1
|
Dauendorffer JN, Herms F, Baroudjian B, Basset-Seguin N, Cavelier-Balloy B, Fouéré S, Bagot M, Lebbé C. Penoscrotal Paget's disease. Ann Dermatol Venereol 2021; 148:71-76. [PMID: 33461789 DOI: 10.1016/j.annder.2020.08.051] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Revised: 05/12/2020] [Accepted: 08/31/2020] [Indexed: 10/22/2022]
Abstract
Paget's disease (PD) denotes an initially intra-epidermal adenocarcinoma that can later invade the dermis and metastasise. Among the extramammary forms of PD (EMPD), penoscrotal presentations are rarer than the vulvar and perianal forms. Once diagnosis has been confirmed by histopathological examination, a search for associated neoplasia must be conducted, although penoscrotal EMPD is less frequently associated with underlying neoplasia than mammary PD (MPD). The associated cancer most often involves a neighbouring organ, with prostate cancer being the most common, or in some cases consists of underlying cutaneous adnexal tumours. First-line therapy consists of surgical excision. Alternatives to surgery (imiquimod, CO2 laser vaporisation, dynamic phototherapy) may be considered in certain cases.
Collapse
Affiliation(s)
| | - F Herms
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
| | - B Baroudjian
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
| | - N Basset-Seguin
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
| | | | - S Fouéré
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
| | - M Bagot
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
| | - C Lebbé
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
| |
Collapse
|
2
|
Romano L, Calugareanu A, Lacoste C, Cavelier-Balloy B, Semaan R, Bensussan A, Bagot M, Reygagne P, Michel L. Signatures Tc17/Th17 et Treg : analyse comparative dans le lichen plan pilaire et l’alopécie frontale fibrosante. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.300] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
3
|
Duverger L, Cavelier-Balloy B, Basset-Seguin N, Lebbé C, Battistella M. Reproductibilité intra- et inter-observateurs des critères histopronostiques dans les carcinomes épidermoïdes cutanés. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.294] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
|
4
|
Duverger L, Cavelier-Balloy B, Basset-Seguin N, Lebbé C, Battistella M. Étude anatomo-clinique et pronostique des carcinomes épidermoïdes cutanés de type folliculaire. Ann Dermatol Venereol 2020. [DOI: 10.1016/j.annder.2020.09.295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
|
5
|
Dauendorffer JN, Cavelier-Balloy B, Fouéré S, Bagot M, Lebbé C. Reactional squamous hyperplasia of the foreskin. J Eur Acad Dermatol Venereol 2020; 34:e635-e637. [PMID: 32311796 DOI: 10.1111/jdv.16507] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Affiliation(s)
- J N Dauendorffer
- Department of Dermatology, Saint Louis University Hospital, Paris, France
| | - B Cavelier-Balloy
- Department of Pathology, Saint Louis University Hospital, Paris, France
| | - S Fouéré
- Department of Dermatology, Saint Louis University Hospital, Paris, France
| | - M Bagot
- Department of Dermatology, Saint Louis University Hospital, Paris, France
| | - C Lebbé
- Department of Dermatology, Saint Louis University Hospital, Paris, France
| |
Collapse
|
6
|
Dauendorffer JN, Baroudjian B, Herms F, Cavelier-Balloy B, Fouéré S, Bagot M, Lebbé C, Basset-Seguin N. [Penile squamous cell carcinoma]. Ann Dermatol Venereol 2020; 147:482-489. [PMID: 32247634 DOI: 10.1016/j.annder.2020.02.005] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/04/2019] [Revised: 01/24/2020] [Accepted: 02/07/2020] [Indexed: 10/24/2022]
Affiliation(s)
- J-N Dauendorffer
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | - B Baroudjian
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - F Herms
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | | | - S Fouéré
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - M Bagot
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - C Lebbé
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - N Basset-Seguin
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| |
Collapse
|
7
|
Lacoste C, Cavelier-Balloy B, Romano L, Seeman R, Amode R, Bensussan A, Bagot M, Descamps V, Reygagne P, Michel L. Alopécie frontale fibrosante (AFF) et lichen plan pilaire (LPP) : étude histologique et phénotypique. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
8
|
Bruno M, Donay J, Resche-Rigon M, Tristan A, Farhi D, Mercier-Delarue S, Cavelier-Balloy B, Assouly P, Petit A, Bagot M, Reygagne P. La folliculite décalvante est caractérisée par un microbiote sous épidermique anormal et persistant. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.139] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
9
|
Renaud-Vilmer C, Cavelier-Balloy B. [Precancerous lesions of the buccal epithelium]. Ann Dermatol Venereol 2016; 144:100-108. [PMID: 27939087 DOI: 10.1016/j.annder.2016.07.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2016] [Revised: 07/01/2016] [Accepted: 07/29/2016] [Indexed: 10/20/2022]
Abstract
Squamous cell carcinomas of the oral cavity and lips consistently have a high incidence (they constitute the fifth most common form of cancer in France) and carry a heavy prognosis, particularly if diagnosed late. According to different studies, between 10 and 80% of such carcinomas occur in a pre-existing or precancerous lesion. The World Health Organisation (WHO) recommends the use of two terms for such lesions: precursor lesions, i.e. histological lesions associated with intraepithelial neoplasia (IEN) and verrucous hyperplasia (VH), frequently resulting clinically in leukoplakia or erythroplakia; "at risk" lesions, which include lichen planus, submucosal oral fibrosis and certain forms of genodermatosis.
