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Pacaud M, Kervarrec T, Masliah-Planchon J, Tallet A, Collin C, Guyetant S, Gatault P, Perrin P, Olagne J, Etienne I, Francois A, Golbin L, Le Naoures C, Moal MC, Doucet L, Rerolle JP, Guillaudeau A, Chatelet V, Comoz F, Westeel PF, Cordonnier C, Miquelestorena-Standley E, Touze A, Arnold F, Samimi M, Buchler M. Merkel cell carcinoma from renal transplant recipients are mostly MCPyV-negative and are frequently associated with squamous cell carcinomas or precursors. J Eur Acad Dermatol Venereol 2023. [PMID: 37010111 DOI: 10.1111/jdv.19076] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Accepted: 03/14/2023] [Indexed: 04/04/2023]
Affiliation(s)
- Margaux Pacaud
- Department of Nephrology, Université de Tours, Centre Hospitalier Universitaire de Tours, Tours, France
| | - Thibault Kervarrec
- Department of Pathology, Université de Tours, Centre Hospitalier Universitaire de Tours, Chambray-les-tours, France
- "Biologie des infections à polyomavirus" team, UMR INRA ISP 1282, Université de Tours, Tours, France
| | | | - Anne Tallet
- Platform of Somatic Tumor Molecular Genetics, Université de Tours, Centre Hospitalier Universitaire de Tours, Chambray-les-tours, France
| | - Christine Collin
- Platform of Somatic Tumor Molecular Genetics, Université de Tours, Centre Hospitalier Universitaire de Tours, Chambray-les-tours, France
| | - Serge Guyetant
- Department of Pathology, Université de Tours, Centre Hospitalier Universitaire de Tours, Chambray-les-tours, France
- "Biologie des infections à polyomavirus" team, UMR INRA ISP 1282, Université de Tours, Tours, France
- Platform of Somatic Tumor Molecular Genetics, Université de Tours, Centre Hospitalier Universitaire de Tours, Chambray-les-tours, France
| | - Philippe Gatault
- Department of Nephrology, Université de Tours, Centre Hospitalier Universitaire de Tours, Tours, France
| | - Peggy Perrin
- Department of Nephrology and Transplantation, Strasbourg University Hospital, Strasbourg, France
| | - Jerome Olagne
- Department of Nephrology and Transplantation, Strasbourg University Hospital, Strasbourg, France
- Department of Pathology, Hôpital de Hautepierre, Hôpitaux Universitaires de Strasbourg, Strasbourg, France
| | - Isabelle Etienne
- Department of Nephrology, Transplantation and Hemodialysis, Rouen University Hospital, Rouen, France
| | - Arnaud Francois
- Department of Pathology, Rouen University Hospital, Rouen, France
| | - Leonard Golbin
- Department of Nephrology, Rennes University Hospital, Rennes, France
| | | | | | - Laurent Doucet
- Pathology Department, University Hospital, 29200, Brest, France
| | - Jean-Philippe Rerolle
- Department of Nephrology and Transplantation, University of Limoges, Limoges, France
| | | | | | | | | | - Carole Cordonnier
- Department of Pathology, Amiens University Medical Center, Amiens, France
| | | | - Antoine Touze
- Platform of Somatic Tumor Molecular Genetics, Université de Tours, Centre Hospitalier Universitaire de Tours, Chambray-les-tours, France
| | - Francoise Arnold
- Platform of Somatic Tumor Molecular Genetics, Université de Tours, Centre Hospitalier Universitaire de Tours, Chambray-les-tours, France
| | - Mahtab Samimi
- Platform of Somatic Tumor Molecular Genetics, Université de Tours, Centre Hospitalier Universitaire de Tours, Chambray-les-tours, France
- Dermatology Department, Université de Tours, CHU de Tours, Chambray-les-tours, France
| | - Matthias Buchler
- Department of Nephrology, Université de Tours, Centre Hospitalier Universitaire de Tours, Tours, France
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Joly E, Duval-Modeste A, Sabatier R, Arhant G, Cellier L, Mouthon M, Comoz F, Joly P, Dompmartin A. Intralesional rituximab treatment for atypical refractory granuloma faciale. Ann Dermatol Venereol 2021; 148:272-274. [PMID: 34456047 DOI: 10.1016/j.annder.2021.06.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2021] [Revised: 03/25/2021] [Accepted: 06/01/2021] [Indexed: 11/24/2022]
Affiliation(s)
- E Joly
- Dermatology Department, CHU Caen, 14033 Caen, France; Université de Caen Basse-Normandie, Faculté de médecine, 14000 Caen, France.
| | | | - R Sabatier
- Cardiology Department, CHU Caen, 14033 Caen, France
| | - G Arhant
- Pathology Department, CHU Rouen, 76000 Rouen, France
| | - L Cellier
- Pathology Department, CHU Rouen, 76000 Rouen, France
| | - M Mouthon
- Pathology Department, CHU Caen, 14033 Caen, France
| | - F Comoz
- Pathology Department, CHU Caen, 14033 Caen, France
| | - P Joly
- Dermatology Department, CHU Rouen, 76000 Rouen, France
| | - A Dompmartin
- Dermatology Department, CHU Caen, 14033 Caen, France; Université de Caen Basse-Normandie, Faculté de médecine, 14000 Caen, France
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Dolladille C, Ederhy S, Allouche S, Dupas Q, Gervais R, Madelaine J, Sassier M, Plane AF, Comoz F, Cohen AA, Thuny FR, Cautela J, Alexandre J. Late cardiac adverse events in patients with cancer treated with immune checkpoint inhibitors. J Immunother Cancer 2020; 8:jitc-2019-000261. [PMID: 31988143 PMCID: PMC7057417 DOI: 10.1136/jitc-2019-000261] [Citation(s) in RCA: 38] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/18/2019] [Indexed: 12/17/2022] Open
Abstract
Background Immune checkpoint inhibitor (ICI)-associated early cardiac adverse events (CAEs), mostly acute and fulminant myocarditis, have been well characterized and mainly occur during the first 90 days after ICI therapy initiation. ICI-associated late CAEs (occurring after the first 90 days of treatment) have not yet been described. Methods First, we compared characteristics of a cohort involving early (defined as a CAE time to onset (TTO) of <90 days after ICI therapy initiation) and late (defined as a CAE TTO of ≥90 days after ICI therapy initiation) ICI-associated CAE consecutive cases who were referred to three French cardio-oncology units. Second, ICI-associated CAE cases were searched in VigiBase, the WHO global individual case safety report database, and early and late ICI-associated CAEs were compared. Results In the cohort study, compared with early CAE cases (n=19, median TTO of 14 days), late ICI-associated CAE cases (n=19, median TTO of 304 days) exhibited significantly more left ventricular systolic dysfunction (LVSD) and heart failure (HF) and less frequent supraventricular arrhythmias. In VigiBase, compared with early cases (n=437, 73.3%, median TTO 21 days), the late ICI-associated CAE reports (n=159, 26.7%, median TTO 178 days) had significantly more frequent HF (21.1% vs 31.4%, respectively, p=0.01). Early and late ICI-associated CAE cases had similarly high mortality rates (40.0% vs 44.4% in the cohort and 30.0% vs 27.0% in VigiBase, respectively). Conclusions Late CAEs could occur with ICI therapy and were mainly revealed to be HF with LVSD. Trial registration numbers NCT03678337, NCT03882580, and NCT03492528.
