1
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Tay WC, Tan SH, Lee SX. Extensive annular petechial eruption in an elderly man with Parkinson's disease: A clinicopathological challenge. Indian J Dermatol Venereol Leprol 2024; 0:1-3. [PMID: 38841951 DOI: 10.25259/ijdvl_832_2023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2023] [Accepted: 01/07/2024] [Indexed: 06/07/2024]
Affiliation(s)
- Woo Chiao Tay
- Department of Dermatology, Changi General Hospital, Singapore
| | - Sze Hwa Tan
- Department of Laboratory Medicine, Changi General Hospital, Singapore
| | - Shan Xian Lee
- Department of Dermatology, Changi General Hospital, Singapore
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2
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Ilagan FMD, Wu YH. A retrospective study on the direct immunofluorescence findings in pigmented purpuric dermatosis. J Cutan Pathol 2024; 51:63-69. [PMID: 37565512 DOI: 10.1111/cup.14507] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/24/2022] [Revised: 04/12/2023] [Accepted: 07/31/2023] [Indexed: 08/12/2023]
Abstract
BACKGROUND Pigmented purpuric dermatosis (PPD) is characterized by grouped petechiae, purpuric macules, and pigmentation in the bilateral lower extremities. It runs a chronic and relapsing course. Pathophysiology is poorly understood, but it has been proposed to be an immune-complex disease or capillaritis. This study aimed to determine the incidence and patterns of positive direct immunofluorescence (DIF) findings in patients with clinically and histopathologically confirmed PPD. The association between DIF deposition type and clinical profile was also analyzed. METHODS Patients with a clinical and histopathologic PPD diagnosis who had undergone DIF studies at a tertiary medical center with attached dermatopathology and immunofluorescence diagnostic centers between January 2002 and December 2021 were included in this study. Data on age, sex, disease duration, comorbidities, and drug intake were collected from medical records. RESULTS There were 65 patients who satisfied the inclusion criteria. Among them, 58 (89%) had at least one positive finding and 53 (82%) were vascular deposition of immunoglobulin (Ig), complement, or fibrinogen. The most common vascular deposition was fibrinogen (71%) followed by C3 (62%), IgM (18%), IgA (6%), and IgG (3%). Fibrinogen deposition was associated with hypertension (p < 0.03). There was no association between vascular DIF deposition of IgG, IgA, and C3, with age, sex, comorbidities, disease duration, and drug history. CONCLUSION The most common DIF findings in PPD were vascular deposition of fibrinogen and C3, with or without Ig presence. DIF findings supported a vascular origin in PPD but not an immune complex-mediated disease. Hypertension was associated with fibrinogen deposition and may play a role in its pathophysiology.
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Affiliation(s)
| | - Yu-Hung Wu
- Department of Medicine, MacKay Medical College, New Taipei City, Taiwan
- Department of Dermatology, MacKay Memorial Hospital, Taipei, Taiwan
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3
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Dhekariyapak A, Wattanakrai P. Granulomatous Pigmented Purpuric Dermatosis in a Patient with (Inactive) Myasthenia Gravis: A Case Report and Review of the Literature. Case Rep Dermatol 2023; 15:71-84. [PMID: 37383325 PMCID: PMC10293941 DOI: 10.1159/000530034] [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: 12/27/2022] [Accepted: 02/20/2023] [Indexed: 06/30/2023] Open
Abstract
Granulomatous pigmented purpuric dermatosis (GPPD) is a rare histologic variant of pigmented purpuric dermatosis (PPD) characterized by dermal histiocyte-rich interstitial infiltration with or without granuloma formation in addition to the other typical features of PPD. GPPD was previously observed more frequently to affect Asians and was reported to be associated with dyslipidemia. However, our literature search of 45 documented GPPD cases revealed an increasing prevalence in Caucasians in addition to dyslipidemia and associated autoimmune diseases. To date, etiopathogenesis of GPPD is unknown but may involve dyslipidemia, genetic and immunological factors such as autoimmune dysregulation or a sarcoidal reaction associated with C. acnes. GPPD is usually persistent and recalcitrant to treatments. We report a case of GPPD in a 57-year-old Thai woman with underlying myasthenia gravis who presented with a pruritic eruption on both lower legs. After treatment with 0.05% clobetasol propionate cream and oral colchicine, the lesion improved with marked flattening and disappeared with residual postinflammatory hyperpigmentation. We provide a literature review of the epidemiology, etiopathogenesis, concomitant comorbidities, clinical symptoms, dermatoscopic features, and treatments of GPPD.
