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Porriño-Bustamante ML, Montero-Vílchez T, Fernández-Pugnaire MA, Arias-Santiago S. Frontal Fibrosing Alopecia Quality of Life Index: A Validated Disease-Specific Questionnaire Involving Women. J Clin Med 2023; 12:jcm12030824. [PMID: 36769473 PMCID: PMC9917648 DOI: 10.3390/jcm12030824] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/13/2022] [Revised: 01/14/2023] [Accepted: 01/16/2023] [Indexed: 01/22/2023] Open
Abstract
Quality of life (QoL) can be affected in patients with alopecia. The few studies that evaluate QoL in FFA use unspecific questionnaires. The aim of this report was to design and validate a specific questionnaire to assess the impairment of QoL in FFA patients. A specific questionnaire, called the Frontal Fibrosing Alopecia Quality of Life Index (FFA-QLI), was designed and validated using the Dermatology Life Quality Index (DLQI). One-hundred and one women with FFA were included. Cronbach's alpha value was 0.865, and the intraclass correlation coefficient between all the items in the questionnaire was 0.870. The FFA-QLI correlated positively with the DLQI (r = 0.729, p < 0.001). Patients with severe FFA showed a higher FFA-QLI (19.72) score compared to those with a mild disease (14.11) (p = 0.002), and the area under the curve for identifying severe disease was greater in the FFA-QLI than in the DLQI. The cut-off points were used to select patients with mild, moderate, and severe impairment in QoL. A score < 21 in the FFA-QLI corresponded to a low impact on QoL; values > 35 matched with greater QoL impairment; and values ranging from 21 to 35 corresponded to moderate QoL alteration. To conclude, a validated disease-specific questionnaire to assess QoL in FFA patients is here presented, with a greater power to discriminate severe cases of FFA than the DLQI.
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Affiliation(s)
- María Librada Porriño-Bustamante
- Dermatology Department, University Hospital La Zarzuela, 28023 Madrid, Spain
- Dermatology Department, University of Granada, 18016 Granada, Spain
| | - Trinidad Montero-Vílchez
- Dermatology Department, University Hospital Virgen de las Nieves, 18014 Granada, Spain
- Correspondence: ; Tel.: +34-958020000
| | | | - Salvador Arias-Santiago
- Dermatology Department, University Hospital Virgen de las Nieves, 18014 Granada, Spain
- School of Medicine, Institute of Biosanitary Investigation ibs, Granada University, 18016 Granada, Spain
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Porriño-Bustamante ML, Montero-Vílchez T, Pinedo-Moraleda FJ, Fernández-Flores Á, Fernández-Pugnaire MA, Arias-Santiago S. Frontal Fibrosing Alopecia and Sunscreen Use: A Cross-sectional Study of Actinic Damage. Acta Derm Venereol 2022; 102:adv00757. [PMID: 35604235 PMCID: PMC9609976 DOI: 10.2340/actadv.v102.306] [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] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
Abstract
Patients with frontal fibrosing alopecia report higher rates of sunscreen use than control subjects. However, it is not known whether the higher use of sunscreens is a cause or a consequence of the alopecia. A greater use of sunscreens should be associated with a lower incidence of signs of actinic damage. The aim of this study is to assess the presence of actinic damage in patients with frontal fibrosing alopecia. A cross-sectional study was carried out on 101 patients with frontal fibrosing alopecia and 40 control subjects. The presence of actinic damage, in the form of solar lentigines, actinic keratoses, and basal and squamous cell carcinomas, was recorded in both groups, together with sunscreen use. Trichoscopy and skin biopsy were performed on patients. Actinic damage was present more frequently in patients with frontal fibrosing alopecia (69.3%) than in control subjects (50%) (p = 0.031). Patients used sunscreens more frequently than did control subjects (83.2% vs 62.5%, p = 0.008). However, the prevalence of trichoscopic inflammatory signs, peripheral alopecia, and inflammatory infiltrate and sebaceous gland involvement in skin biopsy, were similar in patients who used sunscreens and those who did not use them. In conclusion, patients with frontal fibrosing alopecia had greater actinic damage than did control subjects, and this is hypothesized as a reason for the higher use of sunscreens among patients. Thus, use of sunscreens may not be the trigger for frontal fibrosing alopecia that dermatologists have proposed.
