Amicrobial pustular dermatosis in two patients with immunological abnormalities

M. Kuyama, W. Fujimoto, H. Kambara, M. Egusa, M. Saitoh, Osamu Yamasaki, K. Maehara, A. Ohara, J. Arata, K. Iwatsuki

Research output: Contribution to journalArticle

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Abstract

We report two patients with severe amicrobial pustular dermatosis with immunological abnormalities: a 63-year-old woman with a 30-year-history of discoid lupus erythematosus and sicca syndrome, and a 35-year-old woman with high levels of γ-globulinemia and positive antinuclear antibodies. Both patients presented with crusty and eroded erythematous plaques studded with aseptic pustules on the back, face, and scalp. Histological examination showed acanthosis, neutrophilic exocytosis to the epidermis, and neutrophilic and lymphocytic infiltration with nuclear dust in the dermis. These patients were diagnosed as having 'amicrobial pustulosis associated with autoimmune diseases'. The eruptions improved with combination treatment of oral prednisolone with cyclosporin A or diaminodiphenylsulphone. Although the pathogenesis remains unclear, amicrobial pustular dermatosis might be one of the cutaneous complications in autoimmune diseases.

Original languageEnglish
Pages (from-to)286-289
Number of pages4
JournalClinical and Experimental Dermatology
Volume27
Issue number4
DOIs
Publication statusPublished - 2002

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Skin Diseases
Autoimmune Diseases
Discoid Lupus Erythematosus
Dapsone
Antinuclear Antibodies
Sjogren's Syndrome
Exocytosis
Dermis
Prednisolone
Scalp
Dust
Epidermis
Cyclosporine
Skin
Therapeutics

ASJC Scopus subject areas

  • Dermatology

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Amicrobial pustular dermatosis in two patients with immunological abnormalities. / Kuyama, M.; Fujimoto, W.; Kambara, H.; Egusa, M.; Saitoh, M.; Yamasaki, Osamu; Maehara, K.; Ohara, A.; Arata, J.; Iwatsuki, K.

In: Clinical and Experimental Dermatology, Vol. 27, No. 4, 2002, p. 286-289.

Research output: Contribution to journalArticle

Kuyama, M, Fujimoto, W, Kambara, H, Egusa, M, Saitoh, M, Yamasaki, O, Maehara, K, Ohara, A, Arata, J & Iwatsuki, K 2002, 'Amicrobial pustular dermatosis in two patients with immunological abnormalities', Clinical and Experimental Dermatology, vol. 27, no. 4, pp. 286-289. https://doi.org/10.1046/j.1365-2230.2002.01035.x
Kuyama, M. ; Fujimoto, W. ; Kambara, H. ; Egusa, M. ; Saitoh, M. ; Yamasaki, Osamu ; Maehara, K. ; Ohara, A. ; Arata, J. ; Iwatsuki, K. / Amicrobial pustular dermatosis in two patients with immunological abnormalities. In: Clinical and Experimental Dermatology. 2002 ; Vol. 27, No. 4. pp. 286-289.
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