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Affiliation(s)
- Apirada Dhekariyapak
- Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
| | - Penpun Wattanakrai
- Division of Dermatology, Department of Internal Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand
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4
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Horiuchi Y. Pigmented purpuric dermatosis persistent over 20 years treated with an ozone nanobubble water oral rinse: A case study. Dermatol Ther 2022; 35:e15854. [PMID: 36153705 DOI: 10.1111/dth.15854] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/17/2022] [Revised: 08/22/2022] [Accepted: 09/21/2022] [Indexed: 11/30/2022]
Abstract
Pigmented purpuric dermatosis is a rare, unique purpuric skin disorder, most commonly located on the lower extremities and characterized by petechiae with tiny red rashes and brown pigmented patches. The precise etiology and a reliable treatment have not been established. This case report presents a 72-year-old female with repeating purpuric, tiny rashes and persistent extensive brown pigmented patches with pigmented purpuric dermatosis on both lower extremities for the past 20 years. Ozone nanobubble (ONB) water is a new sterilizing agent containing dissolved nanosized ozone gas bubbles in water. The patient performed an oral rinse every night with ONB water and was successfully treated. However, vitamin C administration and Ruby laser treatment were needed to reduce residual pigmentation. This case suggests that oral bacteria may be a causative factor of pigmented purpuric dermatosis.
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5
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Pigmented Purpuric Dermatosis of the Hand: Clinicopathologic Analysis of Six Cases With Review of the Literature. Am J Dermatopathol 2022; 44:553-558. [PMID: 35503879 DOI: 10.1097/dad.0000000000002204] [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 Pigmented purpuric dermatosis (PPD) is a group of skin disorders characterized by red, brown, or golden macules and patches with cayenne pepper-like spots. Classic histopathologic features include a perivascular lymphocytic infiltrate with associated erythrocyte extravasation and hemosiderin deposition. Although PPD most commonly affects the lower extremities, upper extremity involvement has been infrequently reported. Cases involving the hands are particularly rare. We present 6 new cases of PPD involving the hand and review 17 previously reported cases in the literature. All cases in our series were unilateral and localized to the dorsum of the hand. PPD was considered clinically in only 2 of these cases. Histopathologic examination revealed hallmark features of PPD, namely a superficial perivascular lymphocytic infiltrate and extravasated erythrocytes. Previous reports of PPD involving the hand described concurrent involvement of other anatomic sites in most cases; only 4 cases (24%) were confined to the hands. Histopathologic descriptions of these reported cases were compatible with PPD. In sum, our series describes a unique and rare clinical presentation of PPD confined to the unilateral dorsal hand. Because of the unusual presentation, biopsy is often required for accurate diagnosis.
