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Rodríguez-Cuadrado FJ, Reneses-Prieto E, Silvestre-Egea G, López-López A, Nájera-Botello L, Alfonso-Alberola R, Moragón-Gordón M, Roustan-Gullón G, Onrubia-Pintado J, López-Negrete-Arenal E. Self-Healing Juvenile Cutaneous Mucinosis: A Report of Two Cases With Differing Evolution. Am J Dermatopathol 2023; Publish Ahead of Print:00000372-990000000-00214. [PMID: 37378474 DOI: 10.1097/dad.0000000000002485] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/29/2023]
Abstract
ABSTRACT Self-healing juvenile cutaneous mucinosis is a rare entity, characterized by the presence of subcutaneous nodules together with frequent nonspecific systemic symptoms, which occurs in the pediatric age and characteristically resolves spontaneously. Although the diagnostic criteria do not require a biopsy to be performed, it is frequently performed, and an abundant dermal mucin deposition will be observed together with other features such as fibroblastic proliferation. Although the prognosis is benign, follow-up is required for the eventual development of a rheumatologic disease.We present 2 clinical cases, describing the clinical findings and their histopathologic correlation. Comparatively, the outcome in both cases was different: in one case, the mucinosis resolved without any related event in the follow-up, and in the other case, the resolution was accompanied by the subsequent development of idiopathic juvenile arthritis.
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Affiliation(s)
| | - Elvira Reneses-Prieto
- Department of Pediatrics, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain
| | - Gala Silvestre-Egea
- Department of Pathology, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain
| | - Agustín López-López
- Department of Pediatrics, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain
| | - Laura Nájera-Botello
- Department of Pathology, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain
| | | | | | - Gaston Roustan-Gullón
- Department of Dermatology, Hospital Universitario Puerta de Hierro Majadahonda, Majadahonda, Spain
| | - José Onrubia-Pintado
- Department of Pathology, Hospital Universitario San Juan de Alicante, Alicante, Spain
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Bishnoi A, Jindal AK, Anjani G, Patra PK, Chatterjee D, Vinay K, Kanwar AJ, Dogra S, Singh S. Self-healing juvenile cutaneous mucinosis, a sclerodermoid disorder simulating juvenile dermatomyositis: a case-based review. Rheumatol Int 2020; 40:1911-1920. [PMID: 32462254 DOI: 10.1007/s00296-020-04578-5] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2020] [Accepted: 04/07/2020] [Indexed: 12/21/2022]
Abstract
Self-healing juvenile cutaneous mucinosis (SHJCM) is a rare childhood disease with characteristic cutaneous and rheumatic manifestations. Cutaneous manifestations include a combination of nodules affecting peri-articular (especially interphalangeal joints) and head and neck areas; and linearly arranged ivory white papules over an erythematous indurated skin. Despite a benign course, an abrupt onset of symptoms with extensive cutaneous involvement often leads to parental anxiety, overenthusiastic evaluation and sometimes aggressive treatment. A peculiar cutaneous distribution in SHJCM including nodular lesions and periorbital edema, arthritis and arthralgia in a few cases, may simulate juvenile dermatomyositis. It is, therefore, important for dermatologists and pediatricians to be aware of this entity. In this report, we describe two cases of SHJCM and briefly review similarly reported cases in children.
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Affiliation(s)
- Anuradha Bishnoi
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India
| | - Ankur Kumar Jindal
- Department of Pediatric Clinical Immunology and Rheumatology, Allergy Immunology Unit, Postgraduate Institute of Medical Education and Research, Advanced Pediatric Center, Chandigarh, 160012, India
| | - Gummadi Anjani
- Department of Pediatric Clinical Immunology and Rheumatology, Allergy Immunology Unit, Postgraduate Institute of Medical Education and Research, Advanced Pediatric Center, Chandigarh, 160012, India
| | - Pratap Kumar Patra
- Department of Pediatric Clinical Immunology and Rheumatology, Allergy Immunology Unit, Postgraduate Institute of Medical Education and Research, Advanced Pediatric Center, Chandigarh, 160012, India
| | - Debajyoti Chatterjee
- Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India
| | - Keshavamurthy Vinay
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India.
| | | | - Sunil Dogra
- Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, 160012, India
| | - Surjit Singh
- Department of Pediatric Clinical Immunology and Rheumatology, Allergy Immunology Unit, Postgraduate Institute of Medical Education and Research, Advanced Pediatric Center, Chandigarh, 160012, India
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Rongioletti F. Primary paediatric cutaneous mucinoses. Br J Dermatol 2019; 182:29-38. [DOI: 10.1111/bjd.18004] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2019] [Indexed: 12/11/2022]
Affiliation(s)
- F. Rongioletti
- Unit of Dermatology Department of Medical Sciences and Public Health University of Cagliari Cagliari Italy
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Self-healing juvenile cutaneous mucinosis: Clinical and histopathologic findings of 9 patients. J Am Acad Dermatol 2018; 78:1164-1170. [DOI: 10.1016/j.jaad.2017.10.023] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2016] [Revised: 09/18/2017] [Accepted: 10/16/2017] [Indexed: 11/22/2022]
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