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Affiliation(s)
| | - Trinidad Montero-Vílchez
- Dermatology Department, University Hospital Virgen de las Nieves, Avenida de Madrid, 15, ES-18012, Granada, Spain.
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3
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Porriño-Bustamante ML, Pinedo-Moraleda FJ, Fernández-Flores Á, Montero-Vílchez T, Fernández-Pugnaire MA, Arias-Santiago S. Frontal Fibrosing Alopecia: A Histopathological Comparison of the Frontal Hairline with Normal-Appearing Scalp. J Clin Med 2022; 11:jcm11144121. [PMID: 35887885 PMCID: PMC9323095 DOI: 10.3390/jcm11144121] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [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: 05/20/2022] [Revised: 06/23/2022] [Accepted: 07/14/2022] [Indexed: 02/04/2023] Open
Abstract
Frontal fibrosing alopecia is characterized by the presence of a lymphocytic inflammatory infiltrate around the upper follicle and by perifollicular fibrosis, which results in the destruction of the hair follicle. Recent reports have also found the presence of those findings in clinically unaffected areas. The aim of this report is to perform a deeper analysis of the histopathological features of this apparently unaffected scalp. A cross-sectional study including 52 women with frontal fibrosing alopecia was performed. Two areas were biopsied: the frontal hairline and a normal-appearing scalp area. Sebaceous glands were reduced/absent in 80.8% of the frontal hairline samples compared to 42.3% of the "healthy scalp" samples (p = 0.001). Inflammatory infiltrate was observed in 92.3% of patients in the frontal hairline and in 86.5% of them in the "healthy scalp" area (p = 0.508), although the severity was higher in the former (p = 0.013). Follicular epithelium changes were seen in 70.6% of the frontal hairline biopsies compared to 48.1% of the "healthy scalp" biopsies (p = 0.012). Fibrous tissular changes were noted in 80.8% and 53.8% of the frontal hairline and "healthy scalp" biopsies, respectively (p = 0.003). In conclusion, the histopathological features of frontal fibrosing alopecia are shared by both affected and clinically unaffected areas.
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Affiliation(s)
- María Librada Porriño-Bustamante
- Dermatology Department, University Hospital La Zarzuela, 28023 Madrid, Spain
- Dermatology Department, University of Granada, 18016 Granada, Spain
| | | | | | | | | | - Salvador Arias-Santiago
- Dermatology Department, University Hospital Virgen de las Nieves, 18014 Granada, Spain
- School of Medicine, Institute of Biosanitary Investigation (IBS), Granada University, 18016 Granada, Spain
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Porriño-Bustamante ML, Arias-Santiago S, Fernández-Pugnaire MA. Trichoscopic Findings in Pressure Alopecia: Report of Two Cases and Review of the Literature. Int J Trichology 2021; 13:34-35. [PMID: 34934299 PMCID: PMC8647710 DOI: 10.4103/ijt.ijt_117_20] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2020] [Accepted: 01/18/2021] [Indexed: 11/04/2022] Open
Abstract
Pressure alopecia (PA) is an uncommon type of hair loss due to ischemic changes of the scalp, as a result of prolonged immobilization. Clinically, it often appears within the 1st month of the trigger and tends to resolve spontaneously within 4 months. If the duration of the immobilization is longer, irreversible alopecia can be developed. Trichoscopy is usually nonspecific, being black dots, broken, and dystrophic hairs the most frequent findings. However, yellow dots and thin hairs have also been reported. We herein present two patients with PA, one with a recent development and another one with a long-lasting alopecia. Both of them showed keratotic follicular plugs and thin hairs as the main trichoscopic findings.
