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2014, Number 4

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Rev Cubana Hematol Inmunol Hemoter 2014; 30 (4)

First case reported in Cuba of Idiopathic mixed panniculitis

Ustariz GCR, Castillo GD, Hernández CA

Language: Spanish
References: 34
Page: 387-394
PDF size: 156.76 Kb.


ABSTRACT

Panniculitis is a group of diseases characterized by the presence of inflammatory infiltration in subcutaneous cell tissue or adipose panniculous. We describe a 42 year-old white female patient with dark skin lesions in arms and feet with painful induration under the skin, lasting about 15 years. By cutaneous biopsy diagnose of vasculitis for hipersensibility was made which was treated with prednisone, azathioprine, danazol and endovenous gammaglobulin with no evidence of recovery. The patient was sent to our institute and a surgical skin and subcutaneous cell tissue biopsy was made resulting in septolobular panniculitis with septal predominance and signs of vasculitis. Considering the histopathological classification used and the clinical findings final diagnosis was mixed idiopathic pannicultis, entity not described before in Cuba.


REFERENCES

  1. Cordero A. Biología de la piel: la hipodermis. Buenos Aires: Médica Panamericana; 2001: 74-118.

  2. Lazaro Ochaita P. Dermatología: Texto y Atlas. 3a ed. Madrid: Meditécnica SA; 2002: 445-59.

  3. Haake AR, Holbrook K. Estructura y desarrollo de la piel. En: Fitzpatrick Dermatología en Medicina General. 5a ed. Buenos Aires: Médica Panamericana. 2001: 74-118.

  4. Weedon D. Panniculitis. En: Skinpathology. Edinburg:Churchill Livingstone; 1997: 441-56.

  5. Roustan G. Paniculitis. Medicina. 2001; 8(33): 1723-30.

  6. Requena L, Sánchez Yus E. Panniculitis. Part I. Mostly septal panniculitis. J Am Acad Dermatol. 2001: 45; 163-83.

  7. Saldana L, Saenz-Anduaga E, Thomas-Gavelan E. Paniculitis Parte II: paniculitis septal. Dermatol peru. 2006 sept-dic; 16(3):189-209.

  8. Sánchez- Saldaña L, Saenz- Anduaga E, Thomas Gavelan E. Paniculitis. Parte I: Paniculitis lobular. Dermatol peru. 2006; 16(2): 103-29.

  9. Avilés Izquierdo JA, Recarte García- Andrade C, Suárez Fernández R, Lázaro Ochaita P, Lecona Echevarría M, de Portugal Alvarez J. Paniculitis subcutáneas en un hospital de tercer nivel; estudio retrospectivo de 113 casos. An Med Interna (Madrid) 2004 Mar; 21(3): 8-12.

  10. Grassi S, Borroni RG, Brazzelli V. Panniculitis in children. G Ital Dermatol Venereol. 2013 Aug; 148 (4): 371-85.

  11. Chopra R, Chabra S, Thami GP, Pumia RP. Panniculitis: clinical overlap and the significance of biopsy findings. J Cutan Pathol. 2010 Jan; 37(1): 49-58. doi: 10.1111/j.1600-0560.2009.01404.x.

  12. Handa R, Ramam M, Verma KK, Singh MK, Kumar U, Aggarwal P, et al. Panniculitis: a clínico pathologic study. J Assoc Physicians India. 2002 Aug; 50; 1008-12.

  13. Al Jasser M, Al Ajroush W. Brucellosis presenting as septal panniculitis with vasculitis. Int J Dermatol. 2012 Dec; 51(12): 1526-9. doi: 10.1111/j.1365- 4632.2010.04783.x.

  14. Rojas – Villarraga A, Restrepo JF, Méndez Patarroyo PA, Rondon F, Sánchez Contreras A, Ricaurte O, et al. Paniculitis y eritema nodoso. Un estudio de correlación clínico-biológica. Rev Colombiana Reumatol. 2006 Dic; 13(4): 253-63.

  15. Egawa T, Okuyama R, Tagami H, Alba S. Erythema nodosum with eosinophilic panniculitis. Int J Dermatol. 2010 Aug; 49(8): 965-7. doi: 10.1111/j.1365- 4632.2009.04264.x.

  16. Dermachi M, Hernández MI, Poggio N. Eritema indurado de Bagin. A propósito de un caso. Arch Argent Dermatol. 2004; 54; 11-5.

