1
|
Inazawa-Terada M, Namiki T, Omigawa C, Fujimoto T, Munetsugu T, Ugajin T, Shimomura Y, Ohshima Y, Yoshida K, Niizeki H, Hayashi R, Nakano H, Yokozeki H. An epidemiological survey of anhidrotic/hypohidrotic ectodermal dysplasia in Japan: High prevalence of allergic diseases. J Dermatol 2021; 49:422-431. [PMID: 34897795 DOI: 10.1111/1346-8138.16278] [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: 09/09/2021] [Revised: 11/04/2021] [Accepted: 11/19/2021] [Indexed: 11/29/2022]
Abstract
Anhidrotic/hypohidrotic ectodermal dysplasia (A/HED) is a congenital disorder characterized by anhidrosis/hypohidrosis and inadequate hair and dental dysplasia. Large-scale case studies of patients with A/HED have already been conducted overseas, while there has been no large-scale study, but only a few case reports in Japan. Furthermore, an epidemiological study of this disease has not been conducted in Japan to date. The purpose of this study was to investigate the clinical characteristics of A/HED patients, the status of genetic aberrations and complications of A/HED in Japan. Initially, we conducted a physician-initiated questionnaire survey of A/HED patients who visited medical institutions across Japan to investigate their backgrounds, clinical symptoms, genotypes, diagnostic methods and complications of A/HED. We also investigated the presence or absence of various allergic diseases (atopic dermatitis-like skin manifestations, bronchial asthma and food allergies). Questionnaires were also obtained from 26 patients with ectodermal dysplasia (ED) who visited four medical institutions. We compared the incidence of allergic diseases in healthy controls in a similar study to that of patients. Twenty-four of those patients were considered to have A/HED, of which 18 had a confirmed genetic diagnosis and were genotyped. All patients had anhidrosis or hypohidrosis, hair and dental dysplasia, and unique facial appearance; 23 patients had several cutaneous manifestations and seven patients had periorbital pigmentation. In addition, there was a significantly higher incidence of atopic dermatitis-like cutaneous manifestations, bronchial asthma and food allergies in the A/HED patients than in healthy controls. We report the results from a questionnaire survey of 24 patients with A/HED. This is the first report of a large number of A/HED patients in Japan. This study clarifies the status of clinical diagnosis and genetic testing of A/HED patients in Japan, as well as the characteristics of their skin symptoms and allergic complications.
Collapse
Affiliation(s)
- Minako Inazawa-Terada
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Takeshi Namiki
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Chika Omigawa
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Tomoko Fujimoto
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Takichi Munetsugu
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Tsukasa Ugajin
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| | - Yutaka Shimomura
- Department of Dermatology, Yamaguchi University Graduate School of Medicine, Ube, Japan
| | - Yuichiro Ohshima
- Department of Dermatology, Aichi Medical University School of Medicine, Nagakute, Japan
| | - Kazue Yoshida
- Division of Dermatology, National Center for Child Health and Development, Tokyo, Japan
| | - Hironori Niizeki
- Division of Dermatology, National Center for Child Health and Development, Tokyo, Japan
| | - Ryota Hayashi
- Division of Dermatology, Niigata University Graduate School of Medical and Dental Sciences, Niigata, Japan
| | - Hajime Nakano
- Department of Dermatology, Hirosaki University Graduate School of Medicine, Hirosaki, Japan
| | - Hiroo Yokozeki
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan
| |
Collapse
|
2
|
Iida T, Nakamura M, Inazawa M, Munetsugu T, Nishida M, Fujimoto T, Sasaki Y, Ohshima Y, Nakazato Y, Namiki T, Yokozeki H. Prognosis after steroid pulse therapy and seasonal effect in acquired idiopathic generalized anhidrosis. J Dermatol 2021; 48:271-278. [PMID: 33146891 PMCID: PMC7984388 DOI: 10.1111/1346-8138.15666] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2020] [Accepted: 09/28/2020] [Indexed: 11/28/2022]
Abstract
Acquired idiopathic generalized anhidrosis is a rare disease with unknown etiology. Sudden loss of sweating function adversely affects young patients' quality of life. Although systemic corticosteroid therapy is the most frequently reported treatment for the disease, its effectiveness is controversial because of the risk of recurrence. To assist clinical decision-making regarding whether to use steroids, we investigated the treatment responsiveness and recurrence rates in patients undergoing steroid pulse therapy and explored factors affecting these rates. We retrospectively collected data of 124 patients who received steroid pulse therapy to calculate the rate of responsiveness to the therapy. We also conducted a time-to-event analysis in a cohort of 57 patients who responded to steroid pulse therapy to estimate the recurrence rate after the therapy. As a result, the response and recurrence rates were 73% and 48%, respectively. Recurrence occurred within 1 year in most patients. The overall effectiveness of steroid pulse therapy was estimated to be 57% considering the recurrence rate. A delay from onset to treatment and younger age appeared to be negative factors for effectiveness. Moreover, we found a significant seasonal effect on both treatment and recurrence: autumn was the worst season for acquired idiopathic generalized anhidrosis in Japan. Our study revealed that steroid pulse therapy can be expected to be effective in half of treated patients. We recommend starting the therapy promptly after the diagnosis; however, it is also worth considering the season for treatment planning.