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Affiliation(s)
| | - Salvador Arias-Santiago
- Department of Dermatology, University Hospital Virgen de las Nieves, Granada, Spain.,School of Medicine, Institute of Biosanitary Investigation Ibs, Granada University, Granada, Spain
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Porriño-Bustamante ML, Sánchez-López J, Arias-Santiago S, Fernández-Pugnaire MA. Pagetoid dyskeratosis of hands: Report of two cases and the usefulness of dermoscopy. Indian J Dermatol Venereol Leprol 2021; 86:424-427. [PMID: 32445310 DOI: 10.4103/ijdvl.ijdvl_633_19] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022]
Affiliation(s)
| | - Josefa Sánchez-López
- Department of Dermatology, General Hospital la Mancha Centro, Alcázar de San Juan, Ciudad Real, Granada, Spain
| | - Salvador Arias-Santiago
- Department of Dermatology,University Hospital Virgen de las Nieves; Faculty of Medicine, Institute of Biosanitary Investigation Ibs, University of Granada, Granada, Spain
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Porriño-Bustamante ML, Lázaro-Ochaita P, Fernández-Pugnaire MA. Frontal fibrosing alopecia in a woman with vulvar erosive lichen planus. Med Clin (Barc) 2021; 157:e341-e342. [PMID: 33771365 DOI: 10.1016/j.medcli.2020.12.033] [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: 06/10/2020] [Revised: 12/14/2020] [Accepted: 12/16/2020] [Indexed: 10/21/2022]
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Porriño-Bustamante ML, Fernández-Pugnaire MA, Castellote-Caballero L, Arias-Santiago S. Colour Doppler ultrasound study in patients with frontal fibrosing alopecia. Skin Res Technol 2021; 27:709-714. [PMID: 33455050 DOI: 10.1111/srt.13004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [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: 10/06/2020] [Revised: 12/17/2020] [Accepted: 12/24/2020] [Indexed: 12/19/2022]
Abstract
BACKGROUND The sonographic characteristics of frontal fibrosing alopecia have been scarcely studied. The aim of this study was to perform a colour Doppler ultrasound evaluation in frontal fibrosing alopecia. MATERIALS AND METHODS A cross-sectional study including 99 women with frontal fibrosing alopecia and 40 control subjects was performed using ultrasound equipment with a lineal 18 MHz probe. Three areas were evaluated per patient: the alopecic area (a), the hairline implantation area (b) and healthy scalp (c). The diameter (cm) and flow (m/s) of the two most significant vessels were recorded. RESULTS With regard to the hairline implantation area, patients presented higher vessel diameter (0.127 cm vs 0.103 cm, P = .03) and vessel flow (8.183 m/s vs 7.670 m/s, P = .05) than the control group. Vessel diameter was higher in the healthy scalp area in patients than in the control group (0.088 cm vs 0.078 cm, P = .03). CONCLUSION Patients presented higher vessel diameter and flow in the hairline implantation area compared to the control group.
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Affiliation(s)
| | | | | | - Salvador Arias-Santiago
- Dermatology Department, University Hospital Virgen de las Nieves, Granada, Spain.,School of Medicine, Institute of Biosanitary Investigation ibs, Granada University, Granada, Spain
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Porriño-Bustamante ML, Fernández-Pugnaire MA, Arias-Santiago S. A Cross-sectional Study of Rosacea and Risk Factors in Women with Frontal Fibrosing Alopecia. Acta Derm Venereol 2019; 99:1099-1104. [PMID: 31408181 DOI: 10.2340/00015555-3286] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [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] [Indexed: 11/16/2022] Open
Abstract
Frontal fibrosing alopecia has been related to some autoimmune diseases, but the association with rosacea is not clear. The objective of this study was to analyse the prevalence of rosacea in a group of patients with frontal fibrosing alopecia. A cross-sectional study, including 99 women with frontal fibrosing alopecia and 40 controls, was performed, in which clinical, dermoscopic and hormonal data were analysed. Women with frontal fibrosing alopecia presented a higher prevalence of rosacea than the controls did (61.6% vs. 30%, p = 0.001), especially those with severe grades of alopecia (77.8% in grade V vs. 33.3% in grade I, p = 0.02). Binary logistic multivariate analysis showed that perifollicular erythema (odds ratio (OR) 8.5; 95% confidence interval (95% CI) 1.73-42.30), higher body mass index (OR 1.16; 95% CI 1.01-1.34) and lower progesterone levels (OR 0.15; 95% CI 0.028-0.89) were associated with a higher risk of rosacea in patients with frontal fibrosing alopecia. In conclusion, patients with frontal fibrosing alopecia presented a higher prevalence of rosacea than did controls. Perifollicular erythema, higher body mass index and lower progesterone levels were associated with a higher risk of rosacea in the group with frontal fibrosing alopecia.
