Progesterone Autoimmune Dermatitis Responding to Ulipristal Acetate

Oscoz-Jaime, S.; Larrea-García, M.; Mitxelena-Eceiza, M.J.; Abián-Franco, N

doi:10.1016/j.adengl.2018.11.017

Cited by 2 publications

(2 citation statements)

References 8 publications

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“…One hundred twelve articles were found to include a case report meeting our inclusion criteria 3–114 . Within these articles, 132 unique cases of AIPD were identified.…”

Section: Resultsmentioning

confidence: 99%

“…Prior exposure was unclear or not reported in 31 cases (23.5%). Of those with prior exposure to exogenous progesterone, 52 patients did so through oral contraceptive pills, 4 patients through intrauterine devices, 65,101,106,110 3 patients through injectables, 3,49,54 1 through topical progesterone acetate, 5 and 1 through a vaginal progesterone suppository 78 . The method of exogenous progesterone exposure was not specified in 8 cases 3,10,34,42,44,63,113 …”

Section: Resultsmentioning

confidence: 99%

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Autoimmune Progesterone Dermatitis: A Systematic Review

et al. 2021

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Autoimmune progesterone dermatitis (AIPD) is a cyclical, cutaneous reaction to endogenous progesterone that occurs throughout the menstrual cycle. The cutaneous manifestations of AIPD vary greatly from patient to patient, ranging anywhere from urticaria to erythema multiforme to anaphylaxis. As such, recognition, diagnosis, and management of this condition are difficult for clinicians. In the present article, we conducted a systematic review of 112 articles and 132 individual cases to summarize the clinical features and presentation of AIPD while also summarizing the successes and failures of different treatment plans. Despite the great variety in clinical presentations, it is clear from the data that ovulation-suppressing medical therapies and surgery have the greatest success in treating AIPD, whereas more commonly used therapies such as antihistamines and systemic corticosteroids frequently fail in providing any relief. Further research is necessary to determine the exact pathogenesis of AIPD and allow for more targeted treatment.

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“…One hundred twelve articles were found to include a case report meeting our inclusion criteria 3–114 . Within these articles, 132 unique cases of AIPD were identified.…”

Section: Resultsmentioning

confidence: 99%