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Affiliation(s)
- Charles Dolladille
- CHU de Caen, PICARO Cardio-oncology Program, Department of Pharmacology, CHU de Caen, Caen, France .,CHU de Caen, Department of Cardiology, CHU de Caen, Caen F-14000, France
| | - Stephane Ederhy
- Department of Cardiology, Cardio-oncology Unit, Cardio-oncology Research G, INSERM U 856, Thrombose, Athérothrombose et Pharmacologie Appliquée, Assistance Publique - Hopitaux de Paris, Paris, France
| | - Stéphane Allouche
- EA4650, Signalisation, Électrophysiologie et Imagerie des Lésions d'Ischémie-reperfusion Myocardique, Université de Caen Normandie, Caen, Normandie, France
| | - Querntin Dupas
- EA4650, Signalisation, Électrophysiologie et Imagerie des Lésions d'Ischémie-reperfusion Myocardique, Université de Caen Normandie, Caen, Normandie, France
| | - Radj Gervais
- Onco-pneumology, Centre François Baclesse Centre de Lutte Contre le Cancer, Caen, France
| | | | - Marion Sassier
- CHU de Caen, PICARO Cardio-oncology Program, Department of Pharmacology, CHU de Caen, Caen, France
| | - Anne-Flore Plane
- CHU de Caen, Department of Cardiology, CHU de Caen, Caen F-14000, France
| | | | - Ariel Aron Cohen
- Department of Cardiology, Cardio-oncology Unit, Cardio-oncology Research G, INSERM U 856, Thrombose, Athérothrombose et Pharmacologie Appliquée, Assistance Publique - Hopitaux de Paris, Paris, France
| | - Franck Roland Thuny
- Mediterranean University Cardio-oncology Center (MEDI-CO Center), Unit of Heart Failure and Valvular Heart Diseases, Department of Cardiology, Hôpital Nord, Marseille, APHM, Marseille, Provence-Alpes-Côte d'Azu, France
| | - Jennifer Cautela
- Mediterranean University Cardio-oncology Center (MEDI-CO Center), Unit of Heart Failure and Valvular Heart Diseases, Department of Cardiology, Hôpital Nord, Marseille, APHM, Marseille, Provence-Alpes-Côte d'Azu, France
| | - Joachim Alexandre
- CHU de Caen, PICARO Cardio-oncology Program, Department of Pharmacology, CHU de Caen, Caen, France.,EA4650, Signalisation, Électrophysiologie et Imagerie des Lésions d'Ischémie-reperfusion Myocardique, Université de Caen Normandie, Caen, Normandie, France
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Cesaire L, Kauffmann D, Comoz F, Dompmartin A. [A case of reticulated papillomatosis and maturity-onset diabetes of the young (MODY)]. Ann Dermatol Venereol 2020; 147:233-235. [PMID: 32044133 DOI: 10.1016/j.annder.2019.11.004] [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: 03/31/2019] [Revised: 10/24/2019] [Accepted: 11/07/2019] [Indexed: 10/25/2022]
Affiliation(s)
- L Cesaire
- Service de dermatologie, CHU de Caen, 14000 Caen, France.
| | - D Kauffmann
- Service de pédiatrie, CHU de Caen, 14000 Caen, France
| | - F Comoz
- Service d'anatomie pathologique, CHU de Caen, 14000 Caen, France
| | - A Dompmartin
- Service de dermatologie, CHU de Caen, 14000 Caen, France
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Sonigo G, Battistella M, Beylot-Barry M, Oro S, Franck N, Barete S, Boulinguez S, Dereure O, Bonnet N, Socié G, Brice P, Boccara O, Bodemer C, Adamski H, D’Incan M, Ortonne N, Fraitag S, Brunet-Possenti F, Dalle S, Suarez F, Marcais A, Skowron F, Haidar D, Maubec E, Bohelay G, Laroche L, Mahé A, Birckel E, Bouaziz JD, Brocheriou I, Dubois R, Faiz S, Fadlallah J, Ram-Wolff C, Carlotti A, Bens G, Balme B, Vergier B, Laurent-Roussel S, Deschamps L, Carpentier O, Moguelet P, Hervé G, Comoz F, Le Gall F, Leverger G, Finon A, Augereau O, Bléchet C, Kerdraon R, lamant L, Tournier E, Franck F, Costes-Martineau V, Szablewski V, Taix S, Beschet I, Guérin F, Sepulveda F, Bagot M, De Saint-Basile G, Michonneau D, De Masson A. Étude clinique à long terme et mutations HAVCR2 chez 70 patients atteints de lymphome T sous cutané à type de panniculite. Ann Dermatol Venereol 2019. [DOI: 10.1016/j.annder.2019.09.144] [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]
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Joly E, Rimond O, Salaun V, Comoz F, Morice C, Dompmartin A, Verneuil L. [Localized urticarial rituximab-induced reaction in primary cutaneous marginal zone B-cell lymphoma]. Ann Dermatol Venereol 2019; 147:50-52. [PMID: 31635943 DOI: 10.1016/j.annder.2019.09.002] [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: 08/08/2018] [Revised: 04/02/2019] [Accepted: 09/04/2019] [Indexed: 11/26/2022]
Affiliation(s)
- E Joly
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France; Université de Caen Normandie, Medical School, 14000 Caen, France.
| | - O Rimond
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France
| | - V Salaun
- Service d'hématologie biologique, CHU de Caen, 14033 Caen, France
| | - F Comoz
- Service d'anatomie pathologie, CHU de Caen, 14033 Caen, France
| | - C Morice
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France
| | - A Dompmartin
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France; Université de Caen Normandie, Medical School, 14000 Caen, France
| | - L Verneuil
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France
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Joly E, Lefranc H, Comoz F, Lefort F, Pédaillès S, Chevallier JM, Dompmartin A. [Carbon dioxide laser treatment of genital intraepithelial neoplasia: A retrospective study]. Ann Dermatol Venereol 2019; 146:542-549. [PMID: 31320185 DOI: 10.1016/j.annder.2019.03.009] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 09/23/2018] [Revised: 11/14/2018] [Accepted: 03/06/2019] [Indexed: 10/26/2022]
Abstract
INTRODUCTION Genital intraepithelial neoplasias (IEN) are precursors of squamous cell carcinoma. The ideal treatment must be efficacious, conservative and well-tolerated. CO2 laser is one of the recommended therapies, but its efficacy and safety have not been extensively studied. PATIENTS AND METHODS This was a retrospective single-center study. Sixteen patients (8 women and 8 men) treated with CO2 laser for genital IEN, whether high-grade or differentiated, were included. Surgical lateral margins of 3 to 5mm were taken macroscopically during treatment. The CO2 laser session, assessment of therapeutic response and follow-up were undertaken by a dermatologist at the University Hospital of Caen. RESULTS The mean patient age was 68.1 years and mean follow-up was 52.7 months (5-130). Lesions were isolated in 87.5% of patients. The recurrence rates of genital intraepithelial neoplasia after CO2 laser treatment were 58% for women and 40% for men. No impact on quality of life or on sexual activity was reported in over 90% of patients. CONCLUSION Whatever the treatment recommended for intraepithelial neoplasia, recurrence is frequent. CO2 laser is an effective and well-tolerated conservative therapeutic option. It enables rapid clinical remission, but as with all currently available treatments, long-term dermatologic follow-up remains necessary.
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Affiliation(s)
- E Joly
- Service de dermatologie, CHU de Caen, avenue de la côte de Nacre, 14033 Caen, France; Faculté de médecine, université de Caen Basse-Normandie, Caen, France.
| | - H Lefranc
- Service de dermatologie, CHU de Caen, avenue de la côte de Nacre, 14033 Caen, France; Faculté de médecine, université de Caen Basse-Normandie, Caen, France
| | - F Comoz
- Service d'anatomopathologie, CHU de Caen, 14033 Caen, France
| | - F Lefort
- Service du DIM, CHU de Caen, 14033 Caen, France
| | - S Pédaillès
- Service de dermatologie, CHIC Alençon-Mamers, 61000 Alençon, France
| | - J-M Chevallier
- Service de dermatologie, CHU de Caen, avenue de la côte de Nacre, 14033 Caen, France
| | - A Dompmartin
- Service de dermatologie, CHU de Caen, avenue de la côte de Nacre, 14033 Caen, France; Faculté de médecine, université de Caen Basse-Normandie, Caen, France
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Maitre E, Le‐Page A, Comoz F, Truquet F, Damaj G, Cornet E, Verneuil L, Salaün V, Troussard X. Usefulness of Flow Cytometry for the Detection of Cutaneous Localization in Malignant Hematologic Disorders. Cytometry 2019; 96:283-293. [DOI: 10.1002/cyto.b.21784] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 04/02/2019] [Accepted: 04/10/2019] [Indexed: 12/25/2022]
Affiliation(s)
- Elsa Maitre
- Laboratoire d'hématologie, CHU de Caen, Calvados, 14033 Caen France
| | - Anne‐Laure Le‐Page
- Laboratoire d'Anatomopathologie, CHU de Caen, Calvados, 14033 Caen France
| | - Francois Comoz
- Laboratoire d'Anatomopathologie, CHU de Caen, Calvados, 14033 Caen France
| | - Florence Truquet
- Laboratoire d'hématologie, CHU de Caen, Calvados, 14033 Caen France
| | - Gandhi Damaj
- Institut d'Hématologie Bas Normand, CHU de Caen, Calvados, 14033 Caen France
| | - Edouard Cornet
- Laboratoire d'hématologie, CHU de Caen, Calvados, 14033 Caen France
| | | | - Véronique Salaün
- Laboratoire d'hématologie, CHU de Caen, Calvados, 14033 Caen France
| | - Xavier Troussard
- Laboratoire d'hématologie, CHU de Caen, Calvados, 14033 Caen France
- Institut d'Hématologie Bas Normand, CHU de Caen, Calvados, 14033 Caen France
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Bontoux C, De Masson A, Boccara O, Bodemer C, Fraitag S, Balme B, Franck N, Carlotti A, Comoz F, Verneuil L, Brasme JF, Duplan M, Croué A, Templier I, Beltraminelli H, Dereure O, Szablewski V, Thevenin C, Boulinguez S, Viraben R, Tournier E, Lamant L, Ortonne N, Ingen-Housz-Oro S, Beckerich F, Grange F, Durlach A, Amatore F, Frouin E, McIntyre E, Asnafi V, Kim R, Clappier E, Soulier J, Boissel N, Dombret H, Bagot M, Battistella M. Clinical aspects and outcome of lymphoblastic leukemia/lymphoma with cutaneous involvement. Eur J Cancer 2019. [DOI: 10.1016/s0959-8049(19)30538-6] [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]
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Gaichies Nascimbeni C, Cornille H, Morice C, Comoz F, Verneuil L. Pityriasis lichénoïde : étude descriptive de 16 cas au CHU de Caen. Ann Dermatol Venereol 2018. [DOI: 10.1016/j.annder.2018.09.352] [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]
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Cornille H, Adelmand L, Garmi R, Comoz F, Verneuil L. [Idiopathic lipoatrophic panniculitis in an adult treated with hydroxychloroquine and adipocyte grafting]. Ann Dermatol Venereol 2018; 145:694-701. [PMID: 30201209 DOI: 10.1016/j.annder.2018.07.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 11/13/2017] [Revised: 02/06/2018] [Accepted: 07/25/2018] [Indexed: 10/28/2022]
Abstract
BACKGROUND Idiopathic lipoatrophic panniculitis is a rare disease. Various terms are used in the literature to describe similar entities: annular lipoatrophy of the ankles, lipophagic panniculitis and lipoatrophic panniculitis. In any event, it consists of an inflammatory process progressing to necrosis of the fatty tissue. PATIENTS AND METHODS Herein we report the case of a 37-year-old woman presenting characteristic signs: erythematous, annular, symmetrical, painful, inflammatory lesions of the lower extremities, progressing to areas of atrophy with an indurated inflammatory periphery. Histopathology showed lobular panniculitis composed primarily of lymphocytes and macrophages. The etiological investigations ruled out all other causes of lobular panniculitis. The patient was successfully treated with hydroxychloroquine 400mg/day for 1 year and she subsequently underwent fat grafting on the secondary lesions. DISCUSSION Our literature review identified 23 reported cases of idiopathic lipoatrophic panniculitis since 2006, including 10 cases of annular ankle lipoatrophy. The most commonly used treatments are corticosteroids, hydroxychloroquine and methotrexate, with good efficacy being seen on the inflammatory phase. This disease seems a good indication for fat grafting to limit aesthetic sequelae. CONCLUSION Lipoatrophic panniculitis, a rare disease, results in significant aesthetic sequelae which may be limited by early treatment initiation. The benefit-risk ratio of hydroxychloroquine suggests its value as first-line therapy in this pathology. Our case also demonstrates the value of filling of the secondary atrophy by fat grafting after the inflammatory period has ended.
