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Afiouni R, Abadjian G, Stephan F. Reactive Angioendotheliomatosis in Association with Ulcerative Colitis. Case Rep Dermatol Med 2024; 2024:6505274. [PMID: 38841105 PMCID: PMC11152761 DOI: 10.1155/2024/6505274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Revised: 05/17/2024] [Accepted: 05/24/2024] [Indexed: 06/07/2024] Open
Abstract
Reactive angioendotheliomatosis (RAE) is a rare benign skin condition characterized histologically by the proliferation of dermal vessels and endothelial cells that occurs secondary to an underlying disease such as infections or lymphoproliferative disorders. To our knowledge, no previous cases of RAE associated with ulcerative colitis (UC) were reported in the literature. Therefore, we report the case of a 46-year-old man with a history of UC presenting with RAE confirmed on histopathology and immunostaining.
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Affiliation(s)
- R. Afiouni
- Dermatology Department, Hotel-Dieu de France University Hospital, Saint-Joseph University, Beirut, Lebanon
| | - G. Abadjian
- Pathology Department, Lebanese Geitaoui University Hospital, Beirut, Lebanon
| | - F. Stephan
- Dermatology Department, Hotel-Dieu de France University Hospital, Saint-Joseph University, Beirut, Lebanon
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Mandrioli L, Barbé T, Foselli MB, Brocca G, Verin R, Errani F, Volpe E, Montesi F, Sirri R, Morini M, Budai J, Toffan A, Ciulli S. Cutaneous angiomatosis-like presentation in koi carp (Cyprinus carpio koi): Clinical-pathological investigations. JOURNAL OF FISH DISEASES 2023; 46:723-730. [PMID: 36916637 DOI: 10.1111/jfd.13781] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/09/2022] [Revised: 02/26/2023] [Accepted: 03/01/2023] [Indexed: 06/07/2023]
Abstract
The skin represents an indicator of an animal's health status. Causes of cutaneous diseases in fish most often trace back to biological agents. However, fish skin diseases can also arise from a complex interaction of infectious and non-infectious causes, making it more difficult to identify a specific aetiology. In the period between April and September of the years 2019-2022, four koi carp (Cyprinus carpio koi) from two European countries presented with multifocal, irregularly round, few mm to 1 cm, variably raised cutaneous reddened areas. The fish displayed good general condition. Cutaneous samples, investigated by microbiological and molecular methods and microscopy, did not indicate a primary pathogenic agent. Gross and histological findings of the cutaneous biopsies were consistent with a multifocal/reactive process centred on dermal vessels. The histological features were reminiscent of angiomatosis, a benign proliferative condition affecting the dermal vessels of mammals, including human patients. The clinical-pathological presentation and the dermatologic condition that affected the koi carp are discussed and compared with the veterinary and human literature.
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Affiliation(s)
- Luciana Mandrioli
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Tim Barbé
- DAP Vet pract, Lennik (Vlaams-Brabant), Belgium
| | | | - Ginevra Brocca
- Department of Comparative Biomedicine and Food Science, University of Padova, Padova, Italy
| | - Ranieri Verin
- Department of Comparative Biomedicine and Food Science, University of Padova, Padova, Italy
| | - Francesca Errani
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Enrico Volpe
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | | | - Rubina Sirri
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Maria Morini
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
| | - Jane Budai
- Istituto Zooprofilattico Sperimentale delle Venezie, Padova, Italy
| | - Anna Toffan
- Istituto Zooprofilattico Sperimentale delle Venezie, Padova, Italy
| | - Sara Ciulli
- Department of Veterinary Medical Sciences, University of Bologna, Bologna, Italy
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Zacher NC, Bailey EE, Kwong BY, Rieger KE. Cutaneous reactive angiomatosis associated with intravascular cryoprotein deposition as the presenting finding in a patient with underlying lymphoplasmacytic lymphoma: A case report and review of the literature. J Cutan Pathol 2021; 49:176-182. [PMID: 34617316 DOI: 10.1111/cup.14144] [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: 03/17/2021] [Revised: 07/15/2021] [Accepted: 09/28/2021] [Indexed: 11/27/2022]
Abstract
Cutaneous reactive angiomatosis, a group of disorders defined by benign vascular proliferation, is associated with a number of systemic processes, including intravascular occlusion by cryoproteins. We report a case of a 64-year-old female patient who presented with a 1-year history of nontender petechiae of the bilateral arms and lower legs. Dermoscopic evaluation showed increased vascularity with a globular pattern. Over a period of months, her findings progressed to erythematous to violaceous plaques with admixed hypopigmented stellate scarring of the bilateral lower extremities, forearms, and lateral neck. Biopsy showed increased thin-walled, small dermal blood vessels with focal inter-anastamosis. Some vessels were occluded by eosinophilic globules suspicious for cryoprotein. Subsequent laboratory studies confirmed a diagnosis of type 1 cryoglobulinemia, prompting a bone marrow biopsy that revealed lymphoplasmacytic lymphoma. Herein, we report the fourth case of angiomatosis secondary to intravascular cryoproteins as the initial presentation of an underlying hematologic malignancy. We also present a review of the literature and emphasize the need for thorough initial workup and close and prolonged clinical monitoring for underlying systemic disease in these patients.
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Affiliation(s)
- Natasha C Zacher
- Department of Dermatology, Stanford University School of Medicine, Stanford, California, USA
| | - Elizabeth E Bailey
- Department of Dermatology, Stanford University School of Medicine, Stanford, California, USA
| | - Bernice Y Kwong
- Department of Dermatology, Stanford University School of Medicine, Stanford, California, USA
| | - Kerri E Rieger
- Department of Dermatology, Stanford University School of Medicine, Stanford, California, USA.,Department of Dermatology Pathology, Stanford University School of Medicine, Stanford, California, USA
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Singer C, Mallon D, Auguston B, Lam M, Foster R. Reactive angioendotheliomatosis presenting as livedo racemosa secondary to propylthiouracil. Pathology 2020; 52:494-496. [PMID: 32345519 DOI: 10.1016/j.pathol.2020.03.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/28/2019] [Revised: 02/28/2020] [Accepted: 03/05/2020] [Indexed: 11/18/2022]
Affiliation(s)
- Colin Singer
- Joondalup City Medical Group, Joondalup, WA, Australia.
| | | | | | - Minh Lam
- Cutaneous Pathology, Perth, WA, Australia
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