Thai Van Thanh Le, Anh Tuan Ngo, Quoc Hung Ta, The Bich Thanh Vuong
Pemphigus is a rare autoimmune blistering disease that detrimentally affects the integumentary system and decreases patients’ quality of life. Recent studies have shown that interleukin 6 (IL-6) is closedly involved in the immunophathogenesis of pemphigus. Therefore, this study was performed to evaluate the role of IL-6 in the pathogenesis and severity of pemphigus disease. The case-series study was conducted in Ho Chi Minh City Hospital of Dermato-Venereology from January 2022 to August 2022, involving 26 patients with pemphigus vulgaris (PV), 4 patients with pemphigus foliaceus (PF), and 20 healthy volunteers. The serum IL-6 concentrations of patients with PV and PF were significantly higher than those of the healthy volunteers (P < 0.001). Serum IL-6 concentrations were significantly higher in patients with a positive than a negative Nikolsky sign (P < 0.001). A significant correlation was found between the serum IL-6 concentration and the pemphigus disease area index (r = 0.8, P < 0.001). Our results suggest that IL-6 may play an important role in the pathogenesis and severity of pemphigus. Therefore, new therapies targeting IL-6 may be a promising choice for treating pemphigus, especially in its severe forms.
{"title":"Serum interleukin 6 concentration in patients with pemphigus","authors":"Thai Van Thanh Le, Anh Tuan Ngo, Quoc Hung Ta, The Bich Thanh Vuong","doi":"10.4081/dr.2024.9868","DOIUrl":"https://doi.org/10.4081/dr.2024.9868","url":null,"abstract":"Pemphigus is a rare autoimmune blistering disease that detrimentally affects the integumentary system and decreases patients’ quality of life. Recent studies have shown that interleukin 6 (IL-6) is closedly involved in the immunophathogenesis of pemphigus. Therefore, this study was performed to evaluate the role of IL-6 in the pathogenesis and severity of pemphigus disease. The case-series study was conducted in Ho Chi Minh City Hospital of Dermato-Venereology from January 2022 to August 2022, involving 26 patients with pemphigus vulgaris (PV), 4 patients with pemphigus foliaceus (PF), and 20 healthy volunteers. The serum IL-6 concentrations of patients with PV and PF were significantly higher than those of the healthy volunteers (P < 0.001). Serum IL-6 concentrations were significantly higher in patients with a positive than a negative Nikolsky sign (P < 0.001). A significant correlation was found between the serum IL-6 concentration and the pemphigus disease area index (r = 0.8, P < 0.001). Our results suggest that IL-6 may play an important role in the pathogenesis and severity of pemphigus. Therefore, new therapies targeting IL-6 may be a promising choice for treating pemphigus, especially in its severe forms.","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139873406","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Nili, M. Daneshpazhooh, H. Mahmoudi, K. Kamyab, S. Jamshidi, Saeed Soleiman-Meigooni, Mohammad Darvishi
Objective: The annual incidence of squamous cell carcinoma (SCC) has been increasing worldwide. The causative role of human papillomavirus (HPV) in SCC development of cutaneous has been controversial in the literature. In this study, we aimed to assess the presence of the histopathological features of HPV in SCC samples. Materials and Methods: This retrospective study was conducted at a tertiary referral skin center in 2020. Specimens of patients with a definite SCC diagnosis were evaluated for histopathological features of HPV, including koilocytosis, hyperkeratosis, acanthosis, hypergranulosis, parakeratosis, solar elastosis, papillomatosis, as well as the grade of the tumor. All the samples were re-evaluated by two dermatopathologists independently. Results: a total of 331 (male:female ratio= 3.9:1) cases of SCC were analyzed. The mean age was 68.1, with a 15.1 standard deviation. Most lesions were located on the face (40.5%), followed by the scalp (22.7%) and extremities (20.8%). Koilocytes were detected in 50 (15.1%) of lesions. The koilocytosis proportion was significantly higher in lesions on nails (38.1%, P-value= 0.007), oral cavity (36.8%, P-value= 0.014), and genitalia lesions (60.0%, P-value= 0.026). Although SCCs in-situ were found in 6.6% of our specimens, the highest koilocytosis proportion (64.7%) was detected in in-situ tumors, which was significantly more than other grades (P-value< 0.001). Conclusions: The histopathological features of HPV and in specific koilocytes can be frequently seen in SCC pathology. This association is more prominent in nail, oral, and genital lesions and is significantly higher in well-differentiated SCC.
