Sézary syndrome without erythroderma.

Abstract:

BACKGROUND:Sézary syndrome is a cutaneous T-cell lymphoma characterized by erythroderma and leukemic involvement. OBJECTIVE:We sought to define the clinical, biologic, and histopathologic features of Sézary syndrome without erythroderma. METHODS:Features of patients with Sézary syndrome and normal-appearing skin or stage-T1 patches, fulfilling Sézary syndrome hematologic criteria and with histologically documented disease in normal-appearing skin were collected. Expression of Sézary syndrome molecular biomarkers in peripheral blood and skin lymphocytes were studied. RESULTS:Five women and 1 man (median age: 71 years) were all referred for generalized pruritus. Four had no specific lesions; 2 had T1-stage patches. Histologic examination of normal-appearing skin from all patients showed lesions compatible with Sézary syndrome. Peripheral blood lymphocytes from 3 of 4 patients tested strongly expressed PLS3, Twist-1, and KIR3DL2. All normal-appearing skin biopsy specimens expressed programmed death-1. Median follow-up was 9 years. Although no patient developed erythroderma, tumors, or abnormal lymph nodes, specific skin lesions appeared in all patients during follow-up. Only 1 death, unrelated to Sézary syndrome, occurred. LIMITATIONS:Retrospective design and small sample size are limitations. CONCLUSION:Sézary syndrome without erythroderma is a rare entity that may have a better prognosis than classic Sézary syndrome.

journal_name

J Am Acad Dermatol

authors

Henn A,Michel L,Fite C,Deschamps L,Ortonne N,Ingen-Housz-Oro S,Marinho E,Beylot-Barry M,Bagot M,Laroche L,Crickx B,Maubec E

doi

10.1016/j.jaad.2014.11.015

subject

Has Abstract

pub_date

2015-06-01 00:00:00

pages

1003-9.e1

issue

6

eissn

0190-9622

issn

1097-6787

pii

S0190-9622(14)02199-9

journal_volume

72

pub_type

杂志文章
  • Self-healing juvenile cutaneous mucinosis.

    abstract::Self-healing juvenile cutaneous mucinosis is an extremely uncommon disorder characterized by the acute eruption of multiple papules and subcutaneous nodules. In this report, we describe one of the youngest patients reported to date with self-healing juvenile cutaneous mucinosis and further define several of the histol...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2003.07.019

    authors: Cowen EW,Scott GA,Mercurio MG

    更新日期:2004-05-01 00:00:00

  • Histiocytoid Sweet syndrome may indicate leukemia cutis: a novel application of fluorescence in situ hybridization.

    abstract:BACKGROUND:In patients with malignancy-associated Sweet syndrome, a thorough evaluation for leukemia cutis should be considered. OBJECTIVE:We sought to describe the clinicopathologic characteristics of histiocytoid Sweet syndrome. METHODS:We retrospectively identified patients with histiocytoid Sweet syndrome at our ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2014.01.874

    authors: Chavan RN,Cappel MA,Ketterling RP,Wada DA,Rochet NM,Knudson R,Gibson LE

    更新日期:2014-06-01 00:00:00

  • Laugier-Hunziker syndrome: a clinical, histopathologic, and ultrastructural study of four cases and review of the literature.

    abstract::Four cases of Laugier-Hunziker syndrome are described. In all patients (two men and two women between 39 and 57 years of age) pigmentation of the lower lip and hard palate was found. in addition, two patients had involvement of the buccal mucosa; another patient also had pigmentation of the upper lip, the gums, the so...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/0190-9622(91)70244-v

    authors: Veraldi S,Cavicchini S,Benelli C,Gasparini G

    更新日期:1991-10-01 00:00:00

  • Fibrous hamartoma of infancy.

    abstract::Fibrous harmartoma of infancy is a benign soft tissue tumor that occurs in the first few years of life. Although the lesion is not distinctive clinically, it has a characteristic microscopic appearance. Only 12 cases of fibrous hamartoma of infancy have been reported in the dermatology literature. ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(99)70345-2

    authors: Scott DM,Peña JR,Omura EF

    更新日期:1999-11-01 00:00:00

  • Olumacostat glasaretil, a novel topical sebum inhibitor, in the treatment of acne vulgaris: A phase IIa, multicenter, randomized, vehicle-controlled study.

    abstract:BACKGROUND:Olumacostat glasaretil (OG) inhibits acetyl-coenzyme A carboxylase, the enzyme responsible for the first, rate-limiting step in de novo fatty acid synthesis. OG inhibited in vitro human sebocyte lipid production and reduced in vivo sebaceous gland size in hamster ears. OBJECTIVES:Safety and efficacy of OG 7...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1016/j.jaad.2016.08.053

    authors: Bissonnette R,Poulin Y,Drew J,Hofland H,Tan J

    更新日期:2017-01-01 00:00:00

  • Preoperative skin and nail preparation of the foot: comparison of the efficacy of 4 different methods in reducing bacterial load.

