1
|
Grau-Echevarría A, Labrandero-Hoyos C, Peñuelas-Leal R, Finello M, Blaya-Imbernón D, García-García JÁ, Berenguer-Romero MD, de Miquel VA, Pérez-Ferriols A, Martínez-Calabuig P, Hernández-Bel P. Anetoderma after disseminated Mpox. J Cutan Pathol 2024; 51:415-418. [PMID: 38468572 DOI: 10.1111/cup.14606] [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] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 02/17/2024] [Accepted: 02/28/2024] [Indexed: 03/13/2024]
Abstract
Anetoderma or macular atrophy is a rare skin condition of unclear pathogenesis, often associated with autoimmune diseases and skin damage from various infections. Human immunodeficiency virus (HIV), syphilis, and poxviruses have been implicated in the development of anetoderma. A 37-year-old male patient with HIV and recent unprotected sexual encounters presented with more than 400 skin lesions, consistent with Mpox. Symptomatic treatment for Mpox resulted in acute symptom resolution. However, 8 months later he developed papular anetoderma lesions in areas previously affected by Mpox. Biopsy confirmed the loss of elastic fibers in the affected skin areas, leading to the diagnosis of Mpox-induced anetoderma. This report presents a unique case of anetoderma following Mpox in an HIV-positive patient.
Collapse
Affiliation(s)
- Andrés Grau-Echevarría
- Dermatology Department, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
| | | | - Rodrigo Peñuelas-Leal
- Dermatology Department, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
| | - Malena Finello
- Dermatology Department, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
| | - Daniel Blaya-Imbernón
- Dermatology Department, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
| | - José Ángel García-García
- Pathological Anatomy Department, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
| | | | - Víctor Alegre de Miquel
- Dermatology Department, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
| | - Amparo Pérez-Ferriols
- Dermatology Department, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
| | - Pablo Martínez-Calabuig
- Rheumatology Department, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
| | - Pablo Hernández-Bel
- Dermatology Department, Consorcio Hospital General Universitario de Valencia, Valencia, Spain
| |
Collapse
|
2
|
Seo HM, Jang JH, Park JH, Oh SU, Kim JS. A case of primary anetoderma of Schweninger-Buzzi type. J Eur Acad Dermatol Venereol 2024; 38:e346-e347. [PMID: 37909245 DOI: 10.1111/jdv.19610] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2023] [Accepted: 10/26/2023] [Indexed: 11/02/2023]
Affiliation(s)
- Hyun-Min Seo
- Department of Dermatology, College of Medicine, Hanyang University Guri Hospital, Hanyang University, Guri-si, Korea
- Hanyang Institute of Bioscience and Biotechnology, Hanyang University, Guri-si, Korea
| | - Jin Hyun Jang
- Department of Dermatology, College of Medicine, Hanyang University Guri Hospital, Hanyang University, Guri-si, Korea
| | - Ji Hun Park
- Department of Dermatology, College of Medicine, Hanyang University Guri Hospital, Hanyang University, Guri-si, Korea
| | - Se Uk Oh
- Department of Dermatology, College of Medicine, Hanyang University Guri Hospital, Hanyang University, Guri-si, Korea
| | - Joung Soo Kim
- Department of Dermatology, College of Medicine, Hanyang University Guri Hospital, Hanyang University, Guri-si, Korea
| |
Collapse
|
3
|
Chen HS, Li FG, Wang T, Huang WB, Fan YM. Dermoscopic and Immunohistochemical Observations in Anetodermic Pilomatricoma: A Case Report. Acta Derm Venereol 2020; 100:adv00088. [PMID: 32162670 DOI: 10.2340/00015555-3449] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Hao-Song Chen
- Department of Dermatology, Affiliated Hospital of Guangdong Medical University, 524001 Zhanjiang, China
| | | | | | | | | |
Collapse
|
4
|
Iglesias-Puzas Á, Batalla A, Peón G, Álvarez C, Flórez Á. Anetoderma and Systemic Lupus Erythematosus: Case Report and Literature Review. Acta Derm Venereol 2019; 99:335-336. [PMID: 30521059 DOI: 10.2340/00015555-3100] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Álvaro Iglesias-Puzas
- Department of Dermatology, Pontevedra University Hospital, EOXI Pontevedra-Salnés, Centro de Especialidades Mollavao, c/ Simón Bolívar s/n., ES-36001 Pontevedra, Spain.