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6
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BALESTRI R, IORIS T, RECH G, GIRARDELLI CR, MAGNANO M. All that reddens is not psoriasis: a peculiar localization of pigmented purpuric dermatosis in two psoriatic patients. Ital J Dermatol Venerol 2022; 157:376-377. [DOI: 10.23736/s2784-8671.21.07127-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
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7
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Matter AV, Kolm I, Kempf W. Granulomatous pigmented purpuric dermatosis: clinical and histopathologic findings in a series of nine cases. J Cutan Pathol 2022; 49:597-603. [PMID: 35288961 DOI: 10.1111/cup.14224] [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: 12/17/2021] [Revised: 02/18/2022] [Accepted: 03/04/2022] [Indexed: 11/28/2022]
Abstract
We report the largest series so far of granulomatous pigmented purpuric dermatosis (GPPD), a rare variant of pigmented purpuric dermatoses (PPD). GPPD can cause diagnostic difficulties as it can be mistaken clinically and histopathologically with numerous inflammatory and infectious dermatoses or even cutaneous T-cell lymphoma. We compared the histopathological findings of nine cases of GPPD with a control group consisting of ten randomly selected PPD of other subtypes. GPPD seems to predominantly affect the lower extremities of adult male patients; a clear association with hyperlipidemia or other systemic conditions could not be confirmed. Histopathologically, GPPD is characterized by a dermal histiocyte-rich interstitial infiltrate with or without granuloma formation, thickened capillaries, extravasated erythrocytes and/or hemosiderin deposits. In contrast to other forms of PPD, the inflammatory infiltrate of GPPD can extend to the mid or deep dermis and the admixed lymphocytic infiltrate is mainly composed of CD8+ T-cells. This article is protected by copyright. All rights reserved.
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Affiliation(s)
- Alexandra Valeska Matter
- Kempf und Pfaltz Histologische Diagnostik, Zurich, Switzerland.,Department of Dermatology, University Hospital Zurich, University Zurich, Zurich, Switzerland
| | - Isabel Kolm
- Department of Dermatology, University Hospital Zurich, University Zurich, Zurich, Switzerland
| | - Werner Kempf
- Kempf und Pfaltz Histologische Diagnostik, Zurich, Switzerland.,Department of Dermatology, University Hospital Zurich, University Zurich, Zurich, Switzerland
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8
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An Elderly Man With a Violaceous Plaque on the Right Buttock: Answer. Am J Dermatopathol 2021; 43:995-996. [PMID: 34797794 DOI: 10.1097/dad.0000000000002027] [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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Xavier-Júnior JCC, Ocanha-Xavier JP, Domingos MR, D'Ávilla SCGP. Lichen aureus with pseudolymphomatous infiltrate: Other histopathological aspects and the importance of clinical-pathological correlation. J Cutan Pathol 2021; 48:1101-1102. [PMID: 33970499 DOI: 10.1111/cup.14057] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 04/25/2021] [Accepted: 05/06/2021] [Indexed: 11/30/2022]
Affiliation(s)
- José Cândido Caldeira Xavier-Júnior
- Pathology, Institute of Araçatuba, Araçatuba, São Paulo, Brazil.,School of Medicine. Centro Universitário Católico Unisalesiano Auxilium, Araçatuba, São Paulo, Brazil
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10
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Spigariolo CB, Giacalone S, Nazzaro G. Pigmented Purpuric Dermatoses: A Complete Narrative Review. J Clin Med 2021; 10:jcm10112283. [PMID: 34070260 PMCID: PMC8197337 DOI: 10.3390/jcm10112283] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2021] [Revised: 05/18/2021] [Accepted: 05/22/2021] [Indexed: 01/10/2023] Open
Abstract
Pigmented purpuric dermatoses (PPD) include several skin diseases characterized by multiple petechial hemorrhage as consequence of capillaritis. PPD generally present with red to purple macules that progressively evolve to golden-brown color as the hemosiderin is reabsorbed. These lesions, often asymptomatic or associated with mild pruritus, usually occur on the lower extremities and may be a diagnostic and therapeutic challenge both for general practitioners and specialists in internal medicine or flebology. Clinical presentations include many subtypes that have been described over the years, although histology is usually superimposable. Prompt recognition and patient reassurance on the benign nature of these diseases is crucial. In this comprehensive review, we focused on pathogenesis and clinical pictures.
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Affiliation(s)
- Cristina B. Spigariolo
- Dermatology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; (C.B.S.); (S.G.)
- Department of Pathophysiology and Transplantation, Università degli Studi di Milano, 20122 Milan, Italy
| | - Serena Giacalone
- Dermatology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; (C.B.S.); (S.G.)
- Department of Pathophysiology and Transplantation, Università degli Studi di Milano, 20122 Milan, Italy
| | - Gianluca Nazzaro
- Dermatology Unit, Fondazione IRCCS Ca’ Granda Ospedale Maggiore Policlinico, 20122 Milan, Italy; (C.B.S.); (S.G.)