    abstract:BACKGROUND:Orthopedic surgical procedures involving the foot and ankle are associated with high rates of infection. The optimal method of preparing the skin and nails for foot and ankle surgery remains unknown. OBJECTIVE:This study was conducted to compare the efficacy of 4 different methods of skin and nail preparati...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jaad.2009.04.045

    authors: Becerro de Bengoa Vallejo R,Losa Iglesias ME,Alou Cervera L,Sevillano Fernández D,Prieto Prieto J

    更新日期:2009-12-01 00:00:00

  • Nonbullous pemphigoid: A systematic review.

    abstract:BACKGROUND:Bullous pemphigoid is an autoimmune disease that typically presents with tense bullae and severe pruritus. However, bullae can be lacking, a subtype termed nonbullous pemphigoid. OBJECTIVE:To summarize the reported characteristics of nonbullous pemphigoid. METHODS:The EMBASE and MEDLINE databases were sear...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2017.10.035

    authors: Lamberts A,Meijer JM,Jonkman MF

    更新日期:2018-05-01 00:00:00

  • Risk of lymphoma in patients with atopic dermatitis and the role of topical treatment: A systematic review and meta-analysis.

    abstract:BACKGROUND:There is controversy regarding a potential increased risk of lymphoma in patients with atopic dermatitis (AD). OBJECTIVE:To assess the risk of lymphoma and the role of topical treatments in patients with AD. METHODS:A systematic literature search and a separate meta-analysis were performed on case control ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jaad.2015.02.1116

    authors: Legendre L,Barnetche T,Mazereeuw-Hautier J,Meyer N,Murrell D,Paul C

    更新日期:2015-06-01 00:00:00

  • Mycophenolate mofetil in dermatology.

    abstract:UNLABELLED:Mycophenolate mofetil (MMF) is the prodrug of mycophenolic acid (MPA), a medication used to treat psoriasis in the 1970s until side effects and the concern of carcinogenesis led to its discontinuation. The prodrug, MMF, emerged decades later in the transplant field. Dermatologists have since used MMF off-lab...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jaad.2008.08.049

    authors: Orvis AK,Wesson SK,Breza TS Jr,Church AA,Mitchell CL,Watkins SW

    更新日期:2009-02-01 00:00:00

  • Dermatoscopy versus Tzanck smear test: a comparison of the value of two tests in the diagnosis of pigmented skin lesions.

    abstract:BACKGROUND:Dermatoscopy is the most commonly used noninvasive tool for the diagnosis of pigmented skin lesions, but few studies have investigated the value of cytology in the identification of those lesions. OBJECTIVE:We compared the accuracy of dermatoscopy with that of the Tzanck smear test in the diagnosis of pigme...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jaad.2010.08.019

    authors: Durdu M,Baba M,Seçkin D

    更新日期:2011-11-01 00:00:00

  • Narrow-band UVB (311 nm) versus conventional broad-band UVB with and without dithranol in phototherapy for psoriasis.

    abstract:BACKGROUND:A narrow-band UVB lamp (Philips TL 01) emitting a peak of approximately 311 nm was developed to improve the phototherapy for psoriasis. Only a few studies have been performed with promising results. OBJECTIVE:The therapeutic efficacy of the Philips TL 01 lamp in a new 100 W version was compared with convent...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0190-9622(93)70032-o

    authors: Storbeck K,Hölzle E,Schürer N,Lehmann P,Plewig G

    更新日期:1993-02-01 00:00:00

  • State of teledermatology programs in the United States.

    abstract:BACKGROUND:Teledermatology programs in the United States have evolved over the past several decades. No systematic survey of teledermatology programs in the United States is available in peer-reviewed literature. OBJECTIVE:To provide up-to-date information regarding the state of teledermatology programs in the United ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2012.02.019

    authors: Armstrong AW,Wu J,Kovarik CL,Goldyne ME,Oh DH,McKoy KC,Shippy AM,Pak HS

    更新日期:2012-11-01 00:00:00

  • Kyrle's disease.

    abstract::Kyrle's disease is a chronic, genetically determined, hyperkeratotic disorder occurring in the middle forties. We report fourteen cases of this disorder in a population of 1.5 million over a period of 15 years. We observed a female/male ratio of 6:1. Straw-colored keratotic plugs and flat scale show a marked predispos...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(87)70011-5

    authors: Cunningham SR,Walsh M,Matthews R,Fulton R,Burrows D

    更新日期:1987-01-01 00:00:00

  • Disseminated juvenile xanthogranulomatosis in a newborn resulting in liver transplantation.