{"title":"Tracing human papillomavirus in skin and mucosal squamous cell carcinoma: a histopathological retrospective survey","authors":"A. Nili, M. Daneshpazhooh, H. Mahmoudi, K. Kamyab, S. Jamshidi, Saeed Soleiman-Meigooni, Mohammad Darvishi","doi":"10.4081/dr.2024.9833","DOIUrl":"https://doi.org/10.4081/dr.2024.9833","url":null,"abstract":"Objective: The annual incidence of squamous cell carcinoma (SCC) has been increasing worldwide. The causative role of human papillomavirus (HPV) in SCC development of cutaneous has been controversial in the literature. In this study, we aimed to assess the presence of the histopathological features of HPV in SCC samples. Materials and Methods: This retrospective study was conducted at a tertiary referral skin center in 2020. Specimens of patients with a definite SCC diagnosis were evaluated for histopathological features of HPV, including koilocytosis, hyperkeratosis, acanthosis, hypergranulosis, parakeratosis, solar elastosis, papillomatosis, as well as the grade of the tumor. All the samples were re-evaluated by two dermatopathologists independently. Results: a total of 331 (male:female ratio= 3.9:1) cases of SCC were analyzed. The mean age was 68.1, with a 15.1 standard deviation. Most lesions were located on the face (40.5%), followed by the scalp (22.7%) and extremities (20.8%). Koilocytes were detected in 50 (15.1%) of lesions. The koilocytosis proportion was significantly higher in lesions on nails (38.1%, P-value= 0.007), oral cavity (36.8%, P-value= 0.014), and genitalia lesions (60.0%, P-value= 0.026). Although SCCs in-situ were found in 6.6% of our specimens, the highest koilocytosis proportion (64.7%) was detected in in-situ tumors, which was significantly more than other grades (P-value< 0.001). Conclusions: The histopathological features of HPV and in specific koilocytes can be frequently seen in SCC pathology. This association is more prominent in nail, oral, and genital lesions and is significantly higher in well-differentiated SCC.","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139889309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Thai Van Thanh Le, Anh Tuan Ngo, Quoc Hung Ta, The Bich Thanh Vuong
Pemphigus is a rare autoimmune blistering disease that detrimentally affects the integumentary system and decreases patients’ quality of life. Recent studies have shown that interleukin 6 (IL-6) is closedly involved in the immunophathogenesis of pemphigus. Therefore, this study was performed to evaluate the role of IL-6 in the pathogenesis and severity of pemphigus disease. The case-series study was conducted in Ho Chi Minh City Hospital of Dermato-Venereology from January 2022 to August 2022, involving 26 patients with pemphigus vulgaris (PV), 4 patients with pemphigus foliaceus (PF), and 20 healthy volunteers. The serum IL-6 concentrations of patients with PV and PF were significantly higher than those of the healthy volunteers (P < 0.001). Serum IL-6 concentrations were significantly higher in patients with a positive than a negative Nikolsky sign (P < 0.001). A significant correlation was found between the serum IL-6 concentration and the pemphigus disease area index (r = 0.8, P < 0.001). Our results suggest that IL-6 may play an important role in the pathogenesis and severity of pemphigus. Therefore, new therapies targeting IL-6 may be a promising choice for treating pemphigus, especially in its severe forms.
