Confluent and reticulated papillomatosis. Treatment with etretinate

Baalbaki, S. A.

doi:10.1001/archderm.129.8.961

Cited by 13 publications

(15 citation statements)

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“…9 Although several theories have been proposed as causal factors in CRP, the two most widely accepted ones are that CRP is an abnormal host reaction to M. furfur 13 or a keratinization defect. [2][3][4][5][6][7][8]14 Both theories are not incompatible, since CRP could be an abnormal keratinization disorder determined (or at least triggered) by an anomalous host response to M. furfur. 15 The 'fungal' theory was supported by the detection of M. furfur in cutaneous lesions and the favourable response to antifungal treatments.…”

Section: Discussionmentioning

confidence: 99%

“…Nevertheless, the almost constant success of retinoids and calcipotriol supports the theory that CRP might be a disorder of keratinization. [2][3][4][5][6][7][8] Here, we report a patient who rst failed to respond to oral itraconazole treatment in spite of the presence of Malassezia furfur in cutaneous lesions. Further treatment with topical tacalcitol was successful.…”

Section: Introductionmentioning

confidence: 99%

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Confluent and reticulated papillomatosis (Gougerot-Carteaud) successfully treated with tacalcitol

Ginarte

Fabeiro

Toribio

2002

Journal of Dermatological Treatment

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Confluent and reticulated papillomatosis (CRP) is a rare dermatosis of unknown aetiology whose relationship to Malassezia furfur is still debated. Antifungal agents, antibiotics, retinoids, and, more recently, calcipotriol have been successfully used as treatment. The authors report on a 14-year-old female with confluent and reticulated papillomatosis in whom M. furfur was found. Anti-fungal therapy eliminated the fungus, but did not achieve the disappearance of the lesions. Further treatment with tacalcitol was successful, supporting the theory that CRP might be a disorder of keratinization. To the authors' knowledge, this is the first patient treated with tacalcitol for this entity.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Confluent and reticulated papillomatosis (Gougerot-Carteaud) successfully treated with tacalcitol

Ginarte

Fabeiro

Toribio

2002

Journal of Dermatological Treatment

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“…Das Prädilektionsalter liegt am Ende der Pubertät bis ins junge Erwachsenenalter [5,14]. In den letzten Jahren wurden erfolgreiche Behandlungen der PCR mit Retinoiden und Tetrazyklinen, vereinzelt auch mit topisch wie auch systemisch eingesetzten Antimykotika beschrieben [2,3,4,13,17].Aufgrund jüngster Berichte über ein gutes Ansprechen der Erkrankung auf Azithromycin [9,16] Die zunächst über einen Zeitraum von mehreren Monaten durchgeführten topischen Therapien, die eine intensive adjuvante Basistherapie, die Anwendung Clotrimazol-, Ketoconazol-, Steroid-, und Tacrolimus-haltiger Externa beinhalteten, brachten allenfalls eine vorüberge-hende Besserung des Hautbefundes und des Juckreizes. Auch eine UVB-311-nm-TL-01-Bestrahlungstherapie zeigte lediglich ein relativ kurzzeitiges, nur 4 Wochen umfassendes Ansprechen.…”

Section: Papillomatosis Confluens Et Reticularis · Azithromycin · Minunclassified

“…Isotretinoin und Etretinat wurden in verschiedenen Publikationen 4-16 Wochen eingesetzt [2,4] wandten Minocyclin reichen die Therapieempfehlungen von 2-12 Wochen [3,5,14] und als Erhaltungstherapie zur Rezidivprophylaxe über 11/2 Jahre [15]. Zu beachten ist aber, dass Minocyclin in der Langzeittherapie der Acne vulgaris (nach der Definition der Arzneimittelkommission der deutschen Ärzteschaft eine Therapie mehr als 21 Tage) seit den 90er-Jahren wiederholt mit der Auslösung von Autoimmun-und Lebererkrankungen in Verbindung gebracht wurde [1,7].…”

Section: Diskussionunclassified

Papillomatosis confluens et reticularis Erfolgreiche Therapie mit Azithromycin

Weigl¹,

Beham²,

Schnopp³

et al. 2001

Der Hautarzt

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Confluent and reticulated papillomatosis is a fairly rare dermatosis of still unknown origin affecting mostly female young adults. The lesions are mainly localized in the midline of the trunk. Systemic treatment is the treatment of choice because the disease is resistant to topical therapy and recurrences are often seen. In recent publications retinoids and minocycline have been reported as the favourite therapeutic approaches. We successfully treated a 19-year-old-girl with azithromycin resulting in a complete healing of all skin lesions. The patient has been free of disease for five months. Based on our own case and data in literature, azithromycin is an effective, reasonable and safe therapeutic alternative.

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“…However, a second group of patients seems to respond to minocycline, although no specific bacteria have been documented [9]. In addition topical and systemic retinoids have also been successfully tried [10]. …”

Section: Connective Tissue Diseases and Dermatoses Of Unknown Originmentioning

confidence: 99%

Reticulate, Patchy and Mottled Pigmentation of the Neck

Lautenschläger

Itin

1998

Dermatology

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Besides the inherited forms of mottled and reticulate pigmentation, a vast number of diseases and trigger mechanisms can lead to acquired pigmentation of the neck. Nonhereditary variants of reticulate and mottled pigmentation can affect the neck as a typical site and therefore may give a diagnostic clue or it can occur sporadically on the neck as well as on other sites. A well-known and important factor in the pathogenesis is exposure to sunlight. Sun-induced pigmentation often presents on the neck and may result from phototoxic, photoallergic and cumulative actinic damage. Frequent forms comprise berloque dermatitis, Riehl’s melanosis, poikiloderma of Civatte and tanning bed lentigines. Different infections may also lead to this distinct skin alteration as pediculosis capitis, pityriasis versicolor and syphilis II. Treatment-induced irregular pigmentations may occur after applications of topical agents (e.g. diphenylcyclopropenone), systemic medication (e.g. 5-fluorouracil, chlorpromazine), as a complication of laser resurfacing or as a chronic graft-versus-host reaction. Different neoplasms may also involve the neck. Widespread pigmented basal cell carcinoma, cutaneous T-cell lymphoma, syringolymphoid hyperplasia and histiocytic diseases may lead to reticulated pigmentation. Various other infrequent conditions as connective tissue diseases, malnutrition, lichen planus pigmentosus and others are summarized. The neck, a readily accessible site to medical inspection, may have an underestimated value for the diagnosis of different skin diseases.

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Confluent and reticulated papillomatosis. Treatment with etretinate

Cited by 13 publications

References 0 publications

Confluent and reticulated papillomatosis (Gougerot-Carteaud) successfully treated with tacalcitol

Confluent and reticulated papillomatosis (Gougerot-Carteaud) successfully treated with tacalcitol

Papillomatosis confluens et reticularis Erfolgreiche Therapie mit Azithromycin

Reticulate, Patchy and Mottled Pigmentation of the Neck

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