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Porriño-Bustamante ML, López-Nevot MÁ, Aneiros-Fernández J, Casado-Ruiz J, García-Linares S, Pedrinacci-Rodríguez S, García-Lora E, Martín-Casares MA, Fernández-Pugnaire MA, Arias-Santiago S. Study of Human Leukocyte Antigen (HLA) in 13 cases of familial frontal fibrosing alopecia: CYP21A2 gene p.V281L mutation from congenital adrenal hyperplasia linked to HLA class I haplotype HLA-A*33:01; B*14:02; C*08:02 as a genetic marker. Australas J Dermatol 2019; 60:e195-e200. [PMID: 30656636 DOI: 10.1111/ajd.12985] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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: 10/23/2018] [Accepted: 11/28/2018] [Indexed: 12/26/2022]
Abstract
BACKGROUND/OBJECTIVES The aetiology of frontal fibrosing alopecia is unknown, and its genetic aspect remains uncharacterised. The aim of this report is to elucidate if major histocompatibility complex is associated with familial frontal fibrosing alopecia. METHODS A case-control study was performed of 13 patients with frontal fibrosing alopecia belonging to six families. Their human leukocyte antigen profiles were compared to the data of 636 healthy controls without frontal fibrosing alopecia. Patients underwent high-resolution genomic typing for human leukocyte antigen class I and II loci by PCR-SSO for Luminex. In addition, CYP21A2 gene (major histocompatibility complex class III) mutations were detected by PCR-SSO on strips. RESULTS 61.5% of patients shared CYP21A2 gene p.V281L linked to the F16A human leukocyte antigen class I haplotype (HLA-A*33:01; B*14:02; C*08:02; Pc < 0.000001). The patients F16A-negative shared other human leukocyte antigen class I haplotypes: Y16A (3/13) and S26 (2/13). CONCLUSION CYP21A2 gene p.V281L mutation can be used as a genetic marker for susceptibility to familial frontal fibrosing alopecia. Both the linkage of the mutation to F16A and the fact that F16A-negative patients share other human leukocyte antigen class I haplotype, point to an antigen-driven mechanism in susceptible patients with these haplotypes.
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Affiliation(s)
| | - Miguel Ángel López-Nevot
- Laboratorio Clínico, Unidad de Histocompatibilidad, Hospital Universitario Virgen de las Nieves, Granada, Spain.,Departamento de Bioquímica, Biología Molecular III e Inmunología, Universidad de Granada, Granada, Spain
| | - José Aneiros-Fernández
- Servicio de Anatomía Patológica, Parque Tecnológico de Ciencias de la Salud, Granada, Spain
| | - Jorge Casado-Ruiz
- Departamento de Bioquímica, Biología Molecular III e Inmunología, Universidad de Granada, Granada, Spain
| | - Susana García-Linares
- Unidad de Genética Clínica, Laboratorio Clínico, Hospital Universitario Virgen de las Nieves, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - Susana Pedrinacci-Rodríguez
- Unidad de Genética Clínica, Laboratorio Clínico, Hospital Universitario Virgen de las Nieves, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | - Elena García-Lora
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | | | | | - Salvador Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, Spain.,Facultad de Medicina, Universidad de Granada, Granada, Spain
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10
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Porriño-Bustamante ML, López-Nevot MÁ, Aneiros-Fernández J, García-Lora E, Fernández-Pugnaire MA, Arias-Santiago S. Familial frontal fibrosing alopecia: A cross-sectional study of 20 cases from nine families. Australas J Dermatol 2018; 60:e113-e118. [PMID: 30430555 DOI: 10.1111/ajd.12951] [Citation(s) in RCA: 6] [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] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/06/2018] [Accepted: 10/17/2018] [Indexed: 12/17/2022]
Abstract
BACKGROUND/OBJECTIVES Frontal fibrosing alopecia (FFA) is a scarring alopecia whose prevalence is increasing. The pathogenesis of this disease is not well known. Genetic, environmental, hormonal and autoimmunity related factors have been considered; however, only a few cases of familial frontal fibrosing alopecia have been reported. MATERIAL AND METHODS A cross-sectional study was performed at University Hospital in Granada (Spain). Twenty patients with frontal fibrosing alopecia belonging to nine different families were included, and clinical and dermoscopic features were analysed. RESULTS Overall, 90% of the patients studied were women (mean age 61.4 years). About 50% of the patients had grade II frontal fibrosing alopecia at the time of diagnosis, whilst 35% had grades III or V. Mean recession was 2.83 cm in the frontal area and 1.99 cm in the temporo-parietal area. Daughters presented a shorter recession area and earlier debut of the disease than mothers. Androgenetic alopecia was found in only two patients (10%). The dermoscopic signs most commonly found were perifollicular erythema (85%), hyperkeratosis (85%), and absence of vellus hair in the hairline (78.9%). CONCLUSION This study adds to the growing evidence that there is a genetic component to frontal fibrosing alopecia. The clinical pattern of frontal fibrosing alopecia was not different from that found in non-familial cases, but the debut of the disease in daughters of mothers with frontal fibrosing alopecia may be earlier.