{"title":"Serum interleukin 6 concentration in patients with pemphigus","authors":"Thai Van Thanh Le, Anh Tuan Ngo, Quoc Hung Ta, The Bich Thanh Vuong","doi":"10.4081/dr.2024.9868","DOIUrl":"https://doi.org/10.4081/dr.2024.9868","url":null,"abstract":"Pemphigus is a rare autoimmune blistering disease that detrimentally affects the integumentary system and decreases patients’ quality of life. Recent studies have shown that interleukin 6 (IL-6) is closedly involved in the immunophathogenesis of pemphigus. Therefore, this study was performed to evaluate the role of IL-6 in the pathogenesis and severity of pemphigus disease. The case-series study was conducted in Ho Chi Minh City Hospital of Dermato-Venereology from January 2022 to August 2022, involving 26 patients with pemphigus vulgaris (PV), 4 patients with pemphigus foliaceus (PF), and 20 healthy volunteers. The serum IL-6 concentrations of patients with PV and PF were significantly higher than those of the healthy volunteers (P < 0.001). Serum IL-6 concentrations were significantly higher in patients with a positive than a negative Nikolsky sign (P < 0.001). A significant correlation was found between the serum IL-6 concentration and the pemphigus disease area index (r = 0.8, P < 0.001). Our results suggest that IL-6 may play an important role in the pathogenesis and severity of pemphigus. Therefore, new therapies targeting IL-6 may be a promising choice for treating pemphigus, especially in its severe forms.","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139813175","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Nili, M. Daneshpazhooh, H. Mahmoudi, K. Kamyab, S. Jamshidi, Saeed Soleiman-Meigooni, Mohammad Darvishi
Objective: The annual incidence of squamous cell carcinoma (SCC) has been increasing worldwide. The causative role of human papillomavirus (HPV) in SCC development of cutaneous has been controversial in the literature. In this study, we aimed to assess the presence of the histopathological features of HPV in SCC samples. Materials and Methods: This retrospective study was conducted at a tertiary referral skin center in 2020. Specimens of patients with a definite SCC diagnosis were evaluated for histopathological features of HPV, including koilocytosis, hyperkeratosis, acanthosis, hypergranulosis, parakeratosis, solar elastosis, papillomatosis, as well as the grade of the tumor. All the samples were re-evaluated by two dermatopathologists independently. Results: a total of 331 (male:female ratio= 3.9:1) cases of SCC were analyzed. The mean age was 68.1, with a 15.1 standard deviation. Most lesions were located on the face (40.5%), followed by the scalp (22.7%) and extremities (20.8%). Koilocytes were detected in 50 (15.1%) of lesions. The koilocytosis proportion was significantly higher in lesions on nails (38.1%, P-value= 0.007), oral cavity (36.8%, P-value= 0.014), and genitalia lesions (60.0%, P-value= 0.026). Although SCCs in-situ were found in 6.6% of our specimens, the highest koilocytosis proportion (64.7%) was detected in in-situ tumors, which was significantly more than other grades (P-value< 0.001). Conclusions: The histopathological features of HPV and in specific koilocytes can be frequently seen in SCC pathology. This association is more prominent in nail, oral, and genital lesions and is significantly higher in well-differentiated SCC.