Collapse
Affiliation(s)
- C Renaud-Vilmer
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | - B Cavelier-Balloy
- Service de pathologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| |
Collapse
|
10
|
Dauendorffer JN, Cavelier-Balloy B, Bagot M, Renaud-Vilmer C. [Male genital Buschke-Löwenstein tumour]. Ann Dermatol Venereol 2016; 143:796-798. [PMID: 27527568 DOI: 10.1016/j.annder.2016.06.006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/23/2016] [Revised: 06/04/2016] [Accepted: 06/21/2016] [Indexed: 11/18/2022]
Affiliation(s)
- J-N Dauendorffer
- Service de dermatologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | - B Cavelier-Balloy
- Service de dermatologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - M Bagot
- Service de dermatologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - C Renaud-Vilmer
- Service de dermatologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France
| |
Collapse
|
11
|
Badaoui A, Reygagne P, Cavelier-Balloy B, Pinquier L, Deschamps L, Crickx B, Descamps V. Dissecting cellulitis of the scalp: a retrospective study of 51 patients and review of literature. Br J Dermatol 2015; 174:421-3. [DOI: 10.1111/bjd.13999] [Citation(s) in RCA: 58] [Impact Index Per Article: 6.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- A. Badaoui
- Department of Dermatology; Bichat Hospital; 46 Rue Henri Huchard Paris 75018 France
| | - P. Reygagne
- Centre de Santé Sabouraud; 2 Place du Docteur Alfred Fournier Paris 75010 France
| | - B. Cavelier-Balloy
- Department of Pathology; Saint Louis Hospital; 1 Avenue Claude Vellefaux Paris 75010 France
| | - L. Pinquier
- Department of Pathology; Saint Louis Hospital; 1 Avenue Claude Vellefaux Paris 75010 France
| | - L. Deschamps
- Department of Pathology; Bichat Hospital; 46 Rue Henri Huchard Paris 75018 France
| | - B. Crickx
- Department of Dermatology; Bichat Hospital; 46 Rue Henri Huchard Paris 75018 France
| | - V. Descamps
- Department of Dermatology; Bichat Hospital; 46 Rue Henri Huchard Paris 75018 France
| |
Collapse
|
12
|
Rongioletti F, Kaiser F, Cinotti E, Metze D, Battistella M, Calzavara-Pinton PG, Damevska K, Girolomoni G, André J, Perrot JL, Kempf W, Cavelier-Balloy B. Scleredema. A multicentre study of characteristics, comorbidities, course and therapy in 44 patients. J Eur Acad Dermatol Venereol 2015; 29:2399-404. [PMID: 26304054 DOI: 10.1111/jdv.13272] [Citation(s) in RCA: 51] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2015] [Accepted: 05/21/2015] [Indexed: 11/30/2022]
Abstract
BACKGROUND The prognostic and therapeutic features of scleredema are poorly documented. OBJECTIVES To describe the characteristics of patients with scleredema regarding demographics, clinical characteristics, comorbidities, therapeutic interventions and course. METHODS We conducted a retrospective multicentre study. RESULTS We identified 44 patients (26 men).The mean age at diagnosis was 53.8 years. The most common associated disorders were endocrine/metabolic diseases including 30 patients suffering from diabetes, mostly type 2 diabetes. Monoclonal gammopathies were confirmed in five cases. A preceding respiratory tract infection was not a feature. Treatments with different combination or sequential modalities were used with variable results. Phototherapy (UVA1 or PUVA) was the treatment associated with higher, although partial response. Systemic corticosteroids and immunosuppressive drugs were reserved to patients with severe disease in whom phototherapy had failed or for patients with multiple myeloma. Forty-one patients were followed up (mean period: 32.2 months).Thirty-nine patients are alive, 30 with and 9 without skin disease. Two patients died of cardiovascular complications due to myeloma and severe diabetes. CONCLUSIONS Scleredema is a chronic debilitating disease associated with diabetes and metabolic syndrome, unresponsive to various treatments but not necessarily a life-threatening condition. Although there is no definitive treatment, phototherapy should be attempted first. Treatment of primary disease including strict glycaemic control combined with physical therapy should be also employed.
Collapse
Affiliation(s)
- F Rongioletti
- IRCSS-AOU S. Martino-IST, Department of Health Sciences, DISSAL, Section of Dermatology, University of Genoa, Genoa, Italy
| | - F Kaiser
- IRCSS-AOU S. Martino-IST, Department of Health Sciences, DISSAL, Section of Dermatology, University of Genoa, Genoa, Italy
| | - E Cinotti
- IRCSS-AOU S. Martino-IST, Department of Health Sciences, DISSAL, Section of Dermatology, University of Genoa, Genoa, Italy.,Section of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - D Metze
- Department of Dermatology, University Hospital, Munster, Germany
| | - M Battistella
- Department of Pathology, Hôpital Saint Louis, Assistance Publique-Hôpitaux de Paris, Paris, France
| | | | - K Damevska
- Clinic of Dermatology, Medical Faculty University "Ss Cyril and Methodius", Skopje, Republic of Macedonia
| | - G Girolomoni
- Department of Medicine, Section of Dermatology and Venereology, University of Verona, Verona, Italy
| | - J André
- Department of Dermatology, CHU-Saint Pierre, Free University of Brussels, Brussels, Belgium
| | - J-L Perrot
- Section of Dermatology, University Hospital of Saint-Etienne, Saint-Etienne, France
| | - W Kempf
- Kempf and Pfaltz, Histological Diagnostics, and Dept. of Dermatology, University Hospital Zürich, Zürich, Switzerland
| | | |
Collapse
|
13
|
Frouin E, Vignon-Pennamen MD, Balme B, Cavelier-Balloy B, Zimmermann U, Ortonne N, Carlotti A, Pinquier L, André J, Cribier B. Anatomoclinical study of 30 cases of sclerosing sweat duct carcinomas (microcystic adnexal carcinoma, syringomatous carcinoma and squamoid eccrine ductal carcinoma). J Eur Acad Dermatol Venereol 2015; 29:1978-94. [PMID: 25873411 DOI: 10.1111/jdv.13127] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2015] [Accepted: 03/02/2015] [Indexed: 11/27/2022]
