Acute localized exanthematous pustulosis caused by topical plant

IF 0.3 4区 医学 Revue Francaise d Allergologie Pub Date : 2024-10-16 DOI:10.1016/j.reval.2024.104147
C. Fikri , L. Bendaoud , M. Aboudourib , O. Hocar , S. Amal
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Abstract

A 42-year-old woman presented with an acute eruption of multiple non-follicular pustules on an erythematous base, localized on the leg and hip, with mild pruritus. No mucosal or nail involvement. It appeared a few hours after the application of the medicinal plant “Copparisspinosa” for sciatica in the leg and disappeared after withdrawing the plant. The diagnosis of ALEP was made according to recently proposed diagnostic criteria for acute localized exanthematous pustulosis (ALEP). ALEP is a rare skin reaction described as multiple non-follicular and sterile pustules developing on an erythematous background. The pathogenesis of ALEP is largely unknown. It is drug-induced in 84%, mainly by antibiotics, and non-drug-induced in 16%, mainly by herbal medicines. Herein, we report the first case of PEAL in Morocco caused by a herbal medicine, Copparisspinosa.
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局部外用植物引起的急性局部红斑脓疱病
一名 42 岁的妇女因腿部和臀部局部红斑上多发性非赘生物脓疱急性发作,伴有轻度瘙痒。无粘膜或指甲受累。在使用药用植物 "Copparisspinosa "治疗腿部坐骨神经痛数小时后出现,撤药后消失。根据最近提出的急性局部化脓性脓疱病(ALEP)诊断标准,诊断结果为 ALEP。ALEP 是一种罕见的皮肤反应,表现为在红斑背景上出现多个非叶状无菌脓疱。ALEP 的发病机理尚不清楚。84%的ALEP由药物诱发,主要是抗生素;16%的ALEP由非药物诱发,主要是草药。在此,我们报告了摩洛哥首例由一种草药铜钱草引起的 PEAL 病例。
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来源期刊
Revue Francaise d Allergologie
Revue Francaise d Allergologie Medicine-Immunology and Allergy
自引率
33.30%
发文量
349
期刊介绍: La Revue Française d''Allergologie : un véritable forum pour faire connaître des travaux originaux et permettre la diffusion de l''information auprès de toutes les spécialités concernées par les pathologies allergiques. La Revue Française d''Allergologie (8 numéros par an) est au carrefour de nombreuses spécialités - dermatologie, pédiatrie, ORL, pneumologie, ophtalmologie, médecine interne - qui, toutes, ont à traiter des maladies allergiques. Les symptômes des allergies fondés sur des mécanismes communs sont le plus souvent associés et se succèdent chez un même patient. En forte progression depuis 20 ans, les maladies allergiques sont dans l''attente de perfectionnements et d''avancées thérapeutiques qui permettront aux nombreux patients qui en sont atteints de mieux vivre avec leurs allergies. La Revue Française d''Allergologie se veut donc un véritable forum de discussions et d''échanges entre tous les spécialistes confrontés aux pathologies
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