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Affiliation(s)
- H Cornille
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France.
| | - L Adelmand
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France
| | - R Garmi
- Service de chirurgie maxillo-faciale, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France
| | - F Comoz
- Service d'anatomie pathologique, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France
| | - L Verneuil
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France; Université de Caen Normandie, 14000 Caen, France
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Lafargue O, Fraitag S, Boccara O, Comoz F, Rod J, Turgis Mezerette C, Dompmartin A. [Extensive connective tissue nevus in children]. Ann Dermatol Venereol 2017; 144:700-704. [PMID: 28760502 DOI: 10.1016/j.annder.2017.06.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [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: 11/28/2016] [Revised: 02/08/2017] [Accepted: 06/12/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Connective tissue nevus (CTN) is a rare condition of the extracellular matrix components that generally presents as papulae of normal skin colour. This condition may be syndromic or sporadic. PATIENTS AND METHODS We report herein two isolated cases of extensive and infiltrative CTN in children at risk for subsequent joint stiffening. The pathology samples displayed respectively mixed hamartoma and a collagenoma. DISCUSSION The onset of these lesions is often difficult to establish, since they are usually unnoticeable at first. When confronted with extensive CTN, the main differential diagnoses are eosinophilic fasciitis and morphea, and these must be ruled out by skin biopsy. CTN is associated with osteopoikilosis in Buschke-Ollendorf syndrome. Skeletal lesions are asymptomatic and are detected by means of iterative X-ray. Their management comprises symptomatic care.
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Affiliation(s)
- O Lafargue
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, CS 30001, 14033 Caen cedex 9, France.
| | - S Fraitag
- Service d'anatomopathologie, hôpital Necker-enfants malades, 149, rue de sèvres, 75743 Paris cedex 15, France
| | - O Boccara
- Service de dermatologie, hôpital Necker-enfants malades, 149, rue de sèvres, 75743 Paris cedex 15, France
| | - F Comoz
- Service d'anatomopathologie, CHU de Caen, avenue de la Côte-de-Nacre, CS 30001, 14033 Caen cedex 9, France
| | - J Rod
- Service de chirurgie pédiatrique, CHU de Caen, avenue de la Côte-de-Nacre, CS 30001, 14033 Caen cedex 9, France
| | - C Turgis Mezerette
- Cabinet libéral de dermatologie, 3, place de la croûte, 50200 Coutances, France
| | - A Dompmartin
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, CS 30001, 14033 Caen cedex 9, France
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Nascimbeni C, Chantepie S, Brugiere C, Comoz F, Salaun V, Verneuil L. [Cutaneous involvement in T-lymphoblastic lymphoma]. Ann Dermatol Venereol 2017; 144:268-274. [PMID: 28242092 DOI: 10.1016/j.annder.2017.01.001] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2016] [Revised: 09/27/2016] [Accepted: 01/13/2017] [Indexed: 12/19/2022]
Abstract
BACKGROUND Lymphoblastic lymphoma (LBL) is a rare form of non-Hodgkin's lymphoma (NHL). Cutaneous LBL is seen in less than 20% of patients. PATIENTS AND METHODS Herein, we report the case of a 66-year-old male patient without any previous disease history of note and who was presenting a gradually spreading tumoral lesion of the scalp, several purplish macules and nodules on the trunk, and a single spinal adenopathy. A thoracic-abdominal-pelvic CT scan performed for acute renal failure, revealed extensive infiltration of retroperitoneal tissue. Skin biopsies and staging tests indicated LBL-T with associated cutaneous, bone and lymph node retroperitoneal lesions with no mediastinal mass. After two months of treatment with CHOP (four courses), the cutaneous lesions and abdominal tumoral mass had regressed and renal function had returned to normal. DISCUSSION There have been 13 reported cases of LBL with cutaneous involvement; most of these patients were young (under 30 years) and presented multiple cutaneous lesions (nodules or tumors) associated with numerous peripheral adenopathies, invasion of the bone marrow, and in many cases, a mediastinal mass. The clinical presentation of LBL-T in our case is novel on account of the cutaneous sites, associated with abdominal tumoral syndrome, without mediastinal infiltration, and with a single peripheral adenopathy, in an elderly subject.
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Affiliation(s)
- C Nascimbeni
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France; Université de Caen Normandie, 14000 Caen, France.
| | - S Chantepie
- Service d'hématologie clinique, CHU de Caen, 14033 Caen, France; Université de Caen Normandie, 14000 Caen, France
| | - C Brugiere
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France; Université de Caen Normandie, 14000 Caen, France
| | - F Comoz
- Service d'anatomie pathologique, CHU de Caen, 14033 Caen, France; Université de Caen Normandie, 14000 Caen, France
| | - V Salaun
- Service d'hématologie biologique, CHU de Caen, 14033 Caen, France; Université de Caen Normandie, 14000 Caen, France
| | - L Verneuil
- Service de dermatologie, CHU de Caen, avenue de la Côte-de-Nacre, 14033 Caen, France; Université de Caen Normandie, 14000 Caen, France
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Deshayes S, Martin-Silva N, Chatelet V, Chantepie S, Comoz F, Bridoux F, Dragon-Durey M, Bienvenu B, Aouba A. Efficacité de l’éculizumab sur les ischémies digitales et la glomérulonéphrite isolée à dépôts de C3 associées à des auto-anticorps anti-facteur H. Rev Med Interne 2016. [DOI: 10.1016/j.revmed.2016.04.085] [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]
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15
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Rimond O, Morice C, Moreau A, Comoz F, Verneuil L. Urticaire induite par anticorps anti-CD20 (rituximab) limitée aux lésions de lymphome B cutané primitif de la zone marginale (PCMZL). Ann Dermatol Venereol 2015. [DOI: 10.1016/j.annder.2015.10.511] [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]
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16
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Picard C, Gouarin S, Comoz F, Barreau M, Verneuil L, Troussard X, Dompmartin A. Chronic active Epstein-Barr virus infection with cutaneous and sinus lymphoproliferation in a white female patient with 25 years' follow-up: an original case report. Br J Dermatol 2015; 173:1266-70. [PMID: 26148205 DOI: 10.1111/bjd.14014] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/29/2015] [Indexed: 11/28/2022]
Abstract
Chronic active Epstein-Barr virus infection (CAEBV) is characterized by chronic infectious mononucleosis-like symptoms associated with very high viral load, as assessed by quantitative polymerase chain reaction. We present an unusual case in a French woman who was followed up over 25 years with cutaneous and sinus lymphoproliferation. This white woman presented with a long history of recurrent cutaneous necrotic papules of the skin, which started during childhood and healed spontaneously with depressed scars. The lesions spread to the left maxillary sinus and were associated with hepatomegaly and splenomegaly with no other visceral locations. Pathological examination of the skin and sinus revealed a dermal monoclonal T-cell lymphoproliferative disorder, CD7(+) and CD20(-) , with no epidermotropism. T-cell receptor rearrangement was positive, showing the monoclonality from the first biopsy. This T-cell proliferation was positive for EBV-encoded small RNA and was associated with a high EBV viral load. Since then, the patient has been in good health, despite a permanently high EBV viral load. Hydroa vacciniforme (HV)-like lymphoma and natural killer/T-cell lymphoma were discussed, but none really fit our case. Natural killer cell lymphoma was ruled out because of the indolent course, but sinus lesions do not exist in HV-like lymphoma. A therapeutic approach is difficult because of the coexistence of viral infection and monoclonal T-cell proliferation. Chemotherapy is not efficient and induces immunosuppression, which may worsen the prognosis. Although rituximab may have an immunomodulatory function, it was not effective in our case.
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Affiliation(s)
- C Picard
- Department of Dermatology, CHU Caen, Université de Caen Basse Normandie, 14000, Caen, France
| | - S Gouarin
- Department of Virology, CHU Caen, Université de Caen Basse Normandie, 14000, Caen, France
| | - F Comoz
- Department of Pathology , CHU Caen, Université de Caen Basse Normandie, 14000, Caen, France
| | - M Barreau
- Department of Dermatology, CHU Caen, Université de Caen Basse Normandie, 14000, Caen, France
| | - L Verneuil
- Department of Dermatology, CHU Caen, Université de Caen Basse Normandie, 14000, Caen, France
| | - X Troussard
- Department of Haematology, CHU Caen, Université de Caen Basse Normandie, 14000 Caen, France
| | - A Dompmartin
- Department of Dermatology, CHU Caen, Université de Caen Basse Normandie, 14000, Caen, France
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17
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Tesnière A, Stefan A, Desdoits A, Comoz F, Dompmartin A, Verneuil L. Mastocytose xanthélasmoïde infantile. Ann Dermatol Venereol 2015; 142:381-3. [DOI: 10.1016/j.annder.2015.02.008] [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: 07/14/2014] [Revised: 01/25/2015] [Accepted: 02/04/2015] [Indexed: 11/29/2022]
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18
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Tesnière AM, Morello R, Comoz F, Lecot S, Salaun V, Verneuil L. Pratique de la cytométrie en flux sur peau dans les lymphomes cutanés T épidermotropes et érythrodermiques : un outil diagnostique ? Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.09.097] [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]
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19
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Brugière C, Karanian‐Philippe M, Comoz F, Dompmartin A, Galateau‐Sallé F, Verneuil L. Two cases of aggressive nontumoral folliculotropic mycosis fungoides with visceral involvement. Br J Dermatol 2014; 171:899-902. [DOI: 10.1111/bjd.13083] [Citation(s) in RCA: 3] [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] [Accepted: 04/22/2014] [Indexed: 11/27/2022]
Affiliation(s)
- C. Brugière
- Department of Dermatology CHU de Caen Caen F‐14000 France
- Medical School Université de Caen Basse‐Normandie Caen F‐14000 France
| | - M. Karanian‐Philippe
- Medical School Université de Caen Basse‐Normandie Caen F‐14000 France
- Department of Pathology CHU de Caen Caen F‐14000 France
| | - F. Comoz
- Department of Pathology CHU de Caen Caen F‐14000 France
| | - A. Dompmartin
- Department of Dermatology CHU de Caen Caen F‐14000 France
| | - F. Galateau‐Sallé
- Medical School Université de Caen Basse‐Normandie Caen F‐14000 France
- Department of Pathology CHU de Caen Caen F‐14000 France
| | - L. Verneuil
- Department of Dermatology CHU de Caen Caen F‐14000 France
- Medical School Université de Caen Basse‐Normandie Caen F‐14000 France
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20
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Tesnière A, Comoz F, Salaun V, Verneuil L. Pratique de la cytométrie en flux sur peau dans les lymphomes T cutanés épidermotropes et érythrodermiques : un outil diagnostique ? Ann Dermatol Venereol 2014. [DOI: 10.1016/j.annder.2014.04.163] [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]
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21
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Chopinaud M, Bonhomme J, Comoz F, Barreau M, Morice C, Verneuil L. [Chromomycosis in metropolitan France]. Ann Dermatol Venereol 2014; 141:396-8. [PMID: 24835659 DOI: 10.1016/j.annder.2014.01.009] [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: 11/19/2013] [Revised: 12/27/2013] [Accepted: 01/09/2014] [Indexed: 11/18/2022]
Affiliation(s)
- M Chopinaud
- Service de dermatologie, CHU de Caen, faculté de médecine, université de Caen, Basse-Normandie, avenue Georges-Clemenceau, 14033 Caen cedex 9, France.
| | - J Bonhomme
- Laboratoire de microbiologie, CHU de Caen, 14033 Caen cedex 9, France
| | - F Comoz
- Service d'anatomopathologie, CHU de Caen, 14033 Caen cedex 9, France
| | - M Barreau
- Service de dermatologie, CHU de Caen, faculté de médecine, université de Caen, Basse-Normandie, avenue Georges-Clemenceau, 14033 Caen cedex 9, France
| | - C Morice
- Service de dermatologie, CHU de Caen, faculté de médecine, université de Caen, Basse-Normandie, avenue Georges-Clemenceau, 14033 Caen cedex 9, France
| | - L Verneuil
- Service de dermatologie, CHU de Caen, faculté de médecine, université de Caen, Basse-Normandie, avenue Georges-Clemenceau, 14033 Caen cedex 9, France
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22
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Morice C, Tesnière A, Comoz F, Barreau M, Verneuil L. Nécroses cutanées extensives liées à un syndrome des antiphospholipides (SaPL) et résistant aux AVK. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.09.530] [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: 11/28/2022]
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23
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Chopinaud M, Morice C, Comoz F, Petit A, Battistella M, Stefan A, Verneuil L. Un cas de maladie de Kimura dans une forme atypique. Ann Dermatol Venereol 2013; 140:699-703. [DOI: 10.1016/j.annder.2013.04.086] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2012] [Revised: 02/21/2013] [Accepted: 04/08/2013] [Indexed: 12/31/2022]
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24
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Audemard A, de Raucourt S, Miocque S, Comoz F, Giraud JM, Dreno B, Bienvenu B, Rogerie MJ, Dompmartin A. Melanoma-associated retinopathy treated with ipilimumab therapy. Dermatology 2013; 227:146-9. [PMID: 24051549 DOI: 10.1159/000353408] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/25/2013] [Accepted: 06/02/2013] [Indexed: 11/19/2022] Open
Abstract
Melanoma-associated retinopathy (MAR) is a rare autoimmune syndrome in patients with melanoma characterized by visual disorders. MAR is induced by the degeneration of bipolar cells of the retina and the presence of serum autoantibodies against retina proteins. Ipilimumab, an anti-cytotoxic T lymphocyte-associated antigen 4 antibody, improves survival in previously treated patients with metastatic melanoma, but is responsible for a spectrum of immune-related adverse events. Administration of ipilimumab to patients with autoimmune diseases (such as MAR or vitiligo) is actually not recommended. We report a patient presenting with MAR occurring during a melanoma relapse. Surgery and chemotherapy had no effect on visual acuity and melanoma increased. In the absence of alternative antitumoral treatment, we focused on the vital prognosis and treated the patient with ipilimumab. Two years after the treatment the patient is free from new metastasis but has presented with exacerbation of vitiligo and MAR. In the very rare case of melanoma with autoimmune disease without a therapy option, ipilimumab could be discussed, taking into account the fact that it can be effective on tumor burden but can also increase autoimmunity.