Abstract
BACKGROUND Microcystic adnexal carcinoma (MAC), syringomatous carcinoma (SC) and "Squamoid eccrine ductal carcinoma" (SEDC) are rare sclerosing adnexal tumours. OBJECTIVE To understand the histogenesis of these tumours and possible clinical implications. METHODS We conducted a retrospective study of 30 cases, 18 MAC, 5 SC and 7 SEDC reviewed and classified by a panel of dermatopathology experts, with immunohistochemical analysis of keratins, including K77, a new keratin specific of eccrine ducts, and PHLDA1 expressed in adnexal structures. RESULTS There was a strong female predominance, with only five cases occurring in men. Patients with MAC and SC were younger (mean age 56 and 47 years) than those with SEDC (mean age 81 years). The most common localization was the cheek in SC and SEDC and the periocular area in MAC. Two cases of SEDC were found in organ transplant patients. No recurrence or metastases were observed after complete surgery of MAC, or SC (mean follow-up 7.2 years and 4.7 years), whereas one case of SEDC recurred and another could not be fully excised. MAC and SC had similar histological features, except for cysts. In MAC, calcifications, granulomas, connection to follicles, keratin expression pattern, PHLDA1 positivity and K77 negativity indicated a follicular histogenesis, whereas in SC, K77 positivity and keratin expression pattern were consistent with a differentiation towards eccrine apparatus. SEDC was composed of strands centred by ducts and nests with squamous differentiation and displayed K77 ductal positivity in all cases, a finding consistent with an eccrine origin. CONCLUSION Our study demonstrated that MAC and SC have similar clinical characteristics, although histogenesis differs and show arguments for the individualization of SEDC.
Collapse
Affiliation(s)
- E Frouin
- Laboratoire d'Anatomie et de Cytologie Pathologiques, Hôpital Jean Bernard, CHU, Poitiers, France
| | - M D Vignon-Pennamen
- Service d'Anatomie pathologique, Hôpital Saint Louis, APHP, Paris, France.,Centre de Pathologie cutanée de la Roquette, 56 rue de la Roquette, Paris, France
| | - B Balme
- Laboratoire d'Anatomie pathologique, Centre hospitalier Lyon Sud, Lyon, France
| | - B Cavelier-Balloy
- Service d'Anatomie pathologique, Hôpital Saint Louis, APHP, Paris, France.,Cabinet d'Anatomie pathologique dermatologique, 35 avenue Mathurin Moreau, Paris, France
| | - U Zimmermann
- Centre de Pathologie cutanée de la Roquette, 56 rue de la Roquette, Paris, France.,Laboratoire d'Anatomie pathologique, Hôpital Ambroise Paré, APHP, Boulogne-Billancourt, France
| | - N Ortonne
- Département de Pathologie, Hôpital Henri Mondor, APHP, Créteil, France
| | - A Carlotti
- Service d'Anatomie et de cytologie pathologiques, Hôpital Cochin-Tarnier, APHP, Paris, France
| | - L Pinquier
- Service d'Anatomie pathologique, Hôpital Saint Louis, APHP, Paris, France.,Laboratoire d'Anatomie pathologique, Centre hospitalier Lyon Sud, Lyon, France
| | - J André
- Centre d'Anatomie pathologique et de cytologie, Avenue du Diamant, Bruxelles, Belgium
| | - B Cribier
- Laboratoire d'Histopathologie cutanée, Clinique Dermatologique, Hôpital Civil, Strasbourg, France
| |
Collapse
|
14
|
Dauendorffer JN, Cavelier-Balloy B, Halioua B, Renaud-Vilmer C. [Male genital lichen planus]. Ann Dermatol Venereol 2015; 142:373-5. [PMID: 25813187 DOI: 10.1016/j.annder.2015.02.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/26/2014] [Revised: 01/30/2015] [Accepted: 02/04/2015] [Indexed: 10/23/2022]
Affiliation(s)
- J-N Dauendorffer
- Service de dermatologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | - B Cavelier-Balloy
- Service d'anatomie et cytologie pathologiques, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - B Halioua
- Institut Alfred-Fournier, 25, boulevard Saint-Jacques, 75014 Paris, France
| | - C Renaud-Vilmer
- Service de dermatologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France
| |
Collapse
|
15
|
Dauendorffer JN, Janier M, Cavelier-Balloy B, Renaud-Vilmer C, Fouéré S. Lymphangite sclérosante du pénis. Ann Dermatol Venereol 2015; 142:145-8. [DOI: 10.1016/j.annder.2014.11.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2014] [Revised: 11/08/2014] [Accepted: 11/20/2014] [Indexed: 11/24/2022]
|
16
|
Demongeot C, Cavelier-Balloy B, Battistella M, Si-Mohammed A, Rigolet A, Bagot M, Janin A, Meignin V. Néoplasies intra-épithéliales basales « potentiellement sévères » de la cavité buccale : profil clinico-biologique et évaluation du risque de transformation carcinomateuse. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.288] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
17
|
Bourrat E, Salhi A, Leclerc-Mercier S, Oughanem F, Boukendakdji F, Cavelier-Balloy B. Attention aux radiations ionisantes, cofacteurs de la carcinogenèse cutanée au cours du syndrome de Gorlin. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
|
18
|
De Masson A, Battistella M, Vignon-Pennamen MD, Cavelier-Balloy B, Mouly F, Rybojad M, Bouaziz JD, Petit A, Saussine A, Ronceray S, Le Gall F, Ram-Wolff C, Assouly P, Dereure O, Joly P, Dallot A, Dupuy A, Lebbé C, Moulonguet I, Rivet J, Janin A, Bagot M. Mycosis fongoïde syringotrope : caractéristiques clinico-histologiques et évolution chez 19 patients. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
|
19
|
Koudoukpo C, Abdennader S, Cavelier-Balloy B, Gasnier C, Yédomon H. Cellulite disséquante du cuir chevelu : étude rétrospective de 7 cas confirmant l’efficacité de l’isotrétinoïne per os. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
|
20
|
Vanhaecke C, Hickman G, Cavelier-Balloy B, Masson V, Duron JB, Gorj M, May P, Schneider P, Vilmer C, Bagot M, Battistella M, Petit A. Plantar keloids: diagnostic and therapeutic issues in six patients. J Eur Acad Dermatol Venereol 2014; 29:1421-6. [PMID: 25088087 DOI: 10.1111/jdv.12625] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2014] [Accepted: 06/06/2014] [Indexed: 11/28/2022]
