PITIRIAZIS LICHENOID

DOI: 10.7241/ourd.2022book.2_5

First Page (Prima pagina)

Pitiriazis lichenoid se suprapune no?iunii de parapsoriazis ?în picătură? ?i include 2 forme clinice: pitiriazis lichenoid cronic (PLC) ?i pitiriazis lichenoid ?i varioliform acut (PLEVA, boala Mucha-Habermann).
Este frecvent descris la copii cu vârsta 8 luni-15 ani, cu un vârf al inciden?ei între 2 ?i 3 ani ?i între 5 ?i 7 ani [1].

Clinic în PLEVA se descriu leziuni cu debut brusc, leziuni maculare eritematoase cu o tentă maronie, papule ?i vezicule care devin ulcero-necrotice ?i care sunt localizate si metric pe trunchi, gât, fa?ă ?i regiunea lombară (Fig. 1a ?i 1b). Leziunile cutanate se pot înso?i de febră, adenopatii, artralgii. Pot exista mai multe puseuri în decursul a mai multor luni.

Keywords

  • Pitiriazis lichenoid; PLEVA; PLC; Topice cortizonice; Pitiriazis alb; PITIRIAZIS RUBRA PILARIS; ACITRETIN; ISOTRETINOIN

References

1. Romani? J, Puig L, Ferna?ndez-Figueras MT, et al. Pityriasis lichenoides in children: clinicopathologic review of 22 patients. Pediatr Dermatol. 1998;15:1-6.
2. Ersoy-Evans S, Greco MF, Mancini AJ, et al. Pityriasis lichenoides in childhood: a retrospective review of 124 patients. J Am Acad Dermatol. 2007;56:205-10.
3. Tsai KS, Hsieh HJ, Chow KC, et al. Detection of cytomegalovirus infection in a patient with febrile ulceronecrotic Mucha-Habermann?s disease. Int J Dermatol. 2001;40:694-8.
4. Nanda A, Alshalfan F, Al-Otaibi M, et al. Febrile ulceronecrotic Mucha-Habermann disease (pityriasis lichenoides et varioliformis acuta fulminans) associated with parvovirus infection. Am J Dermatopathol. 2013;35:503-6.
5. López-Estebaranz JL, Vanaclocha F, Gil R, et al. Febrile ulceronecrotic Mucha-Habermann?s disease. J Am Acad Dermatol. 1993;29:903-6.
6. Jung F, Sibbald C, Bohdanowicz M, et al. Systematic review of the efficacies and adverse effects of treatments for pityriasis lichenoides. Br J Dermatol. 2020;183:1026-32.
7. Hapa A, Ersoy-Evans S, Karaduman A. Childhood pityriasis lichenoides and oral erythromycin. Pediatr Dermatol. 2012;29:719-24.
8. Jadotte YT, Janniger CK. Pityriasis alba revisited: perspectives on an enigmatic disorder of childhood. Cutis, 2011;87:66-72.
9. Sharquie KE, Sharquie IK, Al Hamza AN. Psoriasis, pityriasis alba, and vitiligo (PPV) are a triad of one disease: New observation. Our Dermatol Online. 2021;12:314-23.
10. Lim JT, Tham SN. Pityriasis rubra pilaris in Singapore. Clin Exp Dermatol. 1991;16:181-4.
11. Pe?a-Rosado A, Riera-Martí N, Expósito-Serrano V, et al. Autoinflammatory keratinitzation diseases (AIKDs. Actas Dermosifiliogr (Engl Ed). 2021 Jun 9:S0001-7310(21)00208-8.
12. Griffiths A. Pityriasis rubra pilaris. Etiologic considerations. J Am Acad Dermatol. 1984;10:1086-8.
13. Martin KL, Holland KE, Lyon V, et al. An unusual cluster of circumscribed juvenile pityriasis rubra pilaris cases. Pediatr Dermatol. 2014;31:138-45.
14. Aqil N, Nassiri A, Baybay H, et al. Erythroderma: A clinical and etiological study of 92 patients. Our Dermatol Online. 2019;10:1-6.

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