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Affiliation(s)
- A Audemard
- Department of Internal Medicine, Caen, France
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25
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Chuffart M, Stephan A, Comoz F, Salaun V, Baldolli A, Reman O, Verneuil L. [Intravascular large B-cell lymphoma]. Ann Dermatol Venereol 2013; 140:328-30. [PMID: 23567238 DOI: 10.1016/j.annder.2013.02.008] [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: 01/20/2013] [Accepted: 02/05/2013] [Indexed: 11/24/2022]
Affiliation(s)
- M Chuffart
- Service de dermatologie, CHU, 14, avenue Georges-Clémenceau, 14033 Caen, France.
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26
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Barreau M, Stefan A, Brouard J, Leconte C, Morice C, Comoz F, Dompmartin A, Verneuil L. La pemphigoïde bulleuse (PB), une pathologie rare chez l’enfant. Réalité de la PB post-vaccinale ? Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.275] [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: 11/17/2022]
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27
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Chopinaud M, Morice C, Comoz F, Petit A, Battistella M, Stefan A, Verneuil L. Un cas de maladie de Kimura dans une forme atypique. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.391] [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: 10/27/2022]
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28
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Brugière C, Stefan A, Dompmartin A, Salaun V, Comoz F, Chantepie S, Campbell K, Verneuil L. Des lésions comédoniennes agressives : deux cas de mycosis fongoïde folliculotrope non transformé avec localisation pulmonaire. Ann Dermatol Venereol 2013. [DOI: 10.1016/j.annder.2013.01.397] [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]
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29
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Richard A, Gallet B, Comoz F, Louvet S, Michel M, Verneuil L, Cribier B, Dompmartin A. [Eruptive collagenoma]. Ann Dermatol Venereol 2013; 140:69-71. [PMID: 23328367 DOI: 10.1016/j.annder.2012.10.588] [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: 10/01/2012] [Accepted: 10/24/2012] [Indexed: 11/26/2022]
Affiliation(s)
- A Richard
- Service de dermatologie, hôpital Clémeanceau, CHU, boulevard Clemenceau, 14000 Caen, France.
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Vautier M, Martin Silva N, Ollivier Y, Ficheux M, Comoz F, Bienvenu B. Anastrozole et vascularite d’hypersensibilité sévère rénale. Rev Med Interne 2012. [DOI: 10.1016/j.revmed.2012.10.252] [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: 10/27/2022]
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31
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Ortonne N, Kebir F, Chatelain D, Chaby G, Chatelain D, Carlotti A, Lecaudey-Hansen MH, Comoz F, Gaulard P. Lymphomes T cutanés non classables à différenciation TFH : à propos de six cas illustrant de nouveaux aspects anatomocliniques. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.049] [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]
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32
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Barreau M, Stefan A, Brouard J, Leconte C, Morice C, Comoz F, Verneuil L. La pemphigoïde bulleuse, une pathologie rare chez l’enfant. Réalité de la pemphigoïde bulleuse post-vaccinale ? Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.201] [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]
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33
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Brugière C, Stefan A, Dompmartin A, Salaun V, Comoz F, Verneuil L. Agressivité de deux cas de mycosis fongoïde folliculotrope non transformé avec localisation pulmonaire. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.463] [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]
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34
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Morice C, Brugière C, Stefan A, Clément C, Comoz F, Creveuil C, Gouarin S, Verneuil L. Implication de l’Epstein-Barr virus dans l’exanthème maculopapuleux toxique bénin. Ann Dermatol Venereol 2012. [DOI: 10.1016/j.annder.2012.10.092] [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]
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Kebir F, Chatelain D, Chaby G, Carlotti A, Hansen L, Comoz F, Gaulard P, Ortonne N. Lymphomes T cutanés non classables à différenciation TFH : à propos de six cas illustrant de nouveaux aspects anatomocliniques. Ann Pathol 2012. [DOI: 10.1016/j.annpat.2012.09.169] [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]
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36
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Thierry A, Thervet E, Vuiblet V, Goujon JM, Machet MC, Noel LH, Rioux-Leclercq N, Comoz F, Cordonnier C, François A, Marcellin L, Girardot-Seguin S, Touchard G. Long-term impact of subclinical inflammation diagnosed by protocol biopsy one year after renal transplantation. Am J Transplant 2011; 11:2153-61. [PMID: 21883902 DOI: 10.1111/j.1600-6143.2011.03695.x] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
Abstract
The long-term impact of subclinical acute rejection (SCAR) on renal graft function remains poorly understood. Furthermore, the interpretation of borderline lesions is difficult and their incidence is variable. The aim of this study was to analyze the characteristics of subclinical inflammation (SCI) in protocol biopsies performed 1-year after renal transplantation. SCI was defined as the presence of borderline lesions or SCAR according to the Banff 2005 classification. The patients included were a subpopulation of the CONCEPT study in which patients were randomized 3 months after transplantation to receive either sirolimus (SRL) or cyclosporine A (CsA) in combination with mycophenolate mofetil. At 1 year, we observed SCI in 37 of the 121 patients observed with an evaluable biopsy. The incidence was more frequent in the SRL group (SRL 45.2% vs. CsA 15.3%). At 30 months , SCI was associated with a significantly lower level of estimated glomerular filtration rate (mean MDRD 50.8 [±13.3] vs. 57.7 [±16.3] mL/min/1.73 m(2) , p = 0.035). In conclusion, SCI at 1-year posttransplantation is associated with worsening renal function and is more frequent in SRL-treated patients. Therefore, evaluation of SCI may be a valuable tool to allow the optimization of immunosuppressive regimens.
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Affiliation(s)
- A Thierry
- Department of Nephrology and Transplantation, University Hospital, Poitiers, France.
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Clément C, Lebreuilly I, Stephan A, De Raucourt S, Dutriaux C, Comoz F, Leroy D, Verneuil L. [Intracranial extension of cutaneous facial squamous cell carcinoma: involvement of the neurotropic pathway]. Ann Dermatol Venereol 2010; 137:551-4. [PMID: 20804901 DOI: 10.1016/j.annder.2010.04.018] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2010] [Revised: 04/11/2010] [Accepted: 04/30/2010] [Indexed: 11/25/2022]
Abstract
BACKGROUND Squamous cell carcinoma is the most common form of skin cancer after basal cell carcinoma. It comprises locoregional malignant tumours with more rapid and severe spread, and which may metastasise through blood or lymph, and through a less well-known neurotropic pathway. We report a case of late and slowly progressive recurrence of squamous cell carcinoma revealed and characterized by neurological symptoms alone. OBSERVATION A 69-year-old woman with a history of cutaneous squamous cell carcinoma on the left nostril edge removed 10 years earlier presented right trigeminal neuralgia in 2003. These symptoms gradually expanded and in 2007 a subcutaneous induration of the two cheeks appeared. Magnetic resonance imaging (MRI) showed subcutaneous infiltration of the 2 nasolabial sulci, as did contrast enhancement of the two trigeminal nerves up to the cavernous sinuses. Deep biopsy allowed a diagnosis of invasive squamous cell carcinoma to be made. DISCUSSION Neurotropism is an important feature of squamous cell carcinoma, and reveals the aggressive nature of this condition. This feature makes it hard to diagnose relapse since the neurological symptoms may be isolated for a long period, hence the need for systematic screening for perineural tumour sites on histological analysis of the initial lesion. Treatment for these forms is limited and for the moment consists of radiation, cetuximab and a combination of these two treatments.