- Correspondence: ; Tel.: +39-0255035127
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11
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Kim KE, Moon HR, Ryu HJ. Dermoscopic Findings and the Clinicopathologic Correlation of Pigmented Purpuric Dermatosis: A Retrospective Review of 60 Cases. Ann Dermatol 2021; 33:214-221. [PMID: 34079180 PMCID: PMC8137322 DOI: 10.5021/ad.2021.33.3.214] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 09/12/2020] [Accepted: 10/05/2020] [Indexed: 11/08/2022] Open
Abstract
Background Pigmented purpuric dermatosis (PPD) is known as a chronic recurrent eruption which usually presents with petechiae and pigmented macules on the lower extremities. Dermoscopy is a noninvasive diagnostic tool in identifying pigmented and vascular lesions, which can also be beneficial in the evaluation of PPD. Objective We aimed to analyze the common dermoscopic characteristics of PPD, and correlate those findings with the histopathologic features. Additionally, dermoscopic and pathological findings in this study population were compared with other similar studies from the literature review. Methods A retrospective analysis was performed using data of 60 patients who were diagnosed as PPD by skin biopsy and had dermoscopic examination. The pathologic analysis was performed by categorizing the pattern into lichenoid, perivascular, interface, and spongiotic subtype, and the dermoscopic assessment was performed by the three authors independently. Results In dermoscopy, 96.7% of the patients showed red globules and dots, followed by brownish patch, coppery-red pigmentation, and annular comma-like vessels. The pathologic pattern analysis revealed statistically significant association of lichenoid pattern with coppery red pigmentation, perivascular pattern with annular/comma-like vessels, and spongiosis pattern with reticular pigmented network and linear vessels. The interrater similarity test showed total kappa value of 0.811 which referred to "very good". Conclusion In this study, the prevalence of dermoscopic features in Asian PPD patients was identified, which was similar with previous studies. The dermoscopic-pathologic correlation was found in four dermoscopic features. We suggest that dermoscopic examination is helpful in clinical diagnosis and pathological prediction of PPD.
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Affiliation(s)
- Ko Eun Kim
- Department of Dermatology, Korea University Ansan Hospital, Ansan, Korea
| | | | - Hwa Jung Ryu
- Department of Dermatology, Korea University Ansan Hospital, Ansan, Korea
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12
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Saggini A, Anemona L, Bianchi L, Orlandi A, Cannizzaro MV. Unilateral Maculopapular Eruption in a Child: Answer. Am J Dermatopathol 2021; 43:154-155. [PMID: 33492843 DOI: 10.1097/dad.0000000000001647] [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]
Affiliation(s)
- Andrea Saggini
- Dermatopathologie Friedrichshafen, Friedrichshafen, Germany
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy ; and
| | - Lucia Anemona
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy ; and
| | - Luca Bianchi
- Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy
| | - Augusto Orlandi
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy ; and
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13
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Kolm I, Buset C, Flury U, Nosek D, Kazakov DV, Kempf W. Lichen aureus with pseudolymphomatous infiltrate. J Cutan Pathol 2021; 48:669-673. [PMID: 33368548 DOI: 10.1111/cup.13948] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/07/2020] [Revised: 12/14/2020] [Accepted: 12/21/2020] [Indexed: 12/16/2022]
Abstract
Lichen aureus is a variant of pigmented purpuric dermatoses. The usual histopathology of lichen aureus is characterized by a subepidermal dense, band-like lymphocytic infiltrate, extravasated erythrocytes, and hemosiderin deposits. We report three patients with lichen aureus on the extremities with similar clinical, dermoscopic, and histopathological findings characterized by a dense band-like relatively deep dermal infiltrate accompanied by extravasation of erythrocytes and hemosiderin deposits occasioning a resemblance to a lymphoproliferative disorder.