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Affiliation(s)
| | - Miguel Ángel López-Nevot
- Laboratorio Clínico, Unidad de Histocompatibilidad, Hospital Universitario Virgen de las Nieves, Granada, Spain.,Departamento de Bioquímica, Biología Molecular III e Inmunología, Universidad de Granada, Granada, Spain
| | | | - Elena García-Lora
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, Spain
| | | | - Salvador Arias-Santiago
- Servicio de Dermatología, Hospital Universitario Virgen de las Nieves, Granada, Spain.,Facultad de Medicina, Universidad de Granada, Granada, Spain
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11
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Sánchez-López J, Pérez-Parra S, Porriño-Bustamante ML, Aneiros-Fernández J, Naranjo-Sintes R, Fernández-Pugnaire MA. Atypical Kaposi's sarcoma in young inmunocompetent patient. An Bras Dermatol 2018; 92:24-26. [PMID: 29267437 PMCID: PMC5726668 DOI: 10.1590/abd1806-4841.20175564] [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] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Accepted: 06/20/2016] [Indexed: 11/22/2022] Open
Abstract
Kaposi's sarcoma is a rare tumor associated with human herpes virus 8 (HHV-8)
infection. Four main clinical subtypes have been described. This study reports
on a form of KS in an HIV negative and immunocompetent middle-aged man. The only
remarkable factor is that he has sex with other men. This form of Kaposi's
sarcoma is rare. It occurs more in younger patients than in the classic form, is
limited to the skin, and is associated with a good prognosis. The means of
transmission of the virus is through saliva in oroanal or orogenital sexual
practices. Mechanisms of tumor development are still not well known. Given the
possible increased number of this variant, it would be interesting to extend
this study.
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Affiliation(s)
- Josefa Sánchez-López
- Department of Dermatology, Complejo Hospitalario La Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain
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Abstract
Hobnail hemangioma, also known as targetoid hemosiderotic hemangioma, is an uncommon vascular proliferation that clinically presents as a small solitary red to purple papule or macule, located on the limbs or trunk. Multiple lesions and atypical locations have been described. Histopathologically, it exhibits a biphasic pattern, with dilated vessels in the superficial dermis and angulated vessels in the deeper dermis, with endothelial cells that show a hobnail appearance. There is controversy about the histogenetic origin of hobnail hemangioma, although recent studies support that it is a lymphatic malformation. The investigators report the case of a 41-year-old man with an irregular lesion, red to purple in color, with a maximum diameter of 4 cm, on the scalp. The location and in particular the clinical appearance are uncommon. Immunohistochemical analysis showed negativity for WT1 and focal positivity for D2-40. Clinical-pathologic correlation acquires particular importance in the case of lesions with atypical clinical presentation.