{"title":"Tracing human papillomavirus in skin and mucosal squamous cell carcinoma: a histopathological retrospective survey","authors":"A. Nili, M. Daneshpazhooh, H. Mahmoudi, K. Kamyab, S. Jamshidi, Saeed Soleiman-Meigooni, Mohammad Darvishi","doi":"10.4081/dr.2024.9833","DOIUrl":"https://doi.org/10.4081/dr.2024.9833","url":null,"abstract":"Objective: The annual incidence of squamous cell carcinoma (SCC) has been increasing worldwide. The causative role of human papillomavirus (HPV) in SCC development of cutaneous has been controversial in the literature. In this study, we aimed to assess the presence of the histopathological features of HPV in SCC samples. Materials and Methods: This retrospective study was conducted at a tertiary referral skin center in 2020. Specimens of patients with a definite SCC diagnosis were evaluated for histopathological features of HPV, including koilocytosis, hyperkeratosis, acanthosis, hypergranulosis, parakeratosis, solar elastosis, papillomatosis, as well as the grade of the tumor. All the samples were re-evaluated by two dermatopathologists independently. Results: a total of 331 (male:female ratio= 3.9:1) cases of SCC were analyzed. The mean age was 68.1, with a 15.1 standard deviation. Most lesions were located on the face (40.5%), followed by the scalp (22.7%) and extremities (20.8%). Koilocytes were detected in 50 (15.1%) of lesions. The koilocytosis proportion was significantly higher in lesions on nails (38.1%, P-value= 0.007), oral cavity (36.8%, P-value= 0.014), and genitalia lesions (60.0%, P-value= 0.026). Although SCCs in-situ were found in 6.6% of our specimens, the highest koilocytosis proportion (64.7%) was detected in in-situ tumors, which was significantly more than other grades (P-value< 0.001). Conclusions: The histopathological features of HPV and in specific koilocytes can be frequently seen in SCC pathology. This association is more prominent in nail, oral, and genital lesions and is significantly higher in well-differentiated SCC.","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139829289","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
P. Achdiat, Stephanie Widjaja, O. Suwarsa, R. Dwiyana, R. Hindritiani, E. Sutedja, H. Gunawan, H. Usman, Fathia Rianty, R. Maharani
Individuals with human immunodeficiency virus (HIV) infection are prone to developing persistent and unremitting anogenital warts (AGWs). To address this health condition, immunotherapy using tuberculin purified protein derivative (PPD) has been proven to be a promising novel and safe treatment for AGWs in HIV patients. Therefore, this study involved a case of a 21-year-old man with stage I HIV infection, possessing CD4 counts 548 cells/uL and routinely receiving HIV antiretroviral. Patients presented with a condyloma acuminata type AGWs, supported by histopathological results, and tested positive for Human papillomavirus type 11. The treatment approach involved administering 15 tuberculin units of PPD weekly to the largest lesion for 5 weeks. The lesion started to respond two weeks following the first injection and showed a 50% decrease in size after five weeks. There was pain on the site of injection and sub-febrile for a short period. In conclusion, tuberculin PPD is safe and has the potential for the treatment of AGWs in HIV-positive patients for further development.
{"title":"Effectiveness and safety of tuberculin purified protein derivative for the treatment of anogenital warts in patients with human immunodeficiency virus","authors":"P. Achdiat, Stephanie Widjaja, O. Suwarsa, R. Dwiyana, R. Hindritiani, E. Sutedja, H. Gunawan, H. Usman, Fathia Rianty, R. Maharani","doi":"10.4081/dr.2024.9754","DOIUrl":"https://doi.org/10.4081/dr.2024.9754","url":null,"abstract":"Individuals with human immunodeficiency virus (HIV) infection are prone to developing persistent and unremitting anogenital warts (AGWs). To address this health condition, immunotherapy using tuberculin purified protein derivative (PPD) has been proven to be a promising novel and safe treatment for AGWs in HIV patients. Therefore, this study involved a case of a 21-year-old man with stage I HIV infection, possessing CD4 counts 548 cells/uL and routinely receiving HIV antiretroviral. Patients presented with a condyloma acuminata type AGWs, supported by histopathological results, and tested positive for Human papillomavirus type 11. The treatment approach involved administering 15 tuberculin units of PPD weekly to the largest lesion for 5 weeks. The lesion started to respond two weeks following the first injection and showed a 50% decrease in size after five weeks. There was pain on the site of injection and sub-febrile for a short period. In conclusion, tuberculin PPD is safe and has the potential for the treatment of AGWs in HIV-positive patients for further development.","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140485676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
McKenzie E. Maloney, Brennan Bogdanovich, Christina Lohmann, Brian Maloney
Introduction: Post-procedure infections following in-office blepharoplasty are rare. Gordonia bronchialis is a weakly acid-fast, gram-positive, aerobic Actinomyces that rarely causes infections in humans. Case: A 35-year-old female presented two weeks after an upper blepharoplasty with cyst-like swellings near the incision site. Injection with Kenalog did not resolve the cyst. Histology of the cyst showed benign fibroadipose tissue with noncaseating granulomatous inflammation alongside occasional foreign body giant cells. Anaerobic culture yielded Gordonia Bronchialis. Amoxicillin 750mg QID was prescribed. The infection regressed but reappeared after tapering. A CT scan showed a small retention cyst in the right sphenoid sinus. The patient was then put on amoxicillin and clavulanic acid combination 875 mg BID and Minocycline 100mg BID for 3-4 weeks. After two months of treatment, the infection was cleared. Discussion: Most commonly, post-blepharoplasty infections these infections are due to Mycobacterium. We report a case of G. bronchialis infection following a cutaneous surgery performed in the office.
