1
|
Kimak A, Żebrowska A. Therapeutic Approach in Pigmented Purpuric Dermatoses-A Scoping Review. Int J Mol Sci 2024; 25:2644. [PMID: 38473891 DOI: 10.3390/ijms25052644] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2024] [Revised: 02/17/2024] [Accepted: 02/19/2024] [Indexed: 03/14/2024] Open
Abstract
Pigmented purpuric dermatoses (PPD) encompass a group of chronic skin conditions characterized by the presence of petechiae, purpura, and pigmentation changes. While generally benign, these dermatoses can be persistent and aesthetically bothersome. Key clinical features include red to brownish patches with a distinctive "cayenne pepper" appearance, predominantly localized on the lower extremities, particularly the shins. Subtypes include Schamberg disease, Majocchi's disease, Gougerot-Blum disease, Ducas and Kapetanakis pigmented purpura, and lichen aureus. Diagnosis relies primarily on clinical evaluation of skin lesions, with biopsy as a confirmatory tool. Although the exact cause of PPD remains unclear, capillary fragility and red blood cell extravasation are implicated. Treatment strategies for PPD aim to alleviate symptoms, considering the generally benign and chronic nature of the condition. As there is no standardized treatment, various methods with varying efficacy are employed. After searching SCOPUS and PubMed databases, we assessed 42 original articles to present current knowledge regarding therapy of PPD. This review will compare treatment approaches specifically in Schamberg disease and other manifestations of pigmented purpuric dermatoses.
Collapse
Affiliation(s)
- Agnieszka Kimak
- Department of Dermatology and Venereology, Medical University of Lodz, Hallera 1, 90-647 Lodz, Poland
| | - Agnieszka Żebrowska
- Department of Dermatology and Venereology, Medical University of Lodz, Hallera 1, 90-647 Lodz, Poland
| |
Collapse
|
2
|
Acharya KP, Pandey P, Shah R, Bista M, Shrestha S. Angioma serpiginosum in zosteriform distribution on abdomen: A rare presentation. Clin Case Rep 2021; 9:2225-2227. [PMID: 33936670 PMCID: PMC8077343 DOI: 10.1002/ccr3.3995] [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] [Received: 01/04/2021] [Revised: 02/01/2021] [Accepted: 02/14/2021] [Indexed: 11/07/2022] Open
Abstract
Angioma serpiginosum is a rare benign nevoid disorder affecting the small vessels of the upper dermis. We are presenting a case of this rare disease in an 11-year-old girl who presented with this condition on abdomen in zosteriform pattern which is rare presentation and is the first of its type.
Collapse
Affiliation(s)
- Kamal P. Acharya
- Department of Dermatology and VenereologyB.P. Koirala Institute of Health SciencesDharanNepal
| | - Prajwal Pandey
- Department of Dermatology and VenereologyB.P. Koirala Institute of Health SciencesDharanNepal
| | - Rajan Shah
- Department of PathologyB.P. Koirala Institute of Health SciencesDharanNepal
| | | | - Samir Shrestha
- Department of Dermatology and VenereologyB.P. Koirala Institute of Health SciencesDharanNepal
| |
Collapse
|
3
|
Martínez Pallás I, Conejero del Mazo R, Lezcano Biosca V. Pigmented Purpuric Dermatosis: A Review of the Literature. ACTAS DERMO-SIFILIOGRAFICAS 2020. [DOI: 10.1016/j.adengl.2020.03.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
|
4
|
Dermatosis purpúricas pigmentadas. Revisión de la literatura científica. ACTAS DERMO-SIFILIOGRAFICAS 2020; 111:196-204. [DOI: 10.1016/j.ad.2019.02.013] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/21/2018] [Revised: 02/18/2019] [Accepted: 02/24/2019] [Indexed: 11/18/2022] Open
|
5
|
Bostan E, Dogan S, Ates Ozdemir D, Elcin G. Coexistence of amelanotic melanoma and capillary malformation on the same sole: An unusual case with dermatoscopic findings. Int Wound J 2020; 17:1083-1085. [PMID: 32227568 DOI: 10.1111/iwj.13355] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2020] [Accepted: 03/20/2020] [Indexed: 11/30/2022] Open
Affiliation(s)
- Ecem Bostan
- Department of Dermatology and Venereology, Hacettepe University, School of Medicine, Ankara, Turkey
| | - Sibel Dogan
- Department of Dermatology and Venereology, Hacettepe University, School of Medicine, Ankara, Turkey
| | - Deniz Ates Ozdemir
- Department of Pathology, School of Medicine, Hacettepe University, Ankara, Turkey
| | - Gonca Elcin
- Department of Dermatology and Venereology, Hacettepe University, School of Medicine, Ankara, Turkey
| |
Collapse
|
6
|
Marghoob N, Navarrete-Dechent C, Liopyris K, Apalla Z, Lallas A, Marghoob AA. Dermoscopic features of benign vascular lesions presenting on volar skin: a case series and literature review. J Eur Acad Dermatol Venereol 2019; 33:e444-e445. [PMID: 31233635 DOI: 10.1111/jdv.15758] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- N Marghoob
- New York Institute of Technology College of Osteopathic Medicine, New York, NY, USA.,Department of Dermatology, Mount Sinai, New York, NY, USA
| | - C Navarrete-Dechent
- Department of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile.,Department of Medicine, Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
| | - K Liopyris
- Department of Medicine, Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA.,Department of Dermatology, Andreas Sygros Hospital, University of Athens, Athens, Greece
| | - Z Apalla
- State Clinic of Dermatology, Hospital for Skin and Venereal Diseases, Thessaloniki, Greece
| | - A Lallas
- First Department of Dermatology, Aristotle University, Thessaloniki, Greece
| | - A A Marghoob
- Department of Medicine, Dermatology Service, Memorial Sloan-Kettering Cancer Center, New York, NY, USA
| |
Collapse
|
7
|
Diociaiuti A, Cutrone M, Rotunno R, De Vito R, Neri I, Pisaneschi E, El Hachem M. Angioma serpiginosum: a case report and review of the literature. Ital J Pediatr 2019; 45:53. [PMID: 31029177 PMCID: PMC6487031 DOI: 10.1186/s13052-019-0644-8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2019] [Accepted: 03/29/2019] [Indexed: 12/05/2022] Open
Abstract
Background Angioma serpiginosum is a rare vascular anomaly whose pathogenesis is still unknown. It is characterized by the onset of vascular reddish macules and papules during childhood, lesions are usually monolateral with a linear serpiginous pattern. It is rarely associated with extracutaneous findings. This entity has not yet been included in the classification of the International Society for the Study of Vascular Anomalies. Case presentation We describe the first Italian report of angioma serpiginosum with a congenital symmetrical presentation. The patient had a further extension of macules during puberty involving both of the soles. No extracutaneous manifestations were present. Diagnosis was confirmed with dermoscopy and light microscopy that revealed the typical clusters of dilated, thickened and PAS+ capillaries in the upper dermis. Moreover, Immunohistochemistry showed positive WT-1 staining. Genetic analysis with next generation sequencing did not detected any mutation. Conclusions Our patient presented a peculiar symmetrical and planar extension with a serpiginous linear pattern. The proliferative nature of this condition has been widely discussed in literature. In our case immunohistochemistry was positive for Wilms tumor-1, a new endothelial marker expressed during angiogenesis in reparative processes and endothelial tumors. Clinical evolution, histological and immunohistochemical findings suggest that angioma serpiginosum should be considered as a vascular proliferation. For these reasons we think it should be included in the international classification as a tumor.