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Affiliation(s)
- Isabel Kolm
- Department of Dermatology, University Hospital Zurich, Switzerland
| | - Caroline Buset
- Department of Dermatology, University Hospital Zurich, Switzerland.,Dermatology Service, Cantonal Hospital Frauenfeld, Switzerland
| | - Ursula Flury
- Division of Dermatology, Lucerne Cantonal Hospital and Cancer Center, Lucerne, Switzerland
| | - Daniel Nosek
- Department of Medical Biosciences/Pathology, Umeå University, Umeå, Sweden
| | - Dmitry V Kazakov
- Sikl's Department of Pathology, Medical Faculty in Pilsen, Charles University in Prague, Pilsen, Czech Republic
| | - Werner Kempf
- Department of Dermatology, University Hospital Zurich, Switzerland.,Kempf & Pfaltz Histologische Diagnostik, Zurich, Switzerland
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14
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Çaytemel C, Baykut B, Ağırgöl Ş, Caf N, Demir FT, Türkoğlu Z, Uzuner EG. Pigmented purpuric dermatosis: Ten years of experience in a tertiary hospital and awareness of mycosis fungoides in differential diagnosis. J Cutan Pathol 2021; 48:611-616. [PMID: 33368594 DOI: 10.1111/cup.13949] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2020] [Revised: 12/16/2020] [Accepted: 12/21/2020] [Indexed: 11/28/2022]
Abstract
BACKGROUND Pigmented purpuric dermatoses (PPD) can clinically mimic many diseases. Histopathology provides a definitive diagnosis. The aim of the study is to reveal the features of patients with PPD and to determine the disease frequency in the differential diagnosis, especially mycosis fungoides (MF). METHODS We retrospectively reviewed records of patients with PPD admitted to our hospital from January 2010 to May 2019. We studied the histopathological features of 127 patients, and performed pattern analysis on cases with a confirmed histopathologic diagnosis of PPD. Among the cases presenting with clinical features of PPD, but displaying different histopathological diagnoses, we focused on MF and tried to clarify the features of PPD-like MF. RESULTS Overall, 389 patients were admitted to our hospital with PPD symptoms. Of them, 262 patients were diagnosed clinically and a histopathological examination was performed in 127 patients. Of 127, 87 were diagnosed with PPD, and in the remaining 40, non-specific features (9.4%), vasculitis (6.2%), pityriasis rosea (4.7%), MF (3.9%), suspected-MF (1.5%), and other dermatoses (%5.5) were detected. The biopsy findings of two patients showed PPD, but during follow-up, the diagnosis of MF was established. CONCLUSIONS MF should be included in the differential diagnosis of PPD cases presenting with longstanding and widespread involvement.
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Affiliation(s)
- Ceyda Çaytemel
- Department of Dermatology and Venereology, Istanbul Haseki Training and Research Hospital, Istanbul, Turkey
| | - Başak Baykut
- Department of Dermatology and Venereology, Istanbul Haseki Training and Research Hospital, Istanbul, Turkey
| | - Şenay Ağırgöl
- Department of Dermatology and Venereology, Istanbul Haseki Training and Research Hospital, Istanbul, Turkey
| | - Nazlı Caf
- Department of Dermatology and Venereology, Istanbul Haseki Training and Research Hospital, Istanbul, Turkey
| | - Filiz Topaloğlu Demir
- Department of Dermatology and Venereology, Istanbul Medipol University, School of Medicine, Istanbul, Turkey
| | - Zafer Türkoğlu
- Department of Dermatology and Venereology, Istanbul Haseki Training and Research Hospital, Istanbul, Turkey
| | - Esen Gül Uzuner
- Department of Pathology, Istanbul Haseki Training and Research Hospital, Istanbul, Turkey
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15
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Violaceous Papules Presenting on the Foot and Lower Limb: Answer. Am J Dermatopathol 2020; 42:297-298. [PMID: 32205512 DOI: 10.1097/dad.0000000000001333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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16
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Fernandez‐Nieto D, Jimenez‐Cauhe J, Ortega‐Quijano D, Pindado‐Ortega C, Boixeda P. Behandlung eines segmentalen Lichen aureus bei einem Kind mit 755 nm‐Alexandrit‐Pikosekunden‐Laser. J Dtsch Dermatol Ges 2020; 18:1201-1203. [DOI: 10.1111/ddg.14172_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
| | | | | | | | - Pablo Boixeda
- Dermatology Department Ramon y Cajal University Hospital Madrid Spain
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17
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Garcez AS, Rego VRPDA, Silva TS. Purpura annularis telangiectodes of Majocchi. An Bras Dermatol 2020; 95:664-666. [PMID: 32768198 PMCID: PMC7562996 DOI: 10.1016/j.abd.2020.02.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2019] [Accepted: 02/17/2020] [Indexed: 10/28/2022] Open
Affiliation(s)
- Aline Soares Garcez
- Dermatology Service, Hospital Universitário Professor Edgard Santos, Universidade Federal da Bahia, Salvador, BA, Brazil.
