Subcorneal pustular dermatosis: Eleven years of experience in a national reference center. Report of cases
DOI:
https://doi.org/10.17533/udea.iatreia.208Keywords:
Dapsone, Sneddon-Wilkinson disease, Subcorneal Pustular Dermatosis , Skin Diseases VesiculobullousAbstract
Subcorneal pustular dermatosis is a rare and less known dermatosis. The objective of this paper is to describe the experience of the authors in the diagnosis and treatment of a group of Colombian patients with this disease. Six cases are presented, diagnosed between 2010 and 2021. All of the patients had long-standing lesions (on average 5 years) and the most affected areas were the thorax (83 %), the armpits (66 %), and the proximal third of the extremities (50 %). The most common lesions were pustules (83 %), papules (83 %), and erythematous-crusted plaques with circinated edges (50 %); typical flaccid pustules were only observed in two cases (33 %). In conclusion, the timely diagnosis of subcorneal pustular dermatosis requires recognition of a wide spectrum of clinical presentations, as well as adequate clinicopathological correlation.
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(1) Sneddon IB, Wilkinson DS. Subcorneal pustular dermatosis. Br J Dermatol [Internet]. 1956;68(12):385-94. https://doi.org/10.1111/j.1365-2133.1956.tb12774.x
(2) Hensley CD, Caughman SW. Neutrophilic dermatoses associated with hematologic disorders. Clin Dermatol [Internet]. 2000;18(3):355-67. https://doi.org/10.1016/s0738-081x(99)00127-3
(3) Vignon-Pennamen MD, Wallach D. Dermatosis neutrofílicas. EMC – Dermatología [Internet]. 2016;50(3):1-10. https://doi.org/10.1016/S1761-2896(16)79693-2
(4) Watts PJ, Khachemoune A. Subcorneal pustular dermatosis: A review of 30 years of progress. Am J Clin Dermatol [Internet]. 2016;17(6):653-71. https://doi.org/10.1007/s40257-016-0202-8
(5) Cheng S, Edmonds E, Ben-Gashir M, Yu RC. Subcorneal pustular dermatosis: 50 years on. Clin Exp Dermatol [Internet]. 2008;33(3):229-33. https://doi.org/10.1111/j.1365-2230.2008.02706.x
(6) Naik HB, Cowen EW. Autoinflammatory pustular neutrophilic diseases. Dermatol Clin [Internet]. 2013;31:405-25. https://doi.org/10.1016/j.det.2013.04.001
(7) Chimenti S, Ackerman AB. Is subcorneal pustular dermatosis of Sneddon and Wilkinson an entity sui generis? Am J Dermatopathol [Internet]. 1981;3(4):363-76. https://doi.org/10.1097/00000372-198100340-00007
(8) Sanchez NP, Perry HO, Muller SA. On the relationship between subcorneal pustular dermatosis and pustular psoriasis. Am J Dermatopathol [Internet]. 1981;3(4):385-6. https://doi.org/10.1097/00000372-198100340-00012
(9) Betancur R, Rodríguez G. ¿Reconoce esta clave diagnóstica? Rev Asoc Colomb Dermatol [Internet]. 2018;26(3):166-7. Disponible en: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/56
(10) Valenzuela Y, Ramírez C, Bellolio E. Pustulosis subcórnea (enfermedad de Sneddon-Wilkinson). Caso clínico. Rev Med Chil [Internet]. 2012;140(5):633-6. https://doi.org/10.4067/S0034-98872012000500012
(11) Crizón-Díaz DP, Morales-Cardona CA. Dermatosis pustular subcórnea: comunicación de un caso con respuesta parcial a dapsona. Dermatol Rev Mex [Internet]. 2021;65(2):252-8. https://doi.org/10.24245/dermatolrevmex.v65i2.5600
(12) Abreu-Velez AM, Smith JG, Howard MS. Subcorneal pustular dermatosis an immunohistopathological perspective. Int J Clin Exp Pathol [Internet]. 2011;4(5):526-29. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3127074/
(13) Bonifati C, Trento E, Cordiali-Fei P, Muscardin L, Amantea A, Carducci M. Early but not lasting improvement of recalcitrant subcorneal pustular dermatosis (Sneddon-Wilkinson disease) after infliximab therapy: relationships with variations in cytokine levels in suction blister fluids. Clin Exp Dermatol [Internet]. 2005;30(6):662-5. https://doi.org/10.1111/j.1365-2230.2005.01902.x
(14) Ramsay A, Lightman S. Hypopyon uveitis. Surv Ophthalmol. 2001;46(1):1-18. https://doi.org/10.1016/s0039-6257(01)00231-4
(15) Caraballo L, Mahapatra S, Dimov V, Eidelman FJ. The striking appearance of a rