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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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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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3
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Bondier L, Tardieu M, Leveque P, Challende I, Pinel N, Leccia MT. Cutaneous Collagenous Vasculopathy: Report of Two Cases Presenting as Disseminated Telangiectasias and Review of the Literature. Am J Dermatopathol 2017; 39:682-688. [DOI: 10.1097/dad.0000000000000613] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Extensive Acquired Telangiectasias: Comparison of Generalized Essential Telangiectasia and Cutaneous Collagenous Vasculopathy. ACTAS DERMO-SIFILIOGRAFICAS 2017. [DOI: 10.1016/j.adengl.2017.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022] Open
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5
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Knöpfel N, Martín-Santiago A, Saus C, Escudero-Góngora M, del Pozo L, Gómez C. Telangiectasias extensas adquiridas: comparación entre telangiectasia esencial generalizada y vasculopatía colágena cutánea. ACTAS DERMO-SIFILIOGRAFICAS 2017; 108:e21-e26. [DOI: 10.1016/j.ad.2016.02.020] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2015] [Revised: 01/13/2016] [Accepted: 02/07/2016] [Indexed: 11/28/2022] Open
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6
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Motegi SI, Yasuda M, Yamanaka M, Amano H, Ishikawa O. Cutaneous collagenous vasculopathy: Report of first Japanese case and review of the literature. Australas J Dermatol 2016; 58:145-149. [DOI: 10.1111/ajd.12444] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/25/2015] [Accepted: 11/26/2015] [Indexed: 11/29/2022]
Affiliation(s)
- Sei-ichiro Motegi
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Masahito Yasuda
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Masayoshi Yamanaka
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Hiroo Amano
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
| | - Osamu Ishikawa
- Department of Dermatology; Gunma University Graduate School of Medicine; Maebashi Gunma Japan
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7
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Basso D, Ribero S, Blazek C, Dietrich N, Beltraminelli H, Ramelet AA, Borradori L, Adatto M. Cutaneous Collagenous Vasculopathy: A Rare Form of Microangiopathy Successfully Treated with a Combination of Multiplex Laser and Optimized Pulsed Light with a Review of the Literature. Dermatology 2015; 232:107-11. [DOI: 10.1159/000439126] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/21/2015] [Accepted: 07/31/2015] [Indexed: 11/19/2022] Open
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8
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Toda-Brito H, Resende C, Catorze G, Viana I. Cutaneous collagenous vasculopathy: a rare cause of generalised cutaneous telangiectasia. BMJ Case Rep 2015; 2015:bcr-2015-210635. [PMID: 26156838 DOI: 10.1136/bcr-2015-210635] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
Cutaneous collagenous vasculopathy is a rare cutaneous microangiopathy of unknown aetiology with only 27 cases reported to date. It is characterised clinically by generalised cutaneous telangiectasias and microscopically by dilation and marked thickening of the walls of superficial dermal blood vessels. Differential diagnosis should be performed with other causes of disseminated telangiectasias, including generalised essential telangiectasia, from which it is clinically indistinguishable. We report a new case of cutaneous collagenous vasculopathy in a 61-year-old woman presenting with a 5-year history of asymptomatic telangiectasias distributed symmetrically on her upper and lower limbs and highlight the importance of clinicopathological correlation for the diagnosis of this disease.
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Affiliation(s)
- Helena Toda-Brito
- Dermatology Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
| | | | - Goreti Catorze
- Dermatology Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
| | - Isabel Viana
- Dermatology Department, Hospital Egas Moniz, Centro Hospitalar Lisboa Ocidental, Lisbon, Portugal
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9
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Meah N, Khirwadkar N, Ellison J. A rare case of cutaneous collagenous vasculopathy. Australas J Dermatol 2015; 57:e97-9. [DOI: 10.1111/ajd.12330] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/30/2014] [Accepted: 02/16/2015] [Indexed: 11/30/2022]
Affiliation(s)
- Nekma Meah
- Dermatology; Royal Liverpool and Broadgreen University Hospital Trust; Merseyside UK
| | - Nitin Khirwadkar
- Histopathology; Royal Liverpool and Broadgreen University Hospital Trust; Merseyside UK
| | - Judith Ellison
- Dermatology; St Helens and Knowsley Hospitals NHS Trust; St Helens UK
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10
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Borroni RG, Derlino F, Agozzino M, Concardi M, Arbustini E, Brazzelli V. Hypothermic cutaneous collagenous vasculopathy with centrifugal spreading. J Eur Acad Dermatol Venereol 2014; 29:1444-6. [PMID: 24684344 DOI: 10.1111/jdv.12498] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2014] [Revised: 02/18/2014] [Accepted: 03/03/2014] [Indexed: 11/29/2022]
Affiliation(s)
- R G Borroni
- Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - F Derlino
- Clinica Dermatologica, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - M Agozzino
- Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - M Concardi
- Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - E Arbustini
- Centre for Inherited Cardiovascular Diseases, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
| | - V Brazzelli
- Clinica Dermatologica, University of Pavia, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
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