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Affiliation(s)
- C Clément
- Service de dermatologie, CHU de Caen, avenue Georges-Clemenceau, 14033 Caen, France.
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Verneuil L, Gouarin S, Comoz F, Agbalika F, Creveuil C, Varna M, Vabret A, Janin A, Leroy D. Epstein-Barr virus involvement in the pathogenesis of hydroa vacciniforme: an assessment of seven adult patients with long-term follow-up. Br J Dermatol 2010; 163:174-82. [DOI: 10.1111/j.1365-2133.2010.09789.x] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Verneuil L, Ratajczak P, Allabert C, Leboeuf C, Comoz F, Janin A, Ameisen J. Endothelial cell apoptosis in severe drug-induced bullous eruptions. Br J Dermatol 2009; 161:1371-5. [DOI: 10.1111/j.1365-2133.2009.09357.x] [Citation(s) in RCA: 7] [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] [Indexed: 10/20/2022]
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Knol AC, Ehst BD, Dompmartin A, Quéreux G, Nguyen JM, Comoz F, Renaut JJ, Khammari A, Vonderheid EC, Dréno B. Toll-like receptor 2, 4, 7 and 9 expression in primary cutaneous CD30+ T-cell lymphoma. Br J Dermatol 2009; 161:1414-6. [PMID: 19785598 DOI: 10.1111/j.1365-2133.2009.09470.x] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [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]
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Alix T, Labbé D, Caquant L, Comoz F, Compère JF, Bénateau H. [Management of whole-scalp tumour: the Poncet-Spiegler cylindroma or turban tumour]. Rev Stomatol Chir Maxillofac 2009; 110:109-12. [PMID: 19328506 DOI: 10.1016/j.stomax.2009.01.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/28/2008] [Revised: 12/08/2008] [Accepted: 01/06/2009] [Indexed: 11/15/2022]
Abstract
INTRODUCTION The Poncet-Spiegler cylindroma (PSC) is a benign annexal cutaneous tumor which preferentially develops on the scalp, neck, or forehead. Localizations may be isolated or multiple and often affect the young adult. The lesions grow progressively. When the scalp is completely involved, it presents as a "turban tumor". Treatment is surgery and may be difficult when the tumor is extended. We report the management of turban tumor. OBSERVATION A 25 year-old female patient was first treated by partial scalp nodule exeresis and histology documented a PSC. She was lost to follow-up. But 9 years later, she was managed for a turban like PSC. The treatment was a complete scalp exeresis and secondary reconstruction with a skin graft. Follow-up was uneventful with a progressive functional and cosmetic improvement and after 2 years, there was no relapse. DISCUSSION As for most tumors, management depends on the size of the PSC. An aggressive surgical treatment must be considered if the PSC is extended. In case of turban tumor, total scalp exeresis and secondary reconstruction with a skin graft is recommended.
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Affiliation(s)
- T Alix
- Service de chirurgie maxillofaciale, plastique et esthétique et de stomatologie, CHU de Saint-Etienne, 25, boulevard Pasteur, 42055 Saint-Etienne cedex 2, France.
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Allabert C, Estève E, Joly P, Troussard X, Comoz F, Courville P, Morice A, Verneuil L, Leroy D, Dompmartin A. Atteinte muqueuse dans la papulose lymphomatoïde : quatre cas. Ann Dermatol Venereol 2008; 135:273-8. [DOI: 10.1016/j.annder.2007.11.021] [Citation(s) in RCA: 10] [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: 09/28/2007] [Accepted: 11/23/2007] [Indexed: 11/26/2022]
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Abstract
Endometriosis frequently affects women with genital activity and exceptionally involves the urinary tract, and the ureter in particular. From a case report of a female consulting for renal colic pain related to an intrinsic-type pelvic ureteral endometriosis, we report the difficulty in diagnosing this pseudotumoral obstruction and finding therapeutic options with a review of the literature. Ureteral endometriosis is marked by non-specific symptoms liable to delay preoperative diagnosis with a risk of deterioration of renal function due to the obstruction. Regarding the therapeutic approach, the surgical treatment associated or not with GNRH agonists seems best.
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Affiliation(s)
- O Frachet
- Service d'Urologie, CHU, Côte de Nacre, 14033 Caen Cedex
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Bénateau H, Babin E, Soubeyrand E, Nicolas J, Blaizot X, Comoz F, Béquignon A, Bouvard G, Compère JF, Chesnay E. Détection du ganglion sentinelle dans les carcinomes épidermoïdes de la cavité buccale et de l’oropharynx. Étude préliminaire. ACTA ACUST UNITED AC 2005; 106:281-6. [PMID: 16292222 DOI: 10.1016/s0035-1768(05)86042-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [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: 11/26/2022]
Abstract
INTRODUCTION The sentinel lymph node is defined as the first relay of the lymphatic drainage of the tumor. Isotopic detection of the sentinel lymph node and absence of its metastatic invasion should theoretically be predictive of total drainage of the tumor. The goal of this study was to evaluate sentinel lymph node detectability by lymphoscintigraphy in N0 and/or N1 squamous-cell carcinoma of oral cavity and oropharynx and to determine its negative predictive value. MATERIAL AND METHOD Lymphoscintigraphy was used for sentinel lymph node detection. The procedure required peritumoral injection of technicium-labeled colloids to enable anatomical and cutaneous location of the sentinel lymph node. A one-way Tyco-Mallinckrodt probe was used for intraoperative detection of the sentinel lymph node. This prospective study included 21 patients with N0 or N1 squamous-cell carcinoma of the oral cavity and the oropharynx. The surgical attitude based on T and N was not modified in this prospective study without direct individual benefit for the patient. Neck dissection was achieved without difficulty. RESULTS The sentinel lymph node was identified in 20 out of 21 subjects. The sentinel lymph node was not identified in one patient with recurrence T2N0M0 squamous-cell carcinoma of the oropharynx radiated 3 years earlier. The percentage of false-negatives was 12.5% (1 false-negative out of 8 positive patients), giving a sensibility of the detection method of 87.5% (IC (95%)=[47.35-99.68]). This false-negative patient had a T3N0M0 squamous-cell carcinoma of the oropharynx with a sentinel lymph node removed in territory III. Neck dissection revealed 1 N + R- in the sub-mandibular territory associated with 27 N-R-. The probability of not finding a metastatic node at neck dissection when the sentinel lymph node is not metastatic (negative predictive value) was 92.3% (12/13) (IC (95)=[63.97-99.81]). The specificity of the method was 100%, as was the positive predictive value, because no sentinel node was diagnosed positive wrongly on frozen sections among patients without true histological node metastasis. DISCUSSION For routine care of patients with squamous-cell carcinoma of the oral cavity and the oropharynx detection of the sentinel lymph node is proposed primarily for patients with T1T2N0 staging. Larger tumors can modify the architecture and flow within the lymphatic ducts, and consequently even the concept of a sentinel lymph node. Systematic neck dissection is required or T3T4, even when N0. Our series of T1T2N0 tumors is too small to enable statistically significant conclusions. A low level of false-negative in a larger series would be necessary to propose this technique instead of convention neck dissection for T1T2 tumors of the oral cavity and oropharynx.
