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Lamolet M, Barbarin C, Renaud O, Sahin Y, Wierzbicka-Hainaut E, Masson Regnault M. Acceleration of cutaneous T-cell lymphoma mistaken for atopic dermatitis following JAK inhibitor use. Eur J Dermatol 2023; 33:686-687. [PMID: 38465551 DOI: 10.1684/ejd.2023.4554] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2024]
Affiliation(s)
- Manon Lamolet
- Dermatologie, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - Cindy Barbarin
- Dermatologie, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - Olivier Renaud
- Anatomie et cytologie pathologique, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - Yusuf Sahin
- Anatomie et cytologie pathologique, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - Ewa Wierzbicka-Hainaut
- Dermatologie, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
| | - Marie Masson Regnault
- Dermatologie, Centre Hospitalier Universitaire de Poitiers, 2 Rue de la Milétrie, 86000 Poitiers, France
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Lemaigre C, Suarez F, Martellosio JP, Barbarin C, Brunet K, Chomel JC, Hainaut E, Rammaert B, Roblot F, Torregrosa-Diaz JM. Late Onset of Chronic Granulomatous Disease Revealed by Paecilomyces lilacinus Cutaneous Infection. J Clin Immunol 2021; 42:60-63. [PMID: 34596815 PMCID: PMC8821496 DOI: 10.1007/s10875-021-01140-1] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 08/03/2021] [Indexed: 11/28/2022]
Abstract
Chronic granulomatous disease (CGD) is an inherited immunodeficiency due to defective leukocyte NADPH responsible for recurrent infections and aberrant inflammation. Mutations in the CYBB gene are responsible for the X-linked CGD and account for approximately 70% of the cases. CGD is diagnosed during childhood in males. Female carriers may have biased X-inactivation and may present with clinical manifestations depending on the level of residual NADPH oxidase activity. We report the case of a previously asymptomatic female carrier who was diagnosed at age 67 with a skin infection with the rare fungus Paecilomyces lilacinus as the first manifestation of CGD. Dihydrorhodamine 123 (DHR) activity was below 10%. Next-generation sequencing (NGS) revealed mutations in DNMT3A, ASXL1, and STAG2 suggesting that clonal hematopoiesis could be responsible for a progressive loss of NADPH oxidase activity and the late onset of X-linked CGD in this patient. Long-term follow-up of asymptomatic carrier women seems to be essential after 50 years old.
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Affiliation(s)
- Clément Lemaigre
- Service de Maladies Infectieuses Et Tropicales, CHU Poitiers, Poitiers, France.,University of Poitiers, Poitiers, France
| | - Felipe Suarez
- Necker - Enfants Malades, APHP - Centre Université de Paris, Institut Imagine, INSERM UMR 1163 & CNRS ERL 8254, Université de Paris, Paris, France
| | - Jean-Philippe Martellosio
- Service de Maladies Infectieuses Et Tropicales, CHU Poitiers, Poitiers, France.,University of Poitiers, Poitiers, France
| | - Cindy Barbarin
- University of Poitiers, Poitiers, France.,Service de Dermatologie, CHU Poitiers, Poitiers, France
| | - Kévin Brunet
- University of Poitiers, Poitiers, France.,INSERM U1070, Poitiers, France.,Département Des Agents Infectieux, CHU Poitiers, Poitiers, France
| | - Jean Claude Chomel
- Service d'Oncologie Hématologique Et Thérapie Cellulaire, INSERM CIC 1402, CHU Poitiers, 2 rue de la Milétrie, 86021, Poitiers Cedex, France.,Service de Cancérologie Biologique, Poitiers, France
| | - Ewa Hainaut
- Service de Dermatologie, CHU Poitiers, Poitiers, France
| | - Blandine Rammaert
- Service de Maladies Infectieuses Et Tropicales, CHU Poitiers, Poitiers, France.,University of Poitiers, Poitiers, France.,INSERM U1070, Poitiers, France
| | - France Roblot
- Service de Maladies Infectieuses Et Tropicales, CHU Poitiers, Poitiers, France.,University of Poitiers, Poitiers, France.,INSERM U1070, Poitiers, France
| | - José Miguel Torregrosa-Diaz
- Service d'Oncologie Hématologique Et Thérapie Cellulaire, INSERM CIC 1402, CHU Poitiers, 2 rue de la Milétrie, 86021, Poitiers Cedex, France.
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Barbarin C, Cales S, Boutin D, Cormerais M, Edouard C, Regnault MM, Rodier MH, Rammaert B, Hainaut E, Cazenave-Roblot F. Infection cutanée à Paecilomyces lilacinus. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.444] [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]
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