Abstract
BACKGROUND Keloids are benign fibro-proliferative skin lesions that very rarely occur on the soles. Because of their rarity, the diagnosis of plantar keloids can be difficult. We describe the clinical and histopathological characteristics of eight plantar keloids. METHODS All patients presenting with plantar keloids between 2005 and 2012 in our Dermatology unit were retrospectively included. Diagnosis was definitely established by re-reading of pathological slides in all cases. Clinical characteristics, histopathological features, treatments given and their results were collected. RESULTS Six patients were included. Five patients had a single plantar keloid and one had three lesions. They all were of African descent. Only one patient remembered of a previous injury at the site of the keloid. Three patients presented with associated extra-plantar keloids. In four patients, the diagnosis of keloid was not initially suspected clinically or histologically. Re-reading of the clinical photographs showed that the eight plantar keloids shared common morphological features, leading to a distinctive clinical picture, defined by a hardened lesion of rounded or polycyclic shape, with a pink surface crossed by keratotic furrows and the presence of a hyperkeratotic rim. Concerning pathological features, typical hyalinized collagen can be missing and deep fibrosis should not rule out the diagnosis of keloid. Intralesional injection of triamcinolone acetonide and orthopaedic shoes were useful. All patients who had surgical excision presented recurrence. CONCLUSION The knowledge of the clinical features of plantar keloids is helpful to the diagnosis. There is no well-established treatment, but supportive measures are important.
Collapse
Affiliation(s)
- C Vanhaecke
- Service de Dermatologie, AP- HP Hôpital Saint Louis, Paris, France
| | - G Hickman
- Service de Dermatologie, AP- HP Hôpital Saint Louis, Paris, France
| | - B Cavelier-Balloy
- Service d'Anatomie Pathologique, AP- HP Hôpital Saint Louis, Paris, France
| | - V Masson
- Service de Chirurgie plastique, AP- HP Hôpital Saint Louis, Paris, France
| | - J-B Duron
- Service de Chirurgie plastique, AP- HP Hôpital Saint Louis, Paris, France
| | - M Gorj
- Service de Chirurgie plastique, AP- HP Hôpital Saint Louis, Paris, France
| | - P May
- Service de Chirurgie plastique, AP- HP Hôpital Saint Louis, Paris, France
| | - P Schneider
- Service de Dermatologie, AP- HP Hôpital Saint Louis, Paris, France
| | - C Vilmer
- Service de Dermatologie, AP- HP Hôpital Saint Louis, Paris, France
| | - M Bagot
- Service de Dermatologie, AP- HP Hôpital Saint Louis, Paris, France
| | - M Battistella
- Service d'Anatomie Pathologique, AP- HP Hôpital Saint Louis, Paris, France
| | - A Petit
- Service de Dermatologie, AP- HP Hôpital Saint Louis, Paris, France
| |
Collapse
|
21
|
Koudoukpo C, Abdennader S, Cavelier-Balloy B, Gasnier C, Yédomon H. Cellulite disséquante du cuir chevelu : étude rétrospective de 7 cas confirmant l’efficacité de l’isotrétinoïne per os. Ann Dermatol Venereol 2014; 141:500-6. [DOI: 10.1016/j.annder.2014.06.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2014] [Revised: 04/03/2014] [Accepted: 06/19/2014] [Indexed: 10/24/2022]
|
22
|
Dauendorffer JN, Renaud-Vilmer C, Cavelier-Balloy B. [Male genital psoriasis]. Ann Dermatol Venereol 2014; 141:466-72; quiz 465, 473. [PMID: 24951149 DOI: 10.1016/j.annder.2014.05.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2014] [Revised: 04/18/2014] [Accepted: 05/07/2014] [Indexed: 11/30/2022]
Affiliation(s)
- J-N Dauendorffer
- Service de dermatologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | - C Renaud-Vilmer
- Service de dermatologie, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - B Cavelier-Balloy
- Service d'anatomie et cytologie pathologiques, hôpital Saint-Louis, AP-HP, 1, avenue Claude-Vellefaux, 75010 Paris, France
| |
Collapse
|
23
|
Dauendorffer JN, Renaud-Vilmer C, Cavelier-Balloy B. Le psoriasis génital chez l’homme. Pré-test. Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.05.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
|
24
|
Dauendorffer JN, Amici JM, Renaud-Vilmer C, Cavelier-Balloy B. [Surgical technique: punch biopsy for evaluation of penile dermatoses]. Ann Dermatol Venereol 2014; 141:308-11. [PMID: 24703648 DOI: 10.1016/j.annder.2014.01.017] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2013] [Revised: 01/10/2014] [Accepted: 01/23/2014] [Indexed: 10/25/2022]
Affiliation(s)
- J-N Dauendorffer
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | - J-M Amici
- Service de dermatologie, hôpital Saint-André, 1, rue Jean-Burguet, 33000 Bordeaux, France
| | - C Renaud-Vilmer
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| | - B Cavelier-Balloy
- Service d'anatomie et cytologie pathologiques, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France
| |
Collapse
|
25
|
Dauendorffer JN, Cavelier-Balloy B, Renaud-Vilmer C. [Circumcision and dermatology]. Ann Dermatol Venereol 2013; 140:816-20. [PMID: 24315231 DOI: 10.1016/j.annder.2013.06.008] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/05/2013] [Revised: 06/21/2013] [Accepted: 06/28/2013] [Indexed: 11/27/2022]
Affiliation(s)
- J-N Dauendorffer
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | | | | |
Collapse
|
26
|
Dauendorffer JN, Janier M, Bagot M, Cavelier-Balloy B. [Syphilitic pseudocondyloma]. Ann Dermatol Venereol 2013; 140:492-3. [PMID: 23773759 DOI: 10.1016/j.annder.2013.02.026] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2013] [Revised: 02/15/2013] [Accepted: 02/26/2013] [Indexed: 11/17/2022]
Affiliation(s)
- J-N Dauendorffer
- Service de dermatologie, hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75010 Paris, France.