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Affiliation(s)
- H Bénateau
- Service de Chirurgie Maxillo-Faciale et Stomatologie, CHU de Caen.
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Abstract
BACKGROUND Neutrophilic eccrine hidradenitis occurs mostly in patients receiving chemotherapy for acute myeloblastic leukemia, rarely in healthy patients. Histopathologic pattern is characteristic and includes selective necrosis of the eccrine glands with a local neutrophilic infiltrate. CASE REPORT We report the case of a 41 year-old woman with no medical past-history who developed during 2 years successive papulous skin eruptions. The latter always resolved spontaneously. Skin biopsy led to the diagnosis showing typical features of neutrophilic eccrine hidradenitis. DISCUSSION Our case is original because the neutrophilic eccrine hidradenitis had occurred in a healthy woman. Neither malignant hematologic disease nor visceral cancer was disclosed in this patient in the following 31 months.
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Affiliation(s)
- A Morice
- Service de Dermatologie de Caen, CHU
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Babin E, Hamon M, Bénateau H, Desmonts C, Comoz F, Goullet de Rugy M, Béquignon A, Chesnay E. Intérêt de la fusion TEP/TDM dans l’exploration de l’envahissement mandibulaire des cancers de la cavité orale et de l’oropharynx. Annales d'Otolaryngologie et de Chirurgie Cervico-faciale 2004; 121:235-40. [PMID: 15545932 DOI: 10.1016/s0003-438x(04)95514-4] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
UNLABELLED The aim of the study is to assess mandible involvement in oral cavity and oropharyngeal carcinomas. OBJECTIVE To evaluate interest of fusion of Positron Emission Tomography (PET) with Computed Tomography scan (CT scan). METHOD Eight patients were included in this prospective study. Each patient underwent PET and CT scan of the head and neck before surgery including tumorectomy and mandibulectomy. We compared results of PET- CT fusion with histologic examinations. RESULTS Oral cavity (6), oropharyngeal (2) carcinoma: Mandibular invasion was suspected by PET-CT in 3 cases, but was confirmed in histological examination in only 2 cases. In 5 cases, PET-CT did not find mandibular invasion; this was confirmed in histological examination in all cases. Sensibility of PET-CT fusion was 100%, specificity was 83%. Positive predictive value was 66% and negative predictive value was 100%. DISCUSSION PET-CT fusion provided maximal sensitivity. Specificity was better than for MRI but less than CT-scan. There were no false negatives and the false positive rate was 33%. CONCLUSION PET-CT fusion is interesting to predict mandible involvement. Further studies are necessary to confirm these preliminary results.
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Affiliation(s)
- E Babin
- Service ORL et de Chirurgie Cervico-Faciale, CHU, Avenue de la côte de nacre, 14033 Caen Cedex
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Sannier K, Dompmartin A, Gallet B, Comoz F, Labbé D, Penven K, Leroy D. [Atrophic involution of juvenile xanthogranulomas]. Ann Dermatol Venereol 2003; 130:1047-50. [PMID: 14724541] [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: 04/28/2023]
Abstract
INTRODUCTION We report an unusual atrophic involution of juvenile xanthogranulomas. CASE REPORT A newborn boy presented with 5 papular, nodular and necrotic lesions located on the upper part of the body. The diameter of the lesions ranged between 1 and 3 cm. Light microscopy showed an infiltrate with foamy and Touton cells. Langerhans' cell histiocytosis was eliminated because none of these cells showed reactivity for S100 protein and CD1a. At the age of 8 years, all the lesions had spontaneously regressed leaving unusual atrophic scars that had the same size as the active lesions. DISCUSSION We compared the clinical, histological and evolution data of our patient with 251 published cases. The most significant clinical feature of juvenile xanthogranuloma is the spontaneous involution without any trace. However, hyperpigmentation, anetoderma or atrophy may occur. Atrophy is not frequent and can result from 2 mechanisms. Inflammation of the hypodermic tissue, which becomes atrophic and atrophy that may also result from collagen remodeling anomalies during the scarring process.
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Affiliation(s)
- K Sannier
- Service de Dermatologie, CHU de Caen
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Verneuil L, Ze Bekolo R, Dompmartin A, Comoz F, Marcelli C, Leroy D. Efficiency of colchicine and corticosteroids in a leg ulceration with cholesterol embolism in a woman with rheumatoid arthritis. Rheumatology (Oxford) 2003; 42:1014-6. [PMID: 12869676 DOI: 10.1093/rheumatology/keg252] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/30/2023] Open
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Abstract
The juxtaoral organ is a normal and constant structure of the oral cavity. It consists of benign epithelial nests. We describe an intraoral tumour of the juxtaoral organ in a child. The tumour was not diagnosed after clinical and radiological examinations because it is extremely rare. A histological examination revealed a tumour of the juxtaoral organ, presumed to be neuroid hamartoma. This is only the second time that a tumour of the juxtaoral organ has been described in a child. We also describe the location, the embryology, the histology and the function of this organ. This is important because this structure can be confused with carcinomas of the oral cavity when examining frozen sections.
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Affiliation(s)
- H Bénateau
- Department of Stomatology and Maxillofacial Surgery, University Hospital, Caen, France.
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Verneuil L, Dompmartin A, Comoz F, Pasquier CJ, Leroy D. Interstitial granulomatous dermatitis with cutaneous cords and arthritis: a disorder associated with autoantibodies. J Am Acad Dermatol 2001; 45:286-91. [PMID: 11464193 DOI: 10.1067/mjd.2001.114577] [Citation(s) in RCA: 72] [Impact Index Per Article: 3.1] [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: 11/22/2022]
Abstract
Interstitial granulomatous dermatitis with arthritis is a new entity characterized by linear or arciform subcutaneous cords. We describe a patient presenting with typical cutaneous lesions extending from the anterior and posterior part of the axillae to the flank. The lesions had been present for 6 years with flares and remission. Histopathologic examination revealed a bandlike infiltrate of histiocytes in the reticular dermis with focal areas of palisading around necrotic collagen bundles. A few atypical histiocytes were also present. As previously described, it was associated with serologic findings of an autoimmune disease, especially high titers of anti-DNA antibodies. The possible inclusion of the interstitial granulomatous dermatitis in the continuous spectrum of the palisaded neutrophilic and granulomatous dermatitis of immune complex disease is also discussed.
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Affiliation(s)
- L Verneuil
- Dermatology Service, Centre Hospitalier Universitaire, Caen, France
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