| | | | | | | | | |
Collapse
|
5
|
Tong LX, Beasley J, Meehan S, Rieder E, Pomeranz M, Sicco KL, Femia A, Kim R, Franks AG. Primary anetoderma with undifferentiated connective tissue disease. Dermatol Online J 2017; 23:13030/qt57z528kx. [PMID: 29447658] [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] [Received: 01/18/2018] [Accepted: 01/18/2018] [Indexed: 06/08/2023] Open
Abstract
Anetoderma is a rare benign elastolytic disorder that is characterized by focal loss of elastin fibers on histopathology and is often recalcitrant to treatment. We present a case of a patient with a 20-year history of pruritic and painful hyperpigmented atrophic papules clustered on the neck, axillae, inframammary folds, and right medial thigh. Although the histopathologyof her axillary lesions was consistent with anetoderma, her clinical presentation is unusual given the extent of involvement, reported pain and pruritus, and sharp demarcation of the distribution. The diagnosticuncertainty of this case led to added difficulty in management of a disease that is already notoriously difficult to treat and may significantly impact patient's quality of life.
Collapse
|
6
|
Vázquez-Osorio I, García SM, Rodríguez-Díaz E, Gonzalvo-Rodríguez P. Anetodermic pilomatricoma: clinical, histopathologic, and sonographic findings. Dermatol Online J 2017; 23:13030/qt5920j4zm. [PMID: 28329524] [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] [Received: 03/21/2017] [Accepted: 03/21/2017] [Indexed: 06/06/2023] Open
Abstract
Pilomatricoma is a benign cutaneous tumor originatingfrom hair matrix cells. Anetodermic changes inthe skin overlying pilomatricomas are sometimesreported, although their precise mechanisms remainunknown. We present an unusual case of anetodermicpilomatricoma on the upper extremity of a 17-yearoldboy and report its clinical, histopathologic, andsonographic findings.
Collapse
Affiliation(s)
- Igor Vázquez-Osorio
- Hospital Universitario de Cabueñes, Servicio de Dermatología, Gijón, Asturias, España.
| | | | | | | |
Collapse
|
7
|
Xia FD, Hoang MP, Smith GP. Anetoderma before development of antiphospholipid antibodies: delayed development and monitoring of antiphospholipid antibodies in an SLE patient presenting with anetoderma. Dermatol Online J 2017; 23:13030/qt73s8f07w. [PMID: 28329518] [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] [Received: 03/21/2017] [Accepted: 03/21/2017] [Indexed: 06/06/2023] Open
Abstract
INTRODUCTION Anetoderma is an elastolytic skindisorder that has been associated with the presenceof antiphospholipid antibodies (aPL). Patients withantiphospholipid antibody-positive anetoderma havebeen reported to develop symptoms of Graves disease,antiphospholipid syndrome, and other autoimmuneconditions. The temporal relationship, however,between anetoderma onset and the emergence ofaPL remains unclear, a clarification of which may haveimplications for the screening and monitoring ofpatients with anetoderma. CASE Herein we report acase of a patient with systemic lupus erythematosuspresenting with anetoderma that preceded thedevelopment of aPL. The patient was found to havesubsequently developed IgM cardiolipin antibodiesat a serology follow-up approximately two years later.Conclusion and Relevance: This finding suggests thatanetoderma can precede aPL seroconversion andthat patients with anetoderma may require continuedserology monitoring. Such long-term monitoring willbe important for identifying laboratory indicationsthat may portend the development of furtherautoimmune symptoms associated with anetoderma.
Collapse
Affiliation(s)
- Fan Di Xia
- Harvard Medical School, Boston, MA, USA. fandi_xia@ hms.harvard.edu
| | | | | |
Collapse
|
8
|
Morales-Raya C, Maroñas-Jiménez L, Burillo-Martínez S, Ortiz-Romero PL. [Primary anetoderma: A cutaneous marker of prothrombotic states]. Med Clin (Barc) 2016; 147:e47. [PMID: 26961402 DOI: 10.1016/j.medcli.2016.01.007] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2015] [Revised: 12/31/2015] [Accepted: 01/13/2016] [Indexed: 11/30/2022]
Affiliation(s)
- Carlos Morales-Raya
- Servicio de Dermatología, Hospital Universitario Doce de Octubre, Madrid, España.
| | | | | | | |
Collapse
|
9
|
Gambichler T, Reininghaus L, Skrygan M, Schulze HJ, Schaller J, Colato C, Girolomoni G. Fibulin Protein Expression in Mid-dermal Elastolysis and Anetoderma: A Study of 23 Cases. Acta Derm Venereol 2016; 96:708-10. [PMID: 26775654 DOI: 10.2340/00015555-2340] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [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)
- Thilo Gambichler
- Department of Dermatology, Venereology and Allergology, Ruhr University Bochum, Gudrunstr. 56, DE-44791 Bochum, Germany.