| | | | - Thadeu Santos Silva
- Dermatology Service, Escola Bahiana de Medicina e Saúde Pública, Salvador, BA, Brazil
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18
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Fernandez-Nieto D, Jimenez-Cauhe J, Ortega-Quijano D, Pindado-Ortega C, Boixeda P. Treatment of segmental lichen aureus in the pediatric age with a 755 nm alexandrite picosecond laser. A new therapeutic approach for pigmented purpuric dermatosis. J Dtsch Dermatol Ges 2020; 18:1201-1203. [PMID: 32656950 DOI: 10.1111/ddg.14172] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
| | - Juan Jimenez-Cauhe
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
| | | | | | - Pablo Boixeda
- Dermatology Department, Ramon y Cajal University Hospital, Madrid, Spain
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19
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Bhandari M, Khullar G, Sharma S. Granulomatous pigmented purpuric dermatosis favorably treated with the combination of colchicine and calcium dobesilate. Dermatol Ther 2020; 33:e13843. [PMID: 32543004 DOI: 10.1111/dth.13843] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Revised: 06/05/2020] [Accepted: 06/12/2020] [Indexed: 11/28/2022]
Affiliation(s)
- Molisha Bhandari
- Department of Dermatology and Sexually Transmitted Diseases, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
| | - Geeti Khullar
- Department of Dermatology and Sexually Transmitted Diseases, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India
| | - Shruti Sharma
- National Institute of Pathology (Indian Council of Medical Research), Safdarjung Hospital Campus, New Delhi, India
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20
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Ollech A, Paller A, Kruse L, Kenner‐Bell B, Chamlin S, Wagner A, Shen L, Yousif R, Balmert L, Mancini A. Pigmented purpuric dermatosis in children: a retrospective cohort with emphasis on treatment and outcomes. J Eur Acad Dermatol Venereol 2020; 34:2402-2408. [DOI: 10.1111/jdv.16397] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/22/2019] [Accepted: 02/28/2020] [Indexed: 11/26/2022]
Affiliation(s)
- A. Ollech
- Division of Dermatology Ann & Robert H. Lurie Children’s Hospital of Chicago Northwestern University Chicago IL USA
| | - A.S. Paller
- Division of Dermatology Ann & Robert H. Lurie Children’s Hospital of Chicago Northwestern University Chicago IL USA
- Department of Pediatrics Northwestern University Feinberg School of Medicine Chicago IL USA
- Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA
| | - L. Kruse
- Division of Dermatology Ann & Robert H. Lurie Children’s Hospital of Chicago Northwestern University Chicago IL USA
- Department of Pediatrics Northwestern University Feinberg School of Medicine Chicago IL USA
- Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA
| | - B. Kenner‐Bell
- Division of Dermatology Ann & Robert H. Lurie Children’s Hospital of Chicago Northwestern University Chicago IL USA
- Department of Pediatrics Northwestern University Feinberg School of Medicine Chicago IL USA
- Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA
| | - S. Chamlin
- Division of Dermatology Ann & Robert H. Lurie Children’s Hospital of Chicago Northwestern University Chicago IL USA
- Department of Pediatrics Northwestern University Feinberg School of Medicine Chicago IL USA
- Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA
| | - A. Wagner
- Division of Dermatology Ann & Robert H. Lurie Children’s Hospital of Chicago Northwestern University Chicago IL USA
- Department of Pediatrics Northwestern University Feinberg School of Medicine Chicago IL USA
- Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA
| | - L. Shen
- Department of Dermatology School of Medicine Boston University Boston MA USA