{"title":"Unusual post-blepharoplasty infection: Gordonia Bronchialis case study","authors":"McKenzie E. Maloney, Brennan Bogdanovich, Christina Lohmann, Brian Maloney","doi":"10.4081/dr.2024.9865","DOIUrl":"https://doi.org/10.4081/dr.2024.9865","url":null,"abstract":"Introduction: Post-procedure infections following in-office blepharoplasty are rare. Gordonia bronchialis is a weakly acid-fast, gram-positive, aerobic Actinomyces that rarely causes infections in humans. Case: A 35-year-old female presented two weeks after an upper blepharoplasty with cyst-like swellings near the incision site. Injection with Kenalog did not resolve the cyst. Histology of the cyst showed benign fibroadipose tissue with noncaseating granulomatous inflammation alongside occasional foreign body giant cells. Anaerobic culture yielded Gordonia Bronchialis. Amoxicillin 750mg QID was prescribed. The infection regressed but reappeared after tapering. A CT scan showed a small retention cyst in the right sphenoid sinus. The patient was then put on amoxicillin and clavulanic acid combination 875 mg BID and Minocycline 100mg BID for 3-4 weeks. After two months of treatment, the infection was cleared. Discussion: Most commonly, post-blepharoplasty infections these infections are due to Mycobacterium. We report a case of G. bronchialis infection following a cutaneous surgery performed in the office.","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140480438","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrea E. Beretta, Eleonora Leoni, D. Marletta, S. Veraldi
Major aphthae are usually located on the dorsum of the tongue, the mucosal surface of the lips and the palate. They are large, round or oval ulcers, with a whitish-grey bed, well-defined borders and erythematous halo. They are very often accompanied by severe pain. Major aphthae can take up to four months to heal, often with a scar. Relapses are possible. We present a case of “giant” major aphtha that was previously diagnosed as squamous cell carcinoma.
{"title":"Giant major aphtha","authors":"Andrea E. Beretta, Eleonora Leoni, D. Marletta, S. Veraldi","doi":"10.4081/dr.2024.9646","DOIUrl":"https://doi.org/10.4081/dr.2024.9646","url":null,"abstract":"Major aphthae are usually located on the dorsum of the tongue, the mucosal surface of the lips and the palate. They are large, round or oval ulcers, with a whitish-grey bed, well-defined borders and erythematous halo. They are very often accompanied by severe pain. Major aphthae can take up to four months to heal, often with a scar. Relapses are possible. We present a case of “giant” major aphtha that was previously diagnosed as squamous cell carcinoma.","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140485511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sukaina Al Haddad, Abdulrahman Alfawzan, Maisa A Alfalah, Manea Alharbi
Neutrophilic urticarial dermatosis (NUD) is an uncommon and not well understood disease. We report a 24-year-old female with persistent present with pruritic and painful urticarial plaques unresponsive to convential treatment. Histopathologically, it demonstrates a perivascular and interstitial neutrophilic infiltrate with leukocytoclasia without evidence of vasculitis or dermal edema consistent with neutrophilic urticarial dermatosis. Further investigations to rule out underlying autoimmune, autoinflammatory and gentic systemic disease were negative. Furthermore, the cutaneous eruption was resistant to multiple therapeutic interventions including colchicine and dapsone treatment, and show significant response to treatment with anakinra, interleukin-1 receptor antagonist. Based on literature review, the case reported here is the second case with clinical and pathologic features of NUD without systemic disease and the first case of NUD that showed resistant to colchicine and dapsone treatment, with adequate response to anakinra.