  17. Pérez L, Muñoz C, Benavides A. Eritema indurado de Bagin. Dermatol Pediatric Lat. 2005; 3: 142-8.

  18. Maurikakis I, Georgiadis T, Fragiadaki K, Sfikakis PP. Orbital lobular Panniculitis in Weber- Christian disease: sustained response to anti-TNF treatment and review of the literature. Surv Opfthalmol. 2010 Nov-Dec; 55(6): 548-9.

  19. Niemi KM, Forstrom L, Hannuksela M. Nodules on the legs. A clinical histological and immmunohistological study of 82 patients representing different types of nodular Panniculitis. Acta Derm Venereol. 1977; 57: 145-54.

  20. Gardner FH, Diamond LK. Autoerythrocyte sensitization: a form of purpura producing painful bruising following autosensitization to red blood cells in certain women. Blood. 1995 Jul; 10(7): 675-90.

  21. Wainshtok Tomas D, Alfonso Alfonso E, Carnot Pereira J, Orozco Niebla J, Regalado Soto E, Valdés Izquierdo L. Síndrome de Gardner-Diamond.: Presentación de un caso. Rev Cubana Hematol Inmunol Hemoter [revista en la Internet]. 2009 Dic [citado 2014 Feb 11] ; 25(3): . Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864- 02892009000300008&lng=es .

  22. Adisen E, Karaca F, Gurer MA.Gardner Diamond síndrome. Gazi Med J (GAZI TIP DERGISI).2008;19(1): 45-7.

  23. Silny W, Marciniak A, Czarnecka- Operacz M, Zaba R, Schwartz RA. Gardner- Diamond syndrome. Intl J Dermatol. 2010 Oct; 49(10): 1178-81. doi: 10.1111/j.1365-4632.2009.04396.x.

  24. Uthman IW, Moukarbel GV, Salman SM, Saalem ZM, Taher AT, Khalil IM. Autoerthrocyte sensitization (Gardner- Diamond) syndrome. Eur J, Haematol. 2000 Aug; 65(2): 144-7.

  25. Borroni G, Giorgini C, Tomasini C, Tomasini C Brazelli V. How to make a specific diagnosis of Panniculitis on clinical grounds alone an integrated pathway of general criteria and specific findings. G Ital Dermatol Venereol. 2013 Aug; 148 (4): 325-33.

  26. Coloantonio A. Beecker J. Pancreatic Panniculitis. CMAJ. 2012 Feb; 184 (2): E159. doi: 10.1503/cmaj.110530.

  27. De Ruytter I, Mana F, Makhould E, Tabrizin H, Aerts MA, De Conick A, et al. Pancreatitis associated Panniculitis. Acta Gastroenterol Belg. 2012 Sep; 75: 371-2.

  28. Bournas VG, Eilbert W. Infant with facial lesions. Cold Panniculitis. Ann Emerg Med. 2011 Aug; 58(2): 216-21.

  29. Diallo M, Niang SO, Faye PM, Ly F, Ba P, Diop A, et al. Schistosoma-induced granulomatous Panniculitis. An unusual presentation of cutaneous schstosomasis. Ann Dermatol Venereol. 2012 Feb; 139(2): 132-6.

  30. Choi CM, Chohr, Lew BL, Sim WY. Plasma cell Panniculitis of the check. Int J Dermatol. 2012 Apr; 52 (4): 511-3.

  31. Guissa VR, Trudes G, Jesus AA, Aikawa NE, Romiti R, Silva CA. Lupus erythematosus Panniculitis in children and adolescents. Acta Reumatol Port. 2012 Jan-Mar; 37(1): 82-5.

  32. Lee DW, Yaang JH, Lee SM, Won CH. Cihang S, Lee MW, et al. Subcutaneous Panniculitis –like T cell lymphoma: a clinical and pathologic study of 14 Korean patients. Ann Dermatol. 2011 Aug; 23 (3): 329-37. doi: 10.5021/ad.2011.23.3.329.

  33. Patel RM, Marfatia YS. Lupus Panniculitis as an initial manisfestation of systemic lupus erythematosus. Indian J Dermatol. 2010; 55(1): 99-101. doi: 10.4103/0019- 5154.60364.

  34. Shelagi N, Rodrigues G. Traumatic panniculitis of the right thigh: a case report. Oman Med J 2012 Nov; 26(6): 436-7. doi: 10.5001/omj.2011.110.




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