| | - R. Yousif
- Division of Dermatology Ann & Robert H. Lurie Children’s Hospital of Chicago Northwestern University Chicago IL USA
| | - L.C. Balmert
- Department of Preventive Medicine Division of Biostatistics Northwestern University Feinberg School of Medicine Chicago IL USA
| | - A.J. Mancini
- Division of Dermatology Ann & Robert H. Lurie Children’s Hospital of Chicago Northwestern University Chicago IL USA
- Department of Pediatrics Northwestern University Feinberg School of Medicine Chicago IL USA
- Department of Dermatology Northwestern University Feinberg School of Medicine Chicago IL USA
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Nieto-Benito L, Rosell-Díaz A, Pulido-Pérez A. Púrpura cutánea no vasculítica: dermatosis purpúrica pigmentada. Semergen 2020; 46:e32-e33. [DOI: 10.1016/j.semerg.2019.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2019] [Accepted: 11/19/2019] [Indexed: 11/24/2022]
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22
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Abstract
Vasculitis, characterized by inflammation and necrosis, manifests a wide spectrum of presentation by involving a vasculature of various sizes and locations. A definitive diagnosis of vasculitis invariably requires histologic confirmation since there are no diagnostic clinical, imaging, or laboratory findings. The most widely adopted vasculitis classification is the Chapel Hill Consensus Conference (CHCC) nomenclature of systemic vasculitis which integrated clinical symptoms, histopathologic features, and laboratory findings. This classification accounts for the size of the involved vessels. This chapter outlines the clinical and histologic features of the small-vessel vasculitis including the immune complex vasculitis and antineutrophil cytoplasmic antibody-associated vasculitis; medium-vessel vasculitis such as polyarteritis nodosa and Kawasaki disease; large-vessel vasculitis, namely, giant cell arteritis and Takayasu arteritis; variable-vessel vasculitis such as Behcet disease and Cogan syndrome; and vasculitis associated with systemic diseases including rheumatoid arthritis, lupus vasculitis, and sarcoid vasculitis. Vasculitis can also be secondary to drugs, infection, underlying systemic disease, or trauma. Therefore, a diagnosis of vasculitis cannot be based on histologic ground alone. Clinical pathologic correlation is necessary.
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Affiliation(s)
- Mai P. Hoang
- Professor of Pathology, Harvard Medical School, Director of Dermatopathology, Massachusetts General Hospital, Boston, MA USA
| | - Maria Angelica Selim
- Professor of Pathology and Dermatology, Director, Dermatopathology Unit, Duke University Medical Center, Durham, NC USA
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23
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Kutlubay Z, Cesur SK, Aşkın Ö, Tüzün Y. The color of skin: brown diseases of the skin, nails, and mucosa. Clin Dermatol 2020; 37:487-506. [PMID: 31896404 DOI: 10.1016/j.clindermatol.2019.07.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/12/2022]
Abstract
Brown diseases comprise disorders leading to hyperpigmentation in skin and nails. Melasma is an acquired skin disorder that is characterized by brownish macules that typically occur on the face. Schamberg disease, also known as progressive pigmented purpura, is characterized by brown pigmentation with pepper spots on their edges. We summarize the epidemiology, pathogenesis, histologic features, and treatment choices for additional brown diseases, including melasma, pigmented purpuric dermatoses, postinflammatory hyperpigmentation, drug-induced hyperpigmentation, and pigmentations due to systemic or physiologic conditions.