Collapse
Affiliation(s)
- Andrea Diociaiuti
- Dermatology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165, Rome, Italy.
| | - Mario Cutrone
- Paediatric Unit, Ospedale dell'Angelo, Mestre, Italy
| | - Roberta Rotunno
- Dermatology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165, Rome, Italy
| | - Rita De Vito
- Pathology Unit, Bambino Gesù Children's Hospital- IRCCS, Rome, Italy
| | - Iria Neri
- Division of Dermatology, University of Bologna, Bologna, Italy
| | - Elisa Pisaneschi
- Molecular Genetics Laboratory, Bambino Gesù Children's Hospital, IRCCS, Rome, Italy
| | - May El Hachem
- Dermatology Unit, Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio, 4, 00165, Rome, Italy
| |
Collapse
|
8
|
Liopyris K, Navarrete-Dechent C, Mancebo SE, Busam KJ, Pulitzer MP, Marghoob AA, Marchetti MA. Dermoscopic Appearance of Amelanotic Volar Melanoma Compared With Volar Angioma. JAMA Dermatol 2019; 155:500-501. [PMID: 30810701 DOI: 10.1001/jamadermatol.2018.5487] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Affiliation(s)
- Konstantinos Liopyris
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York.,Department of Dermatology, University of Athens, A. Sygros Hospital, Athens, Greece
| | - Cristian Navarrete-Dechent
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York.,Department of Dermatology, Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Silvia E Mancebo
- Department of Dermatology, SUNY Downstate Medical Center, New York, New York
| | - Klaus J Busam
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Melissa P Pulitzer
- Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Ashfaq A Marghoob
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York
| | - Michael A Marchetti
- Dermatology Service, Memorial Sloan Kettering Cancer Center, New York, New York
| |
Collapse
|
9
|
Lo Y, Chen YA. Acral angioma serpiginosum: Clinicopathologic and dermoscopic presentation. Australas J Dermatol 2019; 60:e211-e213. [PMID: 30767198 DOI: 10.1111/ajd.13002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2018] [Accepted: 01/12/2019] [Indexed: 11/29/2022]
Affiliation(s)
- Yang Lo
- Department of Dermatology, Cathay General Hospital, Taipei, Taiwan
| | - Yi-An Chen
- Department of Dermatology, Cathay General Hospital, Taipei, Taiwan.,Department of Dermatology, Cathay General Hospital, Hsinchu, Taiwan
| |
Collapse
|
10
|
Jakhar D, Pandhi D, Singal A, Sharma S. Angioma serpiginosum in a bilateral distribution with acral involvement: An uncommon presentation. Indian J Dermatol Venereol Leprol 2018; 84:338-341. [PMID: 29547138 DOI: 10.4103/ijdvl.ijdvl_539_17] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
- Deepak Jakhar
- Department of Dermatology and STD, University College of Medical Sciences, GTB Hospital, University of Delhi, New Delhi, India
| | - Deepika Pandhi
- Department of Dermatology and STD, University College of Medical Sciences, GTB Hospital, University of Delhi, New Delhi, India
| | - Archana Singal
- Department of Dermatology and STD, University College of Medical Sciences, GTB Hospital, University of Delhi, New Delhi, India
| | - Sonal Sharma
- Department of Pathology, University College of Medical Sciences, GTB Hospital, University of Delhi, New Delhi, India
| |
Collapse
|
11
|
Sinha P, Singh PY, Sood A, Bharadwaj R. Blaschkoid Angioma Serpiginosum: A Dermoscopic Diagnosis. Indian Dermatol Online J 2018; 9:127-129. [PMID: 29644203 PMCID: PMC5885622 DOI: 10.4103/idoj.idoj_122_17] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Affiliation(s)
- Preema Sinha
- Department of Dermatology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Prince Y Singh
- Department of Dermatology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Aradhana Sood
- Department of Dermatology, Armed Forces Medical College, Pune, Maharashtra, India
| | - Reena Bharadwaj
- Department of Dermatology, Armed Forces Medical College, Pune, Maharashtra, India
| |
Collapse
|