    abstract::Juvenile xanthogranuloma is a histiocytic tumor that usually appears at birth or during the first year of life. Although most patients have solitary lesions, some have multiple cutaneous lesions, associated visceral lesions, or both. Although juvenile xanthogranulomas are usually confined to the skin; visceral involve...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2007.09.012

    authors: Haughton AM,Horii KA,Shao L,Daniel J,Nopper AJ

    更新日期:2008-02-01 00:00:00

  • Dermatomyositis: a dermatology-based case series.

    abstract:BACKGROUND:Dermatomyositis is associated with significant morbidity and occasional mortality. Currently there is no consensus on treatment for patients with dermatomyositis. OBJECTIVE:Our purpose was to review the clinical features and response to therapy of patients with dermatomyositis and compare these data with pr...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(98)70496-7

    authors: Dawkins MA,Jorizzo JL,Walker FO,Albertson D,Sinal SH,Hinds A

    更新日期:1998-03-01 00:00:00

  • Pemphigus and hematologic malignancies: A population-based study of 11,859 patients.

    abstract:BACKGROUND:The association of nonparaneoplastic pemphigus with comorbid hematologic malignancies has yet to be established. OBJECTIVE:To estimate the association between pemphigus and the common types of hematologic malignancies. METHODS:A cross-sectional study was conducted comparing pemphigus patients with age-, se...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2017.11.039

    authors: Kridin K,Zelber-Sagi S,Comaneshter D,Batat E,Cohen AD

    更新日期:2018-06-01 00:00:00

  • Oral phosphate binders in the treatment of pseudoxanthoma elasticum.

    abstract:BACKGROUND:Pseudoxanthoma elasticum (PXE) is a systemic connective tissue disorder involving elastic fiber calcification and fragmentation with major clinical manifestations occurring in the cutaneous, ocular, and cardiovascular systems. Normalization of the serum calcium-phosphate product through hemodialysis in a pre...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2004.11.066

    authors: Sherer DW,Singer G,Uribarri J,Phelps RG,Sapadin AN,Freund KB,Yanuzzi L,Fuchs W,Lebwohl M

    更新日期:2005-10-01 00:00:00

  • How should we define itching?

    abstract::The standard definition of itching (as "an unpleasant sensation that provokes the desire to scratch") takes no account of recent advances in knowledge about itch physiology. Always imprecise, this definition is also out-of-date. Its defects are discussed in this article, and some modifications are proposed. ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(98)70087-8

    authors: Savin JA

    更新日期:1998-08-01 00:00:00

  • Frequency, levels, and significance of blood eosinophilia in systemic sclerosis, localized scleroderma, and eosinophilic fasciitis.

    abstract::Blood eosinophilia is a common feature of eosinophilic fasciitis and is variably reported in systemic sclerosis and localized scleroderma. Since these diseases share cutaneous fibrosis as the final outcome and have other clinical and pathologic features that are difficult to differentiate, the presence of blood eosino...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(87)70251-5

    authors: Falanga V,Medsger TA Jr

    更新日期:1987-10-01 00:00:00

  • Dermal implants: safety of products injected for soft tissue augmentation.

    abstract::Soft tissue augmentation is a frequently performed outpatient operation. Products available for soft tissue augmentation vary in chemistry, clinical indications, and toxicity. This review examines safety and efficacy data for collagen implants (Zyderm and Zyplast), gelatin matrix implants (Fibrel), and injectable sili...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/s0190-9622(89)70288-7

    authors: Clark DP,Hanke CW,Swanson NA

    更新日期:1989-11-01 00:00:00

  • Combination therapy with 308-nm excimer laser, topical tacrolimus, and short-term systemic corticosteroids for segmental vitiligo: A retrospective study of 159 patients.

    abstract:BACKGROUND:Segmental vitiligo (SV) is characterized by a unilateral and localized distribution, early onset, and stable disease after rapid progression. And SV is often associated with poor response to various treatment modalities. OBJECTIVE:We sought to evaluate the effectiveness of combination therapy with 308-nm ex...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2015.04.008

    authors: Bae JM,Yoo HJ,Kim H,Lee JH,Kim GM

    更新日期:2015-07-01 00:00:00

  • Treatment of progressive pigmented purpura with oral bioflavonoids and ascorbic acid: an open pilot study in 3 patients.

    abstract:BACKGROUND:Bioflavonoids and ascorbic acid have been shown to increase capillary resistance and to mediate potent antioxidative radical scavenging activities. OBJECTIVE:We evaluated the clinical effect of oral bioflavonoids and ascorbic acid in patients with chronic progressive pigmented purpura (PPP). METHODS:In an ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(99)70050-2

    authors: Reinhold U,Seiter S,Ugurel S,Tilgen W

    更新日期:1999-08-01 00:00:00

  • Oedemerid blister beetle dermatosis: a review.