{"title":"Neutrophilic urticarial dermatosis without systemic disease: case report","authors":"Sukaina Al Haddad, Abdulrahman Alfawzan, Maisa A Alfalah, Manea Alharbi","doi":"10.4081/dr.2024.9756","DOIUrl":"https://doi.org/10.4081/dr.2024.9756","url":null,"abstract":"Neutrophilic urticarial dermatosis (NUD) is an uncommon and not well understood disease. We report a 24-year-old female with persistent present with pruritic and painful urticarial plaques unresponsive to convential treatment. Histopathologically, it demonstrates a perivascular and interstitial neutrophilic infiltrate with leukocytoclasia without evidence of vasculitis or dermal edema consistent with neutrophilic urticarial dermatosis. Further investigations to rule out underlying autoimmune, autoinflammatory and gentic systemic disease were negative. Furthermore, the cutaneous eruption was resistant to multiple therapeutic interventions including colchicine and dapsone treatment, and show significant response to treatment with anakinra, interleukin-1 receptor antagonist. Based on literature review, the case reported here is the second case with clinical and pathologic features of NUD without systemic disease and the first case of NUD that showed resistant to colchicine and dapsone treatment, with adequate response to anakinra.","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140480674","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Duaa Alahmadi, Azhar Ahmed, Walaa Borhan, Ahmad Ozbuck, Esraa Shaheen
Toxic epidermal necrolysis (TEN) is a life-threatening acute mucocutaneous syndrome. It is characterized by keratinocyte necrosis and apoptosis, which affect more than 30% of the body's surface. TEN is most commonly due to an altered immunological response to specific drugs, infections, and malignancies, or it can be idiopathic. The combination of TEN and COVID-19 can have a fatal outcome if not recognized and promptly treated. Therefore, fast reporting of such cases will draw doctors’ attention to quick and right intervention. In this article, we present a 66-year-old patient with a clinical presentation of toxic epidermal necrolysis along with a coexisting COVID-19 infection. To our knowledge, this is the first case of TEN in a patient diagnosed with SARS CoV‑2 infection in Saudi Arabia.
{"title":"Toxic epidermal necrolysis induced by COVID-19","authors":"Duaa Alahmadi, Azhar Ahmed, Walaa Borhan, Ahmad Ozbuck, Esraa Shaheen","doi":"10.4081/dr.2024.9853","DOIUrl":"https://doi.org/10.4081/dr.2024.9853","url":null,"abstract":"Toxic epidermal necrolysis (TEN) is a life-threatening acute mucocutaneous syndrome. It is characterized by keratinocyte necrosis and apoptosis, which affect more than 30% of the body's surface. TEN is most commonly due to an altered immunological response to specific drugs, infections, and malignancies, or it can be idiopathic. The combination of TEN and COVID-19 can have a fatal outcome if not recognized and promptly treated. Therefore, fast reporting of such cases will draw doctors’ attention to quick and right intervention. In this article, we present a 66-year-old patient with a clinical presentation of toxic epidermal necrolysis along with a coexisting COVID-19 infection. To our knowledge, this is the first case of TEN in a patient diagnosed with SARS CoV‑2 infection in Saudi Arabia.","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140480120","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-29eCollection Date: 2023-12-01DOI: 10.4081/dr.2023.9871
Laura Miccio, Marco May Lee
{"title":"Rotational flap technique for a sizable lesion of the temple.","authors":"Laura Miccio, Marco May Lee","doi":"10.4081/dr.2023.9871","DOIUrl":"10.4081/dr.2023.9871","url":null,"abstract":"","PeriodicalId":11049,"journal":{"name":"Dermatology Reports","volume":null,"pages":null},"PeriodicalIF":1.1,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10859904/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139721993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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