| | | | | | | |
Collapse
|
27
|
Dauendorffer JN, Bagot M, Bachelez H, Cavelier-Balloy B. [Pustular psoriasis localized to the genital region]. Ann Dermatol Venereol 2013; 140:386-7. [PMID: 23663713 DOI: 10.1016/j.annder.2013.02.017] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2012] [Revised: 01/04/2013] [Accepted: 02/14/2013] [Indexed: 11/24/2022]
|
28
|
Kluger N, Cavelier-Balloy B, Assouly P. [Traction alopecias]. Ann Dermatol Venereol 2013; 140:304-14; quiz 303, 315. [PMID: 23567235 DOI: 10.1016/j.annder.2013.02.005] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2012] [Revised: 01/19/2013] [Accepted: 02/08/2013] [Indexed: 11/17/2022]
Affiliation(s)
- N Kluger
- Department of Dermatology, Institute of Clinical Medicine, University of Helsinki, Skin and Allergies Hospital, Helsinki University Central Hospital, Meilahdentie 2, PO Box 160, 00029 Hus, Finlande
| | | | | |
Collapse
|
29
|
Dauendorffer JN, Renaud-Vilmer C, Bagot M, Cavelier-Balloy B. [Circumcision-induced penodynia]. Ann Dermatol Venereol 2012; 139:566-7. [PMID: 22963969 DOI: 10.1016/j.annder.2012.04.151] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2011] [Revised: 03/03/2012] [Accepted: 04/16/2012] [Indexed: 11/25/2022]
|
30
|
Dauendorffer JN, Renaud-Vilmer C, Bagot M, Cavelier-Balloy B. Intérêt de la biopsie cutanée dans le diagnostic des dermatoses péniennes. Ann Dermatol Venereol 2012; 139:521-5. [DOI: 10.1016/j.annder.2012.04.152] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2011] [Revised: 02/25/2012] [Accepted: 04/16/2012] [Indexed: 11/30/2022]
|
31
|
Le Saché-de Peufeilhoux L, Moulonguet I, Cavelier-Balloy B, Biaggi-Frassati A, Leclerc-Mercier S, Bodemer C, Fraitag S. [Clinical features of Spitz naevus in children: a retrospective study of 196 cases]. Ann Dermatol Venereol 2012; 139:444-51. [PMID: 22721476 DOI: 10.1016/j.annder.2012.03.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2011] [Revised: 01/26/2012] [Accepted: 03/08/2012] [Indexed: 11/15/2022]
Abstract
AIMS To better define the characteristics of Spitz naevus (SN) in children, to determine whether it was clinically diagnosed and to examine the differential diagnoses made according to age. In addition, to determine whether atypical spitzoid tumors (AST) have a different presentation from other forms of SN. PATIENTS AND METHODS A two-centre retrospective survey was made of histopathological reports written over a 4-year period in children aged under 18 years. The inclusion criterion was unequivocal diagnosis of SN or AST. Age, gender, site, size, course, excision methods, presumptive clinical diagnoses and the percentage of correct diagnosis were analyzed for four distinct age groups. RESULTS One hundred and ninety-six patients were included, 186 with SN and 10 with AST. Mean age at diagnosis of SN was 9 years. Female predominance and predilection for the lower limbs were seen for all age groups. Facial involvement was less frequent and chiefly affected children aged under 11 years. Most SN lesions measured between 4 and 8mm. They were often confused with either pyogenic granuloma or juvenile xanthogranuloma, mainly before the age of 11 years. An accurate diagnosis was made in 29% of cases, chiefly in the 0 to 5 year-old age group. No cases of AST were clinically recognized, but it was diagnosed occasionally on histological grounds for very small tumours and in very young children. CONCLUSION Clinical diagnosis of SN is not always straightforward and in this study, AST exhibited no special features allowing it to be distinguished from SN. These results underline the need for caution in the event of SN in children, regardless of age or lesion size.