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13
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Almodovar-Real A, Sánchez-López J, Navarro-Triviño F, Fernández-Pugnaire MA. [Lichenoid reaction to red pigment in a tattoo]. Semergen 2016; 42:e115-e117. [PMID: 26858227 DOI: 10.1016/j.semerg.2015.12.016] [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: 10/04/2015] [Revised: 12/18/2015] [Accepted: 12/21/2015] [Indexed: 10/22/2022]
Affiliation(s)
- A Almodovar-Real
- Unidad de Gestión Clínica de Dermatología, Hospital Universitario San Cecilio, Granada, España.
| | - J Sánchez-López
- Unidad de Gestión Clínica de Dermatología, Hospital Universitario San Cecilio, Granada, España
| | - F Navarro-Triviño
- Unidad de Gestión Clínica de Dermatología, Hospital Universitario San Cecilio, Granada, España
| | - M A Fernández-Pugnaire
- Unidad de Gestión Clínica de Dermatología, Hospital Universitario San Cecilio, Granada, España
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Serrano-Ortega S, Serrano-Falcón C, Fernández-Pugnaire MA. Subcutaneous vector-running sutures. Actas Dermosifiliogr 2014; 106:65-7. [PMID: 25245170 DOI: 10.1016/j.ad.2014.06.013] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/27/2014] [Revised: 06/26/2014] [Accepted: 06/26/2014] [Indexed: 11/28/2022] Open
Affiliation(s)
- S Serrano-Ortega
- Cátedra de Dermatología, Universidad de Granada, Granada, España.
| | - C Serrano-Falcón
- Unidad de Dermatología, Hospital de Alta Resolución, Guadix, Granada, España
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15
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Orgaz-Molina J, Fernández-Pugnaire MA, Girón-Prieto MS, Arias-Santiago S. A scalp disorder: dermatoscopy as a useful diagnostic tool. J Pediatr 2013; 162:876-7. [PMID: 23357186 DOI: 10.1016/j.jpeds.2012.12.006] [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] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/12/2012] [Accepted: 12/03/2012] [Indexed: 11/26/2022]
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Arias-Santiago S, Aneiros-Fernandez J, Orgaz-Molina J, Fernández-Pugnaire MA, Girón-Prieto MS, Naranjo-Sintes R, Aneiros-Cachaza J. A pregnant woman with a nodule on the tongue: a quiz. Lobular capillary haemangioma (pyogenic granuloma). Acta Derm Venereol 2011; 91:607-8. [PMID: 21369682 DOI: 10.2340/00015555-1019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Arias-Santiago S, Aneiros-Fernández J, Husein-ElAhmed H, Fernández-Pugnaire MA, Naranjo-Sintes R. A girl with a reticular and brownish discoloration of the legs. J Am Acad Dermatol 2011. [DOI: 10.1016/j.jaad.2010.04.012] [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: 11/24/2022]
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18
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Espiñeira-Carmona MJ, Arias-Santiago S, Aneiros-Fernández J, Fernández-Pugnaire MA, Naranjo-Sintes R, Aneiros-Cachaza J. Annular erythematous papules in the neckline. Dermatol Online J 2011; 17:7. [PMID: 21272498] [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: 05/30/2023] Open
Abstract
A 45-year-old woman with personal history of hypertension presented with an erythematous lesion in the neckline for a year and with a progressive growth. A physical examination revealed an annular lesion with erythematous papules in the edge. Histological exam showed phagocytosis of elastic fibers by multinucleated cells compatible with annular elastolytic giant-cell granuloma. The patient did not present any other associated systemic manifestation. Treatment with tacrolimus 0.1 percent ointment was prescribed with a very good response after two months.