Collapse
Affiliation(s)
- Tadatsune Iida
- Department of DermatologyGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
| | - Michiko Nakamura
- Department of DermatologyGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
| | - Minako Inazawa
- Department of DermatologyGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
| | - Takichi Munetsugu
- Department of DermatologyGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
| | - Makiko Nishida
- Department of DermatologyGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
| | - Tomoko Fujimoto
- Department of DermatologyGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
| | - Yoshiyuki Sasaki
- Department of Maxillofacial SurgeryGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
| | - Yuichiro Ohshima
- Department of DermatologyAichi Medical University School of MedicineNagakuteJapan
| | | | - Takeshi Namiki
- Department of DermatologyGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
| | - Hiroo Yokozeki
- Department of DermatologyGraduate School of Medical and Dental SciencesTokyo Medical and Dental UniversityTokyoJapan
| |
Collapse
|
3
|
Shinada Y, Hirose M, Munetsugu T, Sugiura R, Shimokata-Isoe M, Matsuo S, Ishikawa T, Fujimoto N, Satoh T. Generalized pruritic erythema with neutrophils in a patient with relapsing polychondritis. J Dermatol 2021; 48:e153-e154. [PMID: 33599986 DOI: 10.1111/1346-8138.15755] [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: 07/07/2020] [Revised: 11/26/2020] [Accepted: 12/18/2020] [Indexed: 11/30/2022]
Affiliation(s)
- Yui Shinada
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Miki Hirose
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Takichi Munetsugu
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Riichiro Sugiura
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Miho Shimokata-Isoe
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Shinsuke Matsuo
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Takahiro Ishikawa
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Norihiro Fujimoto
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Takahiro Satoh
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| |
Collapse
|
4
|
Shimokata M, Munetsugu T, Okuzawa M, Shinada Y, Matsuo S, Satoh T. Schnitzler syndrome with basophil infiltration. J Dtsch Dermatol Ges 2020; 18:1034-1036. [PMID: 32924311 DOI: 10.1111/ddg.14255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Miho Shimokata
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Takichi Munetsugu
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Manami Okuzawa
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Yui Shinada
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Shinsuke Matsuo
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Takahiro Satoh
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| |
Collapse
|
5
|
Shimokata M, Munetsugu T, Okuzawa M, Shinada Y, Matsuo S, Satoh T. Schnitzler‐Syndrom mit basophiler Infiltration. J Dtsch Dermatol Ges 2020; 18:1034-1036. [DOI: 10.1111/ddg.14255_g] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Miho Shimokata
- Abteilung Dermatologie National Defense Medical College Tokorozawa Japan
| | - Takichi Munetsugu
- Abteilung Dermatologie National Defense Medical College Tokorozawa Japan
| | - Manami Okuzawa
- Abteilung Dermatologie National Defense Medical College Tokorozawa Japan
| | - Yui Shinada
- Abteilung Dermatologie National Defense Medical College Tokorozawa Japan
| | - Shinsuke Matsuo
- Abteilung Dermatologie National Defense Medical College Tokorozawa Japan
| | - Takahiro Satoh
- Abteilung Dermatologie National Defense Medical College Tokorozawa Japan
| |
Collapse
|
6
|
Ishikawa T, Hashimoto T, Munetsugu T, Yokozeki H, Satoh T. Increased β‐endorphin and autotaxin in patients with prurigo. J Cutan Immunol Allergy 2019. [DOI: 10.1002/cia2.12062] [Citation(s) in RCA: 2] [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] [Indexed: 02/02/2023] Open
Affiliation(s)
- Takahiro Ishikawa
- Department of Dermatology National Defense Medical College Tokorozawa Japan
- Department of Dermatology, Graduate School Tokyo Medical and Dental University Tokyo Japan
| | - Takashi Hashimoto
- Department of Dermatology, Graduate School Tokyo Medical and Dental University Tokyo Japan
| | - Takichi Munetsugu
- Department of Dermatology National Defense Medical College Tokorozawa Japan
