park
- Department of Dermatology, College of Medicine, Dankook University, Cheonan, Korea
| | - Mi Soo Choi
- Department of Dermatology, College of Medicine, Dankook University, Cheonan, Korea
| | - Myung Hwa Kim
- Department of Dermatology, College of Medicine, Dankook University, Cheonan, Korea.
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6
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Firsowicz M, Haller CN, Soldano A, Keeling BH, Diaz LZ. Cutaneous collagenous vasculopathy in a pediatric patient. Pediatr Dermatol 2022; 40:323-325. [PMID: 36261316 DOI: 10.1111/pde.15147] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/23/2022] [Accepted: 09/11/2022] [Indexed: 11/28/2022]
Abstract
We report the case of a 13-year-old female who presented with punctate, erythematous macules coalescing into patches on the upper extremities and left thigh. A skin biopsy demonstrated dilated capillary-sized blood vessels in the papillary dermis consistent with a diagnosis of cutaneous collagenous vasculopathy (CCV). To our knowledge, this is the youngest patient to present with CCV and will represent the third pediatric case in the literature.
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Affiliation(s)
- Maya Firsowicz
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA
| | - Courtney N Haller
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA
| | - Anthony Soldano
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA.,Dermatopathology, Clinical Pathology Associates, Division of Dermatopathology, Austin, Texas, USA
| | - Brett H Keeling
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA.,Dermatopathology, Clinical Pathology Associates, Division of Dermatopathology, Austin, Texas, USA
| | - Lucia Z Diaz
- Division of Dermatology, Department of Medicine, University of Texas at Austin-Dell Medical School, Austin, Texas, USA.,Dell Children's Medical Center, Austin, Texas, USA.,Division of Pediatric Dermatology, Department of Pediatrics, University of Texas at Austin-Dell Medical School, Austin, Texas, USA
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7
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Miroslav D, Lumir P, Petra C, Alexandra J, Kristyna N, Jiri S. A Case of Cutaneous Collagenous Vasculopathy Associated with Multiple Myeloma and with Pathogenic Variant in the Glucocerebrosidase Gene. J Cutan Pathol 2022; 49:717-721. [PMID: 35294059 DOI: 10.1111/cup.14227] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/30/2021] [Revised: 03/04/2022] [Accepted: 03/13/2022] [Indexed: 11/29/2022]
Abstract
Cutaneous collagenous vasculopathy (CCV) is an extremely rare acquired microangiopathy of unknown etiology. The authors describe a case of a 68-year-old man, a carrier of a heterozygous pathogenic variant in the glucocerebrosidase (GBA) gene, who was diagnosed with CCV, revealing uncommon fibrinogen positivity in direct immunofluorescence. The patient was subsequently diagnosed with multiple myeloma. The treatment of myeloma with combined chemotherapy including bortezomib, followed by autologous stem cell transplantation, led to significant reduction of cutaneous lesions. To the best of the authors' knowledge, this is the first published case of CCV in a carrier of a pathogenic variant in the GBA gene, associated with multiple myeloma and with significant regression of CCV after the myeloma treatment. Direct immunofluorescence examination revealed uncommon fibrinogen positivity. Hypothetical causative role of bortezomib treatment was proposed regarding significant regression of CCV. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Dura Miroslav
- Department of Dermatology and Venereology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Pock Lumir
- Bioptical Laboratory Ltd, Pilsen, Czech Republic
| | - Cetkovska Petra
- Department of Dermatology and Venereology, Faculty of Medicine in Pilsen, Charles University and University Hospital in Pilsen, Czech Republic
| | - Jungova Alexandra
- Department of Hematooncology, Faculty of Medicine in Pilsen, Charles University and University Hospital in Pilsen, Czech Republic
| | - Nemejcova Kristyna
- Department of Pathology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
| | - Stork Jiri
- Department of Dermatology and Venereology, First Faculty of Medicine, Charles University and General University Hospital, Prague, Czech Republic