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Affiliation(s)
- Zekayi Kutlubay
- Department of Dermatology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey.
| | | | - Özge Aşkın
- Department of Dermatology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey
| | - Yalçın Tüzün
- Department of Dermatology, Cerrahpaşa Medical Faculty, Istanbul University-Cerrahpaşa, Istanbul, Turkey
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24
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Semkova K, Carr R, Grainger M, Green R, Hafejee A, Makrygeorgou A, Melly L, Motta L, Newsham J, Owen C, Sillars J, Taibjee S, Calonje E. Poikilodermatous plaque-like hemangioma: Case series of a newly defined entity. J Am Acad Dermatol 2019; 81:1257-1270. [DOI: 10.1016/j.jaad.2019.03.069] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/31/2018] [Revised: 03/03/2019] [Accepted: 03/21/2019] [Indexed: 11/16/2022]
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25
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Liu B, Wu Z. Dermoscopic features and clinicopathological correlation of an unusual case of segmental pigmented purpuric dermatosis. Ital J Dermatol Venerol 2019; 156:84-86. [PMID: 31760727 DOI: 10.23736/s2784-8671.19.06441-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Baoyi Liu
- Department of Dermatology, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, China
| | - Zhouwei Wu
- Department of Dermatology, Shanghai General Hospital, Shanghai Jiaotong University, Shanghai, China -
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26
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Deschaine MA, Lehman JS. The interface reaction pattern in the skin: an integrated review of clinical and pathological features. Hum Pathol 2019; 91:86-113. [DOI: 10.1016/j.humpath.2019.06.004] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2019] [Revised: 06/18/2019] [Accepted: 06/20/2019] [Indexed: 12/14/2022]
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27
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Rezaei S, Valipouri A, Hosseini Ravandi SA, Kouhi M, Ghasemi Mobarakeh L. Fabrication, characterization, and drug release study of vitamin C–loaded alginate/polyethylene oxide nanofibers for the treatment of a skin disorder. POLYM ADVAN TECHNOL 2019. [DOI: 10.1002/pat.4692] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Sanaz Rezaei
- Department of Textile EngineeringIsfahan University of Technology Isfahan 8415683111 Iran
| | - Afsaneh Valipouri
- Department of Textile EngineeringIsfahan University of Technology Isfahan 8415683111 Iran
| | | | - Monireh Kouhi
- Biomaterials Research Group, Department of Materials EngineeringIsfahan University of Technology Isfahan 8415683111 Iran
- Department of Pharmaceutics, School of Pharmacy and Novel Drug Delivery Systems Research CenterIsfahan University of Medical Sciences Isfahan Iran
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28
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Schadler ED, Cibull TL, Mehlis SL. A Severe Case of Minocycline-induced Hyperpigmentation of the Lower Extremities. Cureus 2018; 10:e2672. [PMID: 30050728 PMCID: PMC6059532 DOI: 10.7759/cureus.2672] [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] [Indexed: 11/21/2022] Open
Abstract
Drug reactions are a common cause of cutaneous eruptions. The authors present a case of shin hyperpigmentation resulting from long-term minocycline treatment. This case illustrates a severe example of minocycline-induced pigmentation and reminds clinicians who prescribe this commonly used antibiotic to remain vigilant of this rare adverse reaction.
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Affiliation(s)
| | - Thomas L Cibull
- Department of Pathology and Laboratory Services, NorthShore University HealthSystem
| | - Stephanie L Mehlis
- Department of Medicine, Division of Dermatology, NorthShore University HealthSystem
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29
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Plachouri KM, Florou V, Georgiou S. Therapeutic strategies for pigmented purpuric dermatoses: a systematic literature review. J DERMATOL TREAT 2018; 30:105-109. [DOI: 10.1080/09546634.2018.1473553] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
Affiliation(s)
- Kerasia-Maria Plachouri
- Department of Dermatology, University of Patras, University General Hospital of Patras, Rio, Greece
| | - Vaia Florou
- Department of Hematology/Oncology, University of Miami Miller School of Medicine/Sylvester Comprehensive Cancer Center, Miami, FL, USA
| | - Sophia Georgiou
- Department of Dermatology, University of Patras, University General Hospital of Patras, Rio, Greece
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