| | - Hiroo Yokozeki
- Department of Dermatology, Graduate School Tokyo Medical and Dental University Tokyo Japan
| | - Takahiro Satoh
- Department of Dermatology National Defense Medical College Tokorozawa Japan
| |
Collapse
|
7
|
Amano M, Namiki T, Munetsugu T, Nakamura M, Hashimoto T, Fujimoto T, Yokozeki H. Dyshidrosis associated with diabetes mellitus: Hypohidrosis associated with diabetic neuropathy and compensated hyperhidrosis. J Dermatol 2019; 46:e292-e293. [DOI: 10.1111/1346-8138.14840] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Affiliation(s)
- Maki Amano
- Department of Dermatology Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| | - Takeshi Namiki
- Department of Dermatology Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| | - Takichi Munetsugu
- Department of Dermatology Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| | - Michiko Nakamura
- Department of Dermatology Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| | - Takashi Hashimoto
- Department of Dermatology Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| | - Tomoko Fujimoto
- Department of Dermatology Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| | - Hiroo Yokozeki
- Department of Dermatology Graduate School of Medical and Dental Sciences Tokyo Medical and Dental University Tokyo Japan
| |
Collapse
|
8
|
Nakamura M, Namiki T, Munetsugu T, Hashimoto T, Fujimoto T, Yokozeki H. Image Gallery: Acquired anhidrosis associated with alcohol-related peripheral neuropathy, a potential cause of anhidrosis due to reduced innervation of eccrine glands. Br J Dermatol 2019; 180:e35. [PMID: 30714116 DOI: 10.1111/bjd.17247] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- M Nakamura
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - T Namiki
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - T Munetsugu
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - T Hashimoto
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - T Fujimoto
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| | - H Yokozeki
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8510, Japan
| |
Collapse
|
9
|
Yoshii Y, Ishikawa T, Munetsugu T, Nishizawa A, Fujimoto N, Satoh T. Wells' Syndrome Associated with Coxsackievirus A6 Infection. Acta Derm Venereol 2018; 98:791-792. [PMID: 29972218 DOI: 10.2340/00015555-2985] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [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
Affiliation(s)
- Yuta Yoshii
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | | | | | | | | | | |
Collapse
|
10
|
Ono E, Murota H, Mori Y, Yoshioka Y, Nomura Y, Munetsugu T, Yokozeki H, Katayama I. Sweat glucose and GLUT2 expression in atopic dermatitis: Implication for clinical manifestation and treatment. PLoS One 2018; 13:e0195960. [PMID: 29677207 PMCID: PMC5909908 DOI: 10.1371/journal.pone.0195960] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/07/2017] [Accepted: 04/03/2018] [Indexed: 12/17/2022] Open
Abstract
Sweat includes active components and metabolites, which are needed to maintain skin homeostasis. Component changes in sweat derived from atopic dermatitis (AD) have been reported. To investigate the influence of sweat components on the pathogenesis of AD, we performed a multifaceted assessment, including nuclear magnetic resonance spectroscopy-based metabolomic analysis, and linked these features to clinical features of AD. Distinctive properties of AD sweat are the quite-variation in protein, anti-microbial peptides and glucose concentrations. pH, sodium, and other salt levels in sweat of AD were comparable to that of healthy subjects. Sweat from AD patients with acute inflammation had a more prominent increase in glucose concentration than sweat from healthy individuals or those with AD with chronic inflammation. Topical glucose application delayed recovery of transepidermal water loss in barrier-disrupted mice. Furthermore, the glucose transporter GLUT2 was highly expressed in the lumen of sweat glands from AD patients. AD patients with chronic inflammation had significantly increased GLUT2 mRNA expression and near normal sweat glucose levels. Despite the small sample size in our study, we speculate that the increased glucose levels might be affected by AD severity and phenotype. We hope that this report will bring novel insight into the impact of sweat components on the clinical manifestation of AD.