    abstract::Blister beetle dermatosis is a distinctive vesiculobullous eruption that occurs after contact with three major groups of beetles (Order: Coleoptera). It is caused by a vesicant chemical contained in the body fluids of the beetles. The smallest and least known family is the Oedemeridae. Although there are few reference...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章,评审

    doi:10.1016/0190-9622(90)70114-w

    authors: Nicholls DS,Christmas TI,Greig DE

    更新日期:1990-05-01 00:00:00

  • Actinic prurigo among the Chimila Indians in Colombia: HLA studies.

    abstract::The Chimila, a Colombian Amerindian group that lives at a low altitude, have a high incidence of actinic prurigo. We present the human lymphocyte antigen (HLA) findings of 43 Chimilas with the disease and of 62 control subjects and show an association of actinic prurigo with the Cw4 antigen. ...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/0190-9622(90)70150-g

    authors: Bernal JE,Duran de Rueda MM,Ordonez CP,Duran C,de Brigard D

    更新日期:1990-06-01 00:00:00

  • Increased plasma chemoattractant in Sweet's syndrome.

    abstract::The neutrophil function and plasma leukotactic activity of a patient with Sweet's syndrome and cystonodular acne were evaluated during a 2 1/2-year period. These studies demonstrated that chemotaxis was frequently slightly increased, especially during an exacerbation of Sweet's syndrome, but showed some decrease durin...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(85)70130-2

    authors: Kaplan SS,Wechsler HL,Basford RE,Zdziarski UE,Kuhns DB

    更新日期:1985-06-01 00:00:00

  • Cutaneous findings in HIV-1-positive patients: a 42-month prospective study. Military Medical Consortium for the Advancement of Retroviral Research (MMCARR).

    abstract:BACKGROUND:Cutaneous disease is common in patients infected with HIV-1. OBJECTIVE:The aim of our study was to identify cutaneous markers associated with HIV-1 infection and disease progression as measured by Walter Reed (WR) stage. METHODS:For 42 months we have observed 912 HIV-1-positive patients in all WR stages. A...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(94)70236-5

    authors: Smith KJ,Skelton HG,Yeager J,Ledsky R,McCarthy W,Baxter D,Turiansky GW,Wagner KF,Turianski G

    更新日期:1994-11-01 00:00:00

  • PUVA-related punctate keratoses of the hands and feet.

    abstract:BACKGROUND:We have observed, in patients undergoing high-dose PUVA treatment, a type of keratosis not previously described. The lesions usually occur on the sides of the palms or soles and are clinically distinct. They are generally painless and often go unnoticed by patients. OBJECTIVE:We sought to further characteri...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/s0190-9622(00)90222-6

    authors: Turner RJ,Sviland L,Charlton F,Farr PM

    更新日期:2000-03-01 00:00:00

  • Pathophysiology of neurofibromatosis. IV. Dermatologic insights into heterogeneity and pathogenesis.

    abstract::A systematic, uniform evaluation of 102 patients with, or at risk for, neurofibromatosis has shown that café au lait spots (CLS), even in large numbers, may not be sufficient to diagnose this disorder, and that several other dermatologic features may provide clues to its pathogenesis. These features include pruritus a...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:

    authors: Riccardi VM

    更新日期:1980-08-01 00:00:00

  • Propranolol treatment of infantile hemangioma (IH) is not associated with developmental risk or growth impairment at age 4 years.

    abstract:BACKGROUND:Long-term adverse effects of propranolol treatment for infantile hemangioma (IH) in young children have been suggested. OBJECTIVE:To compare growth and development in children treated with propranolol for IH with nontreated healthy controls. METHODS:Eighty two (73%) children with IH aged 43 to 51 months tr...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/j.jaad.2016.02.1218

    authors: Moyakine AV,Kerstjens JM,Spillekom-van Koulil S,van der Vleuten CJ

    更新日期:2016-07-01 00:00:00

  • HLA-DR1 is not a sign of poor prognosis for the development of multiple basal cell carcinomas.

    abstract:BACKGROUND:HLA-DR1 is associated with the development of multiple basal cell carcinomas (BCC). However, the association is weak. OBJECTIVE:The purpose of our study was to determine whether HLA-DR1 is a marker for susceptibility to the development of many BCCs during a lifetime. METHODS:Persons with multiple BCCs were...

    journal_title:Journal of the American Academy of Dermatology

    pub_type: 杂志文章

    doi:10.1016/0190-9622(92)70099-2

    authors: Czarnecki D,Lewis A,Nicholson I,Tait B,Nash C

    更新日期:1992-05-01 00:00:00