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Affiliation(s)
- M J Espiñeira-Carmona
- Dermatology and Pathology Department, San Cecilio University Hospital, Granada, Spain
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Espiñeira-Carmona MJ, Arias-Santiago S, Aneiros-Fernández J, Fernández-Pugnaire MA, Naranjo-Sintes R, Aneiros-Cachaza J. Annular erythematous papules in the neckline. Dermatol Online J 2011. [DOI: 10.5070/d34ps3r109] [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: 11/08/2022] Open
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Arias-Santiago S, Girón-Prieto MS, Husein-El-Ahmed H, Fernández-Pugnaire MA, Naranjo-Sintes R. Dermacase. Can you identify this condition? Genital herpes. Can Fam Physician 2010; 56:1303-1306. [PMID: 21156897 PMCID: PMC3001925] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
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Fernández-Pugnaire MA, Arias-Santiago S, Serrano-Falcón C, Almazán-Fernández FM, Aneiros-Fernández J, Serrano-Ortega S. Evolution of Reed nevi dermoscopic pattern in childhood. ACTA ACUST UNITED AC 2010; 146:814. [PMID: 20644057 DOI: 10.1001/archdermatol.2010.124] [Citation(s) in RCA: 2] [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] [Indexed: 11/14/2022]
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Arias-Santiago S, Sanchez-Cano D, Callejas-Rubio JL, Fernández-Pugnaire MA, Ortego-Centeno N. Adalimumab treatment for SAPHO syndrome. Acta Derm Venereol 2010; 90:301-2. [PMID: 20526553 DOI: 10.2340/00015555-0822] [Citation(s) in RCA: 25] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Arias-Santiago S, Aneiros-Fernández J, Husein-El-Ahmed H, Girón-Prieto MS, Fernández-Pugnaire MA, Naranjo-Sintes R. Giant nodules on the hands. Cleve Clin J Med 2010; 77:225, 229. [DOI: 10.3949/ccjm.77a.09072] [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] [Indexed: 11/14/2022]
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Fernández-Pugnaire MA, Arias-Santiago S, Dulanto-Campos C. [Erosive pustular dermatosis of the scalp]. Rev Esp Geriatr Gerontol 2010; 45:118-119. [PMID: 20167392 DOI: 10.1016/j.regg.2009.12.001] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2009] [Revised: 11/29/2009] [Accepted: 12/01/2009] [Indexed: 05/28/2023]
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Arias-Santiago S, Fernández-Pugnaire MA, Aneiros-Fernández J, Falcón CS, Callejas-Rubio JL, Ortego-Centeno N, Serrano-Ortega S. Recurrent telangiectasias on the cheek: angiolupoid sarcoidosis. Am J Med 2010; 123:e7-8. [PMID: 20102979 DOI: 10.1016/j.amjmed.2009.08.014] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/15/2009] [Revised: 08/01/2009] [Accepted: 08/05/2009] [Indexed: 01/19/2023]
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Arias-Santiago S, Fernández-Pugnaire MA, Husein El-Ahmed H, Girón-Prieto MS, Naranjo Sintes R. [A 9 year-old child with trachyonychia: a good response with nail plate dressings]. An Pediatr (Barc) 2009; 71:476-7. [PMID: 19726256 DOI: 10.1016/j.anpedi.2009.07.009] [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: 04/27/2009] [Revised: 07/03/2009] [Accepted: 07/09/2009] [Indexed: 10/20/2022] Open
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Hernández-Gil J, Fernández-Pugnaire MA, Serrano-Falcón C, Serrano-Ortega S. [Clinical and dermoscopic features of pigmented Bowen disease]. Actas Dermosifiliogr 2008; 99:419-420. [PMID: 18501179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 05/26/2023] Open
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Fernández-Pugnaire MA, Serrano-Ortega S, Linares-Solano J, Naranjo-Sintes R. A new case of extensive congenital erosions and vesicles healing with reticulate scarring. Dermatology 1997; 194:278-80. [PMID: 9187849 DOI: 10.1159/000246119] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [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: 02/04/2023] Open
Abstract
Congenital erosions and vesicles that heal with reticulate scarring comprise a new entity first described in 1985 in 3 girls aged 3, 5 and 6 years. Two years later, an 8-year-old boy in whom the skin lesions were accompanied by neurological disorders was described, as in one of the patients described in the 1985 study. In 1990, similar findings were reported in a neonate, and recently the 7th case has been reported in the American literature. We describe an 8-month-old infant born with cutaneous lesions that subsequently formed reticulate scars peculiar to this clinical entity, which is characterized by variable clinical and histological expression.
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Abstract
BACKGROUND Leiomyomas are rare, benign tumors that originate from the arrector muscle of hair follicles (cutaneous leiomyoma, piloleiomyoma), the tunica dartos of the scrotum and the mammillary muscle of the nipple (genital leiomyoma), and the smooth muscle of blood vessels (angioleiomyoma). OBSERVATIONS We describe 6 members of a single family with mostly painful papulonodular cutaneous lesions on the limbs, trunk and face. Histological examination of sections stained with hematoxylin-eosin and Masson trichromic stain confirmed the diagnosis of leiomyoma. All affected women had also uterine myoma. CONCLUSION Our observations support the concept that this entity is an autosomally inherited disorder.
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