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Labonne C, Boutin D, Baali S, Roblot P, Frouin E, Renaud O, Hainaut E, Regnault MM. An uncommon case of epidermolysis bullosa acquisita associated with systemic sclerosis. Ann Dermatol Venereol 2023; 150:299-301. [PMID: 37596129 DOI: 10.1016/j.annder.2023.06.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2023] [Revised: 06/01/2023] [Accepted: 06/26/2023] [Indexed: 08/20/2023]
Affiliation(s)
- C Labonne
- Department of Dermatology, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France.
| | - D Boutin
- Department of Dermatology, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - S Baali
- Department of Dermatology, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - P Roblot
- LITEC, Université de Poitiers, 15 Rue de l'Hôtel-Dieu, TSA 71117, 86000 Poitiers, France; Department of Internal Medicine and Infectious Diseases, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - E Frouin
- LITEC, Université de Poitiers, 15 Rue de l'Hôtel-Dieu, TSA 71117, 86000 Poitiers, France; Department of Pathology, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - O Renaud
- Department of Pathology, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - E Hainaut
- Department of Dermatology, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - M Masson Regnault
- Department of Dermatology, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France; LITEC, Université de Poitiers, 15 Rue de l'Hôtel-Dieu, TSA 71117, 86000 Poitiers, France
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Khayat R, Dupuy A, Pansé I, Bagot M, Cordoliani F. Lésions sclérodermiformes dans la porphyrie cutanée tardive : six observations. Ann Dermatol Venereol 2013; 140:589-97. [DOI: 10.1016/j.annder.2013.04.092] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2012] [Revised: 03/18/2013] [Accepted: 04/08/2013] [Indexed: 10/26/2022]
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Karamfilov T, Buslau M, Dürr C, Weyers W. [Pansclerotic porphyria cutanea tarda after chronic exposure to organic solvents]. DER HAUTARZT 2003; 54:448-52. [PMID: 12719865 DOI: 10.1007/s00105-002-0448-3] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
A 63 year old man developed generalized scleroderma with massive sclerotic areas, particularly in the abdominal region, four years after being diagnosed with porphyria cutanea tarda (PCT). He had almost daily exposure to organic solvents (benzene, trichlorethylene) for many years. The cutaneous fibrosis progressed dramatically leading to a pansclerosis, even though the uroporphyrin levels were borderline and the liver enzyme values were normal. Organic solvents are among those substances which can cause a cutaneous fibrosis. The unusually complicated clinical development in our patient was a combination of the two initial factors, the PCT and the long term exposure to organic solvents. The pansclerotic PCT was differentiated from a systemic sclerosis, a disabling pansclerotic morphea and a generalized morphea by means of histological examinations, the absence of a Raynaud phenomenon and the non-involvement of additional organs. Auto-antibodies typical for systemic sclerosis were negative. Using a medium dosage of UVA1 phototherapy and intensive physiotherapy, the progression of the skin disease was stopped and the sclerosis improved.
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Affiliation(s)
- T Karamfilov
- SANITAS Alpenklinik Inzell, Dermatopathologie Freiburg.
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