Collapse
Affiliation(s)
- L Le Saché-de Peufeilhoux
- Service d'anatomopathologie, hôpital Necker-Enfants Malades, Assistance publique-Hôpitaux de Paris, 149, rue de Sèvres, 75015 Paris, France
| | | | | | | | | | | | | |
Collapse
|
32
|
Karkouche R, Carbonnelle-Puscian A, Rivet J, Fraitag S, Moulonguet I, Carlotti A, Havard S, Vérola O, Cavelier-Balloy B. [Post-radiation atypical vascular lesions and angiosarcoma: 11 cases]. Ann Dermatol Venereol 2012; 139:109-17. [PMID: 22325749 DOI: 10.1016/j.annder.2011.11.010] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2011] [Revised: 10/11/2011] [Accepted: 11/04/2011] [Indexed: 12/16/2022]
Abstract
BACKGROUND Post-radiation atypical vascular lesions of the skin display clinical and morphological overlap with well-differentiated angiosarcomas, and correct diagnosis may be difficult. PATIENTS AND METHODS We studied clinical, histological and immuno-histochemical aspects (CD31, CD34, D2-40 and VEGFR-3) of eight post-radiation atypical vascular lesions comparatively with three post-radiation angiosarcomas. RESULTS All patients were female and received radiation therapy for breast carcinoma. On average, atypical vascular lesions occurred 4.3 years after radiation therapy and presented as small papulonodules or erythematous plaques. The clinical course after simple excision was benign. Histologically, they were relatively circumscribed lesions and showed slit-like vessels dissecting dermal collagen in all cases. On average, angiosarcomas occurred 5 years after radiation therapy and presented as more extensive lesions with a more aggressive clinical course. The lesions showed histological overlap with atypical vascular lesions, but were poorly circumscribed, with deeper invasion, cytological atypia and mitosis. Although the immuno-histochemical profiles were similar, expression of VEGFR-3 was greater in two cases of angiosarcoma. CONCLUSION Post-radiation atypical vascular lesions are benign lesions that display clinical, histological and immuno-phenotypic overlap with well-differentiated angiosarcoma, and diagnosis requires good clinicopathological correlation. VEGFR-3 may be useful for differential diagnosis, as well as amplification of the MYC gene.
Collapse
Affiliation(s)
- R Karkouche
- Service d'anatomie et cytologie pathologiques, université Paris-Descartes, hôpital Cochin, Assistance publique-Hôpitaux de Paris, 27, rue du Faubourg-Saint-Jacques, 75014 Paris, France.
| | | | | | | | | | | | | | | | | |
Collapse
|
33
|
Sbidian E, Batistella M, Lafaurie M, Bouscarat F, Bézier M, Cavelier-Balloy B, Vilmer C, Le Goff J, Agbalika F, Molina JM, Bagot M, Simon F, Janier M, Bachelez H. Prise en charge des herpès HSV2 pseudotumoraux au cours de l’infection par le virus VIH : 10 observations. Ann Dermatol Venereol 2011. [DOI: 10.1016/j.annder.2011.09.039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
|
34
|
|
35
|
Renaud-Vilmer C, Cavelier-Balloy B. Les lésions précancéreuses du pénis. Ann Dermatol Venereol 2010. [DOI: 10.1016/j.annder.2010.05.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
|
36
|
Cavelier-Balloy B, Jeanmougin M, Rivet J, Happey JC, Dubertret L. [Fibrous juxtaarticular nodules]. Ann Dermatol Venereol 2009; 136:208-10. [PMID: 19232260 DOI: 10.1016/j.annder.2008.12.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Affiliation(s)
- B Cavelier-Balloy
- Service de dermatologie, hôpital Saint-Louis, rue Claude-Vellefaux, 75010 Paris, France.
| | | | | | | | | |
Collapse
|
37
|
Affiliation(s)
- B Cavelier-Balloy
- Service de pathologie et de dermatologie, hôpital Saint-Louis, AP-HP, université Paris-7, 1, avenue C -Vellefaux, 75010 Paris, France.
| | | |
Collapse
|
38
|
Assouly P, Cavelier-Balloy B, Dupré T. Orange Palpebral Spots. Dermatology 2008; 216:166-70. [DOI: 10.1159/000111516] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/15/2007] [Accepted: 07/18/2007] [Indexed: 12/31/2022] Open
|
39
|
Affiliation(s)
- C Renaud-Vilmer
- Spécialiste des centres anticancéreux, centre René-Huguenin, 25, rue Dailly, 92210 Saint-Cloud, France.
| | | |
Collapse
|
40
|
Lemaître G, Sivan V, Lamartine J, Cosset JM, Cavelier-Balloy B, Salomon D, Waksman G, Martin MT. Connexin 30, a new marker of hyperproliferative epidermis. Br J Dermatol 2006; 155:844-6. [PMID: 16965443 DOI: 10.1111/j.1365-2133.2006.07439.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
|
41
|
Affiliation(s)
- B Cavelier-Balloy
- Cabinet de Dermatopathologie, 35, avenue Mathurin Moreau, 75019 Paris
| |
Collapse
|
42
|
Affiliation(s)
- C Renaud-Vilmer
- Spécialiste des Centres anti-cancéreux, Centre René-Huguenin, Saint-Cloud
| | | | | |
Collapse
|
43
|
Abecassis S, Ingen-Housz-Oro S, Cavelier-Balloy B, Arnulf B, Bachelez H, Dubertret L. [Particular histological features of a case of Sweet's syndrome induced by G-CSF]. Ann Dermatol Venereol 2005; 131:369-72. [PMID: 15258512 DOI: 10.1016/s0151-9638(04)93617-4] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
BACKGROUND Sweet's syndrome may occur during medullar aplasia, especially after treatment with exogenous growth factors such as G-CSF. In this context, Sweet's syndrome presents particular histological features that we detail in this observation. CASE REPORT A 50 year-old man was treated for multiple myeloma with a mobilizating chemotherapy prior to autologous stem cell transplantation. Four days after the onset of G-CSF, he presented with a febrile generalized eruption of erythematous infiltrated lesions. Histological examination of a skin biopsy showed a neutrophilic infiltrate associated with atypical xanthomized histiocytes and vascular hyperplasia with marked endothelial turgescence. Treatment with a short cause of oral corticosteroids was efficient. DISCUSSION The classical histological features of Sweet's syndrome consist in a dermal neutrophilic infiltrate with edema. In our patient, we noticed the presence of atypical histiocytes among the dermal neutrophilic infiltrate. These histiocytes are described in maculo-papular eruptions induced by G-CSF, and should not be confused with a malignant infiltrate associated with a hemopathy. Vascular hyperplasia may be related to the angiogenic properties of G-CSF. Knowledge of these histological features would enable clinicians and histologists to recognize the appropriate diagnosis.