Collapse
Affiliation(s)
- Emi Ono
- Department of Dermatology, Course of Integrated Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan
| | - Hiroyuki Murota
- Department of Dermatology, Course of Integrated Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan
- * E-mail:
| | - Yuki Mori
- Biofunctional Imaging Lab, Immunology Frontier Research Center, Osaka University, Suita, Osaka, Japan
| | - Yoshichika Yoshioka
- Biofunctional Imaging Lab, Immunology Frontier Research Center, Osaka University, Suita, Osaka, Japan
| | - Yuko Nomura
- Nomura Dermatology Clinic, Yokohama, Kanagawa, Japan
| | - Takichi Munetsugu
- Department of Dermatology, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Hiroo Yokozeki
- Department of Dermatology, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - Ichiro Katayama
- Department of Dermatology, Course of Integrated Medicine, Graduate School of Medicine, Osaka University, Suita, Osaka, Japan
| |
Collapse
|
11
|
Yu R, Igawa K, Handa Y, Munetsugu T, Satoh T, Yokozeki H. Basophils and mast cells are crucial for reactions due to epicutaneous sensitization to ovalbumin. Exp Dermatol 2017; 26:778-784. [PMID: 27992078 DOI: 10.1111/exd.13279] [Citation(s) in RCA: 7] [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] [Accepted: 12/14/2016] [Indexed: 11/30/2022]
Abstract
The prevalence of food allergies worldwide has increased recently. Epicutaneous sensitization to antigen could be a method to study food allergy. To clarify the mechanisms of food allergy, we established a mouse model of epicutaneous sensitization using ovalbumin (OVA). BALB/c mice were sensitized by three-time application of OVA to tape-stripped skin (1-week sensitization at 2-week intervals) and oral challenge of OVA undertaken. Rectal temperature was monitored. Blood and tissue (skin and jejunum) of challenged mice were taken. Numbers of mast cells (MCs) and basophils were counted. Serum and/or tissue levels of OVA -specific IgE and IgG antibodies and several cytokines were measured using enzyme-linked immunoassay kits. MC and basophil depletion experiments were undertaken. In OVA/epicutaneous-sensitized and orally challenged mice, systemic anaphylaxis (as evidenced by reduced rectal temperature) was observed. Levels of OVA-specific IgE and IgG antibodies were increased in these mice, as were increased number of MCs and basophils. Serum levels of MC protease 1 were increased significantly. Basophil and MC depletion experiments revealed that they both participate in reactions. Increased production of thymic stromal lymphopoietin (TSLP) at skin sites of OVA sensitization was noted. We speculate that TSLP produced from epidermal cells during antigen sensitization can enable basophils to promote a T helper (Th)2 immune reaction, leading to and systemic anaphylaxis by antigen-specific IgE-bearing MCs. This TSLP-basophils-MC axis could be a novel therapeutic target against food allergy.
Collapse
Affiliation(s)
- Rie Yu
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Ken Igawa
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Yutaro Handa
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Takichi Munetsugu
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Takahiro Satoh
- Department of Dermatology, National Defense Medical College, Tokorozawa, Japan
| | - Hiroo Yokozeki
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| |
Collapse
|
12
|
Munetsugu T, Fujimoto T, Satoh T, Nakazato Y, Ohshima Y, Asahina M, Yokozeki H. Evaluation of the correlation between severity of acquired idiopathic generalized anhidrosis and quality of life scores. J Dermatol 2017; 44:747-752. [PMID: 28328088 DOI: 10.1111/1346-8138.13785] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2016] [Accepted: 01/04/2017] [Indexed: 11/29/2022]
Abstract
Symptoms of acquired idiopathic generalized anhidrosis (AIGA) include heat retention and/or heat stroke due to the effects of the disorder on the perspiration ability of the whole body under thermal environmental changes or exercise. Additionally, cholinergic urticaria can also occur in these patients. AIGA has a major impact on everyday life. However, the effects of AIGA severity on the quality of life (QOL) of the patients have not been sufficiently defined. The objective of this study was to evaluate the correlation between AIGA severity and QOL. Study subjects comprised 44 patients diagnosed with AIGA at three registered institutions. AIGA severity assessment was conducted and the Dermatology Life Quality Index (DLQI) questionnaire was administered. Correlations between AIGA severity and DLQI, as well as severity by DLQI subscale, were assessed. We found a positive correlation between total score of AIGA severity criteria and DLQI total scores (R = 0.720, P = 0.001). The impairment increased with the increase in AIGA severity (P < 0.01). In relation to the DLQI subscales, leisure (social and sporting activities) impairment was significantly higher for patients with severe AIGA than those with mild AIGA (P < 0.01). Comparing QOL for AIGA patients with that of patients with other dermatological disorders, it is possible that QOL impairment for AIGA patients is as severe as that for patients with atopic dermatitis. AIGA severity and DLQI are correlated and AIGA patients experience disruption of everyday life more broadly than conventionally perceived.
Collapse
Affiliation(s)
- Takichi Munetsugu
- Department of Dermatology, Tokyo Medical and Dental University, Tokyo, Japan.,Department of Dermatology, National Defense Medical College, Saitama, Japan
| | - Tomoko Fujimoto
- Department of Dermatology, Tokyo Metropolitan Ohtsuka Hospital, Tokyo, Japan
| | - Takahiro Satoh
- Department of Dermatology, National Defense Medical College, Saitama, Japan
| | | | - Yuichiro Ohshima
- Department of Dermatology, Aichi Medical University, Aichi, Japan
| | - Masato Asahina
- Department of Neurology, Chiba University, Chiba, Japan.,Neurology Clinic Tsudanuma, Chiba, Japan
| | - Hiroo Yokozeki
- Department of Dermatology, Tokyo Medical and Dental University, Tokyo, Japan
| |
Collapse
|
13
|
Munetsugu T, Igawa K, Fujimoto T, Shibama S, Nishizawa A, Yokozeki H. Cold-induced hyperhidrosis: possible association with hyper-IgE syndrome. Int J Dermatol 2016; 56:e42-e43. [PMID: 27778332 DOI: 10.1111/ijd.13357] [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: 01/19/2016] [Revised: 03/02/2016] [Accepted: 03/20/2016] [Indexed: 12/01/2022]
Affiliation(s)
- Takichi Munetsugu
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Ken Igawa
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Tomoko Fujimoto
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Sayaka Shibama
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Aya Nishizawa
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Hiroo Yokozeki
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| |
Collapse
|
14
|
Munetsugu T, Fujimoto T, Oshima Y, Sano K, Murota H, Satoh T, Iwase S, Asahina M, Nakazato Y, Yokozeki H. Revised guideline for the diagnosis and treatment of acquired idiopathic generalized anhidrosis in Japan. J Dermatol 2016; 44:394-400. [PMID: 27774633 DOI: 10.1111/1346-8138.13649] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2016] [Accepted: 09/07/2016] [Indexed: 01/01/2023]
Abstract
Acquired idiopathic generalized anhidrosis (AIGA) is characterized by an acquired impairment in total body sweating despite exposure to heat or exercise. Severe cases may result in heatstroke. Most cases of AIGA have been reported in Asia, especially in Japan. However, there is limited information on the epidemiology of this condition, and no diagnostic criteria or appropriate treatment options have been established. This guideline was developed to fill this gap. It contains information on the etiology, diagnosis, evaluation of disease severity and evidence-based recommendations for the treatment of AIGA. Appropriate treatment according to disease severity may relieve the clinical manifestations and emotional distress experienced by patients with AIGA.
Collapse
Affiliation(s)
- Takichi Munetsugu
- Department of Dermatology, Tokyo Medical and Dental University, Tokyo, Japan.,Department of Dermatology, National Defense Medical College, Saitama, Japan
| | - Tomoko Fujimoto
- Department of Dermatology, Tokyo Metropolitan Ohtsuka Hospital, Tokyo, Japan
| | - Yuichiro Oshima
- Department of Dermatology, Aichi Medical University, Aichi, Japan
| | - Kenji Sano
- Department of Clinical Laboratory Investigation, Shinshu University, Nagano, Japan
| | - Hiroyuki Murota
- Department of Dermatology, School of Medicine, Osaka University, Suita, Japan
| | - Takahiro Satoh
- Department of Dermatology, National Defense Medical College, Saitama, Japan
| | - Satoshi Iwase
- Department of Physiology, Aichi Medical University, Aichi, Japan
| | | | | | - Hiroo Yokozeki
- Department of Dermatology, Tokyo Medical and Dental University, Tokyo, Japan
| |
Collapse
|
15
|
Yu R, Igawa K, Munetsugu T, Satoh T, Yokozeki H. Possible mechanisms of epicutaneous-sensitized anaphylactic reaction in the mouse model. J Dermatol Sci 2016. [DOI: 10.1016/j.jdermsci.2016.08.044] [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]
|
16
|
Kondo M, Igawa K, Munetsugu T, Shibama S, Nishizawa A, Tokoro S, Yokozeki H. Increasing Numbers of Mast Cells in Skin Lesions of Hyperpigmented Mycosis Fungoides with Large-Cell Transformation. Ann Dermatol 2016; 28:115-6. [PMID: 26848231 PMCID: PMC4737817 DOI: 10.5021/ad.2016.28.1.115] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/24/2014] [Revised: 03/02/2015] [Accepted: 03/21/2015] [Indexed: 11/08/2022] Open
Affiliation(s)
- Mayo Kondo
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Ken Igawa
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Takichi Munetsugu
