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PUVA-Therapie einer schwer verlaufenden Pityriasis lichenoides et varioliformis acuta

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Zusammenfassung

Eine 16-jährige Patientin stellte sich mit seit über 6 Wochen progredienten Hautveränderungen vor. Es zeigten sich stammbetont und disseminiert an den Extremitäten ausgedehnte, rund-ovale Erosionen mit erythematösem Randsaum und zentraler Kruste, die mit brennenden Schmerzen einhergingen. Die Läsionen waren typisch für eine schwere Verlaufsform einer Pityriasis lichenoides et varioliformis acuta. Aufgrund des ausgedehnten Befundes leiteten wir eine systemische PUVA-Therapie ein. Diese zeigte nach einer kumulativen Bestrahlungsdosis von 10 J/cm2 eine deutliche Besserung.

Abstract

A 16-year-old female patient presented with progressive round and oval erosions with erythematous rims and central crusts which developed over a period of six weeks. They were mainly located on the trunk and extremities and caused burning pain. The clinical picture was consistent with pityriasis lichenoides et varioliformis acuta. Because the clinical involvement was so severe, we started systemic PUVA therapy. After a cumulative dose of 10 J/cm2, the lesions showed marked improvement.

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Literatur

  1. Boelen RE, Faber WR, Lambers JCCA, Cormane RH (1982) Long-term follow-up of photochemotherapy in pityriasis lichenoides. Acta Derm Venerol 62:442–444

    CAS  PubMed  Google Scholar 

  2. Calzavara Pinton P, Capezzera R, Zane C, De Panfilis G (2002) Medium-dose ultraviolet A1 therapy for pityriasis lichenoides et varioliformis acuta and pityriasis lichenoides chronica. J Am Acad Dermatol 47:410–414

    Article  PubMed  Google Scholar 

  3. Fortson JS, Schroeter AL, Esterly NB (1990) Cutaneous T-cell lymphoma (Parapsoriasis en plaque). Arch Dermatol 126:1449–1455

    Article  CAS  PubMed  Google Scholar 

  4. Habermann R (1925) Über die akut verlaufende, nekrotisierende Unterart der Pityriasis lichenoides (Pityriasis lichenoides et varioliformis acuta). Derm Z 45:42–48

    Google Scholar 

  5. Hofmann C, Weissmann I, Plewig G (1979) Pityriasis lichenoides chronica—eine neue Indikation zur PUVA-Therapie. Dermatologica 159:451–460

    CAS  PubMed  Google Scholar 

  6. Kiene P, Fölster-Holst, Mielke V (1995) Parakeratosis variegata nach Pityriasis lichenoides et varioliformis acuta. Hautarzt 46:498–501

    Article  CAS  PubMed  Google Scholar 

  7. LeVine MJ (1983) Phototherapy of pityriasis lichenoides. Arch Dermatol 110:378–380

    Article  Google Scholar 

  8. Magro C, Crowson AN, Kovatich A, Burns F (2002) Pityriasis lichenoides: a clonal T-cell lymphoproliferative disorder. Hum Pathol 33:788–795

    Article  PubMed  Google Scholar 

  9. Mucha V (1916) Über einen der Parakeratosis variegata (Unna) bzw. Pityriasis lichenoides chronica (Neisser-Juliusberg) nahestehenden eigentümlichen Fall. Arch Derm Syph 123:586–592

    Google Scholar 

  10. Stosiek N, Peters KP, von den Driesch P (1993) Pityriasis-lichenoides-et-varioliformis-acuta-ähnliches Arzneiexanthem durch Astemizol. Hautarzt 44:235–237

    CAS  PubMed  Google Scholar 

  11. Weinberg JM, Kristal L, Chooback L et al. (2002) The clonal nature of pityriasis lichenoides. Arch Dermatol 138:1063–1067

    PubMed  Google Scholar 

  12. Yanaba K, Ito M, Sasaki H et al. (2002) A case of febrile ulceronecrotic Mucha-Habermann disease requiring debridement of necrotic skin and epidermal autograft. Br J Dermatol 147:1249–1253

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Hautklinik, Universitätsklinikum Düsseldorf, Düsseldorf

    K. Gardlo, N. Mahnke, M. Megahed, T. Ruzicka &  N. J. Neumann

  2. Hautklinik, Universitätsklinikum Düsseldorf, Düsseldorf

    N. J. Neumann

Authors
  1. K. Gardlo
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  2. N. Mahnke
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  3. M. Megahed
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  4. T. Ruzicka
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  5. N. J. Neumann
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Corresponding author

Correspondence to N. J. Neumann.

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Gardlo, K., Mahnke, N., Megahed, M. et al. PUVA-Therapie einer schwer verlaufenden Pityriasis lichenoides et varioliformis acuta. Hautarzt 54, 984–985 (2003). https://doi.org/10.1007/s00105-003-0596-0

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  • DOI: https://doi.org/10.1007/s00105-003-0596-0

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