Collapse
Affiliation(s)
- S Abecassis
- Service de Dermatologie I, Hôpital Saint-Louis, 1, avenue Claude Vellefaux, 75010 Paris
| | | | | | | | | | | |
Collapse
|
44
|
Affiliation(s)
- B Cavelier-Balloy
- Cabinet de Dermatopathologie, 35, avenue M. Moreau, 75927 Paris Cedex 19
| |
Collapse
|
45
|
Gkolfinopoulos T, Ingen-Housz-Oro S, Cavelier-Balloy B, Blanchet-Bardon C. [Schopf-Schulz-Passarge syndrome: 2 cases]. Ann Dermatol Venereol 2001; 128:1330-3. [PMID: 11908136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
BACKGROUND Schöpf-Schulz-Passarge's syndrome is a rare autosomal recessive genodermatosis associating hypodontia, palmoplantar keratoderma, cysts of the eyelid margins, onychodysplasia and hypotrichosis. We report two new cases. CASE REPORT Case no. 1: A 49 year-old woman complained of erosive and fissured palmoplantar keratoderma. Nails were fragile and dystrophic. Permanent teeth were absent. She also had many small cysts of the eyelid margins and a middle hypotrichosis. There was no consanguinity between her parents. Case no. 2: A 56 year-old man was seen for red, scaly and well marked palmoplantar keratoderma. Permanent teeth were absent. He had a hair loss since the age of 30. Nails were hypoplastic and there were many small cysts of the eyelids. Biopsy of one of the cysts showed a follicular cyst associated with sweat duct dystrophy. Schöpf-Schulz-Passarge's syndrome was diagnosed in these 2 patients. There was no evidence of associated cutaneous tumors. DISCUSSION Differential diagnosis of Schöpf-Schulz-Passarge syndrome include other genodermatoses comprising palmoplantar keratoderma and dental abnormalities. Benign or malignant tumors are frequently associated: eccrine poromas, eccrine syringofibroadenomas, follicular tumors, basal cell and squamous cell carcinomas. Tumors usually appear after the age of 60. Regular follow-up and biopsy of the suspect lesions are necessary.
Collapse
MESH Headings
- Biopsy
- Chromosome Aberrations
- Cysts/diagnosis
- Cysts/genetics
- Cysts/pathology
- Diagnosis, Differential
- Eyelid Diseases/diagnosis
- Eyelid Diseases/genetics
- Eyelid Diseases/pathology
- Eyelids/pathology
- Female
- Genes, Recessive
- Humans
- Keratoderma, Palmoplantar/diagnosis
- Keratoderma, Palmoplantar/genetics
- Keratoderma, Palmoplantar/pathology
- Male
- Middle Aged
- Nails, Malformed/diagnosis
- Nails, Malformed/genetics
- Nails, Malformed/pathology
- Skin/pathology
- Skin Diseases, Genetic/diagnosis
- Skin Diseases, Genetic/genetics
- Skin Diseases, Genetic/pathology
- Syndrome
Collapse
Affiliation(s)
- T Gkolfinopoulos
- Service de Dermatologie I, Hôpital Saint-Louis, 1, avenue Claude Vellefaux, 75475 Paris
| | | | | | | |
Collapse
|
46
|
Viguier M, Pinquier L, Cavelier-Balloy B, de la Salmonière P, Cordoliani F, Flageul B, Morel P, Dubertret L, Bachelez H. Clinical and histopathologic features and immunologic variables in patients with severe chilblains. A study of the relationship to lupus erythematosus. Medicine (Baltimore) 2001; 80:180-8. [PMID: 11388094 DOI: 10.1097/00005792-200105000-00004] [Citation(s) in RCA: 94] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/13/2022] Open
Abstract
We investigated 33 patients affected with chilblain lesions following a persisting course of more than 1 month. We focused on the incidence of an underlying connective tissue disease, mostly lupus erythematosus (LE), and we analyzed features of idiopathic chilblains compared with those of chilblain lesions associated with connective tissue disease. We also carried out a prospective follow-up of patients. Eleven patients included in the study were free of any clinical and/or laboratory abnormality suggestive of connective tissue disease, while 22 of 33 patients showed 1 or several abnormalities raising suspicion for connective tissue disease, and among them 8 had a diagnosis of systemic lupus erythematosus (SLE) established at initial evaluation based on the American College of Rheumatology revised criteria. The comparative analysis of patients with idiopathic chilblains and patients with chilblains associated with LE showed that female sex and persistence of lesions beyond cold seasons were significantly associated with chilblain LE. Histopathologic studies of chilblain lesions did not reveal features typical of LE in any case, but revealed a higher incidence of a deep perisudoral infiltrate in idiopathic chilblains. In patients showing signs of connective tissue disease, positive cutaneous immunofluorescence was correlated with the presence of circulating antinuclear antibodies. Two patients had an ascertained diagnosis of SLE with severe manifestations during prospective follow-up, requiring treatment with oral steroids in both cases. Chilblains following a chronic course may reveal connective tissue disease, and patients affected with chilblains associated with autoimmune abnormalities may develop severe SLE. Accordingly, long-term follow-up of these patients is warranted.