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Sayaka Shibama
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Aya Nishizawa
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Shown Tokoro
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Hiroo Yokozeki
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| |
Collapse
|
17
|
Sone Y, Namiki T, Munetsugu T, Ueno M, Tokoro S, Nishizawa A, Takayama K, Yokozeki H. A case of subungual melanoma with bone invasion: destructive local invasion and multiple skin metastases. J Eur Acad Dermatol Venereol 2015; 30:1049-50. [PMID: 25764209 DOI: 10.1111/jdv.13102] [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] [Indexed: 11/26/2022]
Affiliation(s)
- Y Sone
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - T Namiki
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - T Munetsugu
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - M Ueno
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - S Tokoro
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - A Nishizawa
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - K Takayama
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| | - H Yokozeki
- Department of Dermatology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Bunkyo-ku, Tokyo, Japan
| |
Collapse
|
18
|
Shibama S, Igawa K, Munetsugu T, Fukuyama K, Nishizawa A, Takayama K, Yokozeki H. A case of sarcoidosis presenting as livedo. Ann Dermatol 2014; 26:773-4. [PMID: 25473240 PMCID: PMC4252685 DOI: 10.5021/ad.2014.26.6.773] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2013] [Revised: 11/08/2013] [Accepted: 12/04/2013] [Indexed: 11/08/2022] Open
Affiliation(s)
- Sayaka Shibama
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Ken Igawa
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Takichi Munetsugu
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Kunitaro Fukuyama
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Aya Nishizawa
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Kaoru Takayama
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| | - Hiroo Yokozeki
- Department of Dermatology, Tokyo Medical and Dental University, Graduate School of Medicine, Tokyo, Japan
| |
Collapse
|
19
|
Sakaguchi M, Bito T, Oda Y, Kikusawa A, Nishigori C, Munetsugu T, Yokozeki H, Itotani Y, Niguma T, Tsuruta D, Tateishi C, Ishii N, Koga H, Hashimoto T. Three cases of linear IgA/IgG bullous dermatosis showing IgA and IgG reactivity with multiple antigens, particularly laminin-332. JAMA Dermatol 2013; 149:1308-13. [PMID: 24005769 DOI: 10.1001/jamadermatol.2013.5691] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [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: 12/16/2023]
Abstract
IMPORTANCE Linear IgA/IgG bullous dermatosis (LAGBD) is a relatively rare autoimmune bullous disease characterized by both IgA and IgG antibodies to epidermal basement membrane zone. The heterogeneity and pathogenesis of the LAGBD autoantigens have not been fully elucidated. OBSERVATIONS We report 3 Japanese cases of LAGBD (ages 81, 88, and 64 years; 1 woman and 2 men). The patients showed bullous and erosive lesions on the trunk and extremities with minimal mucosal lesions. Histopathological analysis revealed a subepidermal blister with neutrophilic infiltration with eosinophils in 2 cases. Direct and indirect immunofluorescence studies disclosed IgG and IgA antibasement membrane zone antibodies. In immunoblot analyses of various antigen sources, all cases showed IgG and IgA antibodies to various subunits of laminin-332, in addition to IgG and IgA reactivity with type VII collagen, laminin-γ1, and BP230 and BP180 recombinant proteins. CONCLUSIONS AND RELEVANCE Our studies revealed that the 3 LAGBD cases showed prominent IgG and IgA reactivity with laminin-332, which was only rarely reported. In addition, all cases showed IgG and IgA reactivity with other multiple antigens, indicating the role of epitope-spreading mechanisms initiated from laminin-332. The significance of IgA antibodies to laminin-332 should be studied in larger cohorts of both LAGBD and linear IgA bullous dermatosis.
Collapse
Affiliation(s)
- Masanobu Sakaguchi
- Division of Dermatology, Department of Internal Medicine Related, Faculty of Medicine, Kobe University Graduate School of Medicine, Hyogo, Japan
| | | | | | | | | | | | | | | | | | | | | | | | | | | |
Collapse
|