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Veritable Vascular Changes: Answer. Am J Dermatopathol 2021; 42:706-707. [PMID: 32833737 DOI: 10.1097/dad.0000000000001425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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9
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Stavrou C, Uthayakumar A, Calonje JE, Bunker CB. Cutaneous collagenous vasculopathy. BMJ Case Rep 2021; 14:e241434. [PMID: 33758051 PMCID: PMC7993340 DOI: 10.1136/bcr-2020-241434] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/09/2021] [Indexed: 11/04/2022] Open
Affiliation(s)
- Christiana Stavrou
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - Aarthy Uthayakumar
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
| | - Jaime Eduardo Calonje
- St John's Institute of Dermatology, Guy's and St Thomas' NHS Foundation Trust, London, UK
| | - Christopher B Bunker
- Department of Dermatology, University College London Hospitals NHS Foundation Trust, London, UK
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10
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Eldik H, Leisenring NH, Al-Rohil RN, Marano AL. Cutaneous collagenous vasculopathy in a middle-aged woman with a history of prothrombin G20210A thrombophilia. J Cutan Pathol 2021; 49:679-682. [PMID: 33470458 DOI: 10.1111/cup.13895] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2020] [Revised: 09/14/2020] [Accepted: 10/02/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Hysem Eldik
- Department of Dermatology, Duke University Medical Center, Durham, North Carolina, USA
| | | | - Rami N Al-Rohil
- Department of Pathology, Duke University Medical Center, Durham, North Carolina, USA
| | - Anne L Marano
- Department of Dermatology, Duke University Medical Center, Durham, North Carolina, USA
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A Rare Form of Acquired Telangiectasia With Distinctive Histopathologic Features: Answer. Am J Dermatopathol 2019; 41:950. [PMID: 31764233 DOI: 10.1097/dad.0000000000001240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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12
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Telangiectatic Patches on Knees and Elbows of a 73-Year-Old Woman: Answer. Am J Dermatopathol 2019; 41:860-861. [PMID: 31633552 DOI: 10.1097/dad.0000000000001233] [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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13
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Matsuzaki Y, Takahashi M, Minakawa S, Jin K, Nakano H, Sawamura D. Cutaneous collagenous vasculopathy induced by the vascular endothelial growth factor receptor inhibitor axitinib. Int J Dermatol 2018; 57:e167-e169. [DOI: 10.1111/ijd.14243] [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: 03/14/2018] [Revised: 07/19/2018] [Accepted: 08/24/2018] [Indexed: 11/26/2022]
Affiliation(s)
- Yasushi Matsuzaki
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Mika Takahashi
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Satoko Minakawa
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Kayo Jin
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Hajime Nakano
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
| | - Daisuke Sawamura
- Department of Dermatology; Hirosaki University Graduate School of Medicine; Hirosaki Japan
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14
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Roy SF, Ghazawi FM, Veilleux B, Bouffard D, Bélisle A. A rare cause of blanching red legs: cutaneous collagenous vasculopathy. Int J Dermatol 2018; 57:349-350. [DOI: 10.1111/ijd.13900] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/01/2017] [Accepted: 12/14/2017] [Indexed: 11/30/2022]
Affiliation(s)
- Simon F. Roy
- Division of Pathology; University of Montréal; Montréal Québec Canada
| | - Feras M. Ghazawi
- Division of Dermatology; University of Ottawa; Ottawa Ontario Canada
| | - Bertrand Veilleux
- Division of Dermatology; University of Montréal; Montréal Québec Canada
| | - Danielle Bouffard
- Division of Pathology; University of Montréal; Montréal Québec Canada
| | - Annie Bélisle
- Division of Pathology; University of Montréal; Montréal Québec Canada
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15
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Cutaneous Collagenous Vasculopathy: A Unique Case With Positive Direct Immunofluorescence Findings. Am J Dermatopathol 2017; 41:77-79. [PMID: 29135504 DOI: 10.1097/dad.0000000000001041] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
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