Collapse
Affiliation(s)
- M Viguier
- Institut de Recherche sur la Peau et Service de Dermatologie, Hôpital Saint-Louis, 1 avenue Claude Vellefaux, 75010 Paris, France
| | | | | | | | | | | | | | | | | |
Collapse
|
47
|
Ingen-Housz S, Venutolo E, Pinquier L, Cavelier-Balloy B, Dubertret L, Flageul B. [Erythema annulare centrifugum and relapsing polychondritis]. Ann Dermatol Venereol 2000; 127:735-9. [PMID: 11011166] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/17/2023]
Abstract
BACKGROUND Relapsing polychondritis is a rare systemic disease. Skin involvement occurs in 20 to 50 % of cases. Cutaneous signs are most often related to a leukocytoclastic vasculitis. Association of relapsing polychondritis with neutrophilic dermatosis have also been reported. We report the first case of an erythema annulare centrifugum-like dermatosis associated with relapsing polychondritis, with a two years delay between both conditions. CASE REPORT A 74 year-old man was seen for papulo-erythematous centrifugal annular lesions that appeared 18 months earlier in a context of bad general conditions. Biological tests were normal. Several skin biopsies were performed, showing at the beginning features of drug reaction and then of lupus-lichen. Treatment with hydroxychloroquine, topical corticosteroids, dapsone and thalidomide were unsuccessful. In the following months, the patient developed fever and relapsing bronchitis. Suddenly, a chondritis of the ears appeared, leading to the diagnosis of relapsing polychondritis. All the cutaneous, chondritic and respiratory signs disappeared with oral steroid therapy. Two years after the diagnosis of relapsing polychondritis the patient developed refractory anemia. DISCUSSION Cutaneous signs of relapsing polychondritis are frequent and may occur several months or years before the chondritis. They are polymorphous, but to the best of our knowledge, a clinical aspect of erythema annulare centrifugum has never been described. Our observation recalls the sometimes long delay between the cutaneous and the chondritic signs of relapsing polychondritis and the high frequency of dysmyelopoiesis in relapsing polychondritis with cutaneous involvement.
Collapse
Affiliation(s)
- S Ingen-Housz
- Service de Dermatologie 1, Hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris Cedex 10
| | | | | | | | | | | |
Collapse
|
48
|
Roman P, Cavelier-Balloy B, Prigent F, Martinet C. [A pigmented lesion of penis]. Ann Dermatol Venereol 2000; 127:519-20. [PMID: 10863187] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Affiliation(s)
- P Roman
- Service de Dermatologie, Centre Hospitalier, 3, place Silly, 92211 Saint-Cloud
| | | | | | | |
Collapse
|
49
|
Flageul B, Wallach D, Cavelier-Balloy B, Bachelez H, Carsuzaa F, Dubertret L. [Thalidomide and thrombosis]. Ann Dermatol Venereol 2000; 127:171-4. [PMID: 10739975] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/16/2023]
Abstract
BACKGROUND Teratogenicity and neuropathy are the well known serious side effects induced by thalidomide. We describe 5 cases of thrombotic events occurring within a brief delay after the onset of thalidomide in a manner that suggests that thalidomide could have acted as a precipiting or as a starting factor in these events. OBSERVATIONS Five patients including 4 patients with lupus erythematosus (1 discoid lupus, 1 subacute lupus and 2 systemic lupus erythematosus) and one patient with a severe atopic dermatitis, all without previous history of vascular events, developed an arterial thrombosis (2 cases) or a venous thrombosis (3 cases), severe in 4 cases, few days or weeks after the onset of thalidomide treatment (50 to 100 mg daily). DISCUSSION All the patients had risk factors of thrombosis: the presence of antiphospholipids and/or anticardiolipin antibodies in lupus erythematosus patients and a trauma in the atopic case. However the absence of a previous story of thrombosis, its rapid occurrence after the onset of thalidomide and its severity are intriguing. In addition, recent studies demonstrate that thalidomide has various effects that would act, among other things, on angiogenesis. Thus, we think that a doubt exists on a negative effect of thalidomide in thrombosis risk factors patients and that this hypothesis has to be confirmed.
Collapse
Affiliation(s)
- B Flageul
- Clinique des Maladies Cutanées, Hôpital Saint-Louis, 1, avenue Claude-Vellefaux, 75475 Paris Cedex 10, France
| | | | | | | | | | | |
Collapse
|
50
|
Vilmer C, Havard S, Cavelier-Balloy B, Pelisse M, Dubertret L, Leibowitch M. Failure of isotretinoin and interferon-alpha combination therapy for HPV-linked severe vulvar dysplasia. A report of two cases. J Reprod Med 1998; 43:693-5. [PMID: 9749422] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/08/2023]
Abstract
BACKGROUND Retinoids (RA) and interferon (IFN) have been reported to be active against a variety of tumors and human papillomavirus (HPV)-related lesions. Because chronic and recurrent HPV-linked vulvar intraepithelial neoplasia 3 (VIN 3) have a high risk of invasion, we evaluated combined therapy of IFN-alpha with 13-cis-retinoic acid (13 cRA) in the treatment of two VIN 3 cases of this type. CASE Two patients with chronic and recurrent VIN 3 were treated with combined therapy of IFN-alpha (4.5 x 10(6) five times a week) and 13 cRA (1 mg/kg/d) for six months. Clinical regression was observed at the end of treatment in both cases, but histologic features of VIN 3 were still present. CONCLUSION These data demonstrate the ineffectiveness of the combined regimen of IFN-alpha and 13 cRA with this schedule for a period of six months in recurrent and chronic VIN 3.
Collapse
Affiliation(s)
- C Vilmer
- Department of Dermatology, Hôpital Saint-Louis, Paris, France
| | | | | | | | | | | |
Collapse
|