| | | | | | | | | | | | | |
Collapse
|
10
|
Rambhia KD, Khopkar US. Elastophagocytosis and Elastolysis in Leprosy. Indian J Lepr 2016; 88:129-131. [PMID: 29757546] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Elastophagocytosis is the engulfment of the elastic fibres by the histiocytes, multinucleated giant cells, or both. The cutaneous lesions showing elastophagocytosis are annular elastolytic giant cell granuloma, actinic keratoses, persistent insect-bite reactions, elastosis perforans serpiginosa, foreign body granuloma. Occasionally, it may occur in infectious diseases like leprosy, granulomatous syphilis, North-American blastomycosis, bacterial folliculitis, and cutaneous leishmaniasis. We report a case of lepromatous leprosy with necrotic erythema nodosum leprosum with secondary anetoderma. Histopathology from the atrophic macule of anetoderma revealed periappendageal, perineural infiltration, elastophagocytosis and reduction in elastic fibres.
Collapse
|
11
|
Grandi V, Mori M, Mariotti G, Gunnella S, Maio V. Primary idiopathic anetoderma. GIORN ITAL DERMAT V 2016; 151:130-131. [PMID: 26584309] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- Vieri Grandi
- Section of Dermatology and Venereology, Departmen of Surgery and Translational Medicine, P. Palagi Hospital, University of Florence, School of Health Sciences, Florence, Italy
| | | | | | | | | |
Collapse
|
12
|
Persechino S, Caperchi C, Cortesi G, Persechino F, Raffa S, Pucci E, Tammaro A, Torrisi MR. Anetoderma: evidence of the relationship with autoimmune disease and a possible role of macrophages in the etiopathogenesis. Int J Immunopathol Pharmacol 2012; 24:1075-7. [PMID: 22230413 DOI: 10.1177/039463201102400425] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Anetoderma is a benign condition characterized by round or oval macular lesions with focal loss of dermal elastic tissue resulting in localized areas of flaccid or herniated saclike skin. Often, the anetoderma is associated with immuno-mediated pathogenetic mechanism. In this article, we describe the association between anetoderma and autoimmune diseases, by underlining the role and the action of macrophages as a possible etiopathogenesis.
Collapse
|
13
|
Hunt R, Chu J, Patel R, Sanchez M. Circumscribed lenticular anetoderma in an HIV-infected man with a history of syphilis and lichen planus. Dermatol Online J 2011; 17:2. [PMID: 22031628] [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: 05/31/2023] Open
Abstract
Anetoderma is an uncommon dermatosis that manifests as discrete foci of well-circumscribed, atrophic skin. The condition can be idiopathic or can be secondary to a number of associated cutaneous diseases. Whereas the pathophysiologic mechanisms remain unknown, anetoderma results from diminished elastic fibers in the dermis. We present an unusual case of localized, lenticular anetoderma in a man with HIV, a history of syphilis, and lichen planus. Both of these infections have been associated with anetoderma. Although his lesions are vaguely reminiscent of a variant of syphilitic anetoderma described in the 1930s, they are confined to a smaller anatomic distribution, differ in size, and have a papular appearance. As anetoderma can develop in the context of infectious disease, a diagnosis of anetoderma should trigger a thorough examination and evaluation for treatable concomitant illnesses.
Collapse
Affiliation(s)
- Raegan Hunt
- Department of Dermatology, New York University, New York, New York, USA
| | | | | | | |
Collapse
|
14
|
Staiger H, Saposnik M, Spiner RE, Schroh RG, Corbella MC, Hassan ML. Primary anetoderma: a cutaneous marker of antiphospholipid antibodies. Skinmed 2011; 9:168-171. [PMID: 21675496] [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]
Abstract
Primary anetoderma is a rare idiopathic disease of the skin characterized by circumscribed areas of slack skin and loss of elastic fibers found on histopathologic examination. It has been related to systemic lupus erythematosus and other immune diseases. In recent years, however, its association with antiphospholipid antibodies has been highlighted, and it should be considered a clinical manifestation of these antibodies.
Collapse
Affiliation(s)
- Hernán Staiger
- Department of Dermatology and School of Medicine, Hospital Italiano of Buenos Aires, Argentine.
| | | | | | | | | | | |
Collapse
|
15
|
Averbeck M, Termeer C. [Atrophic flaccid maculae on the trunk of a 75-year-old patient]. J Dtsch Dermatol Ges 2005; 1:583-5. [PMID: 16295044 DOI: 10.1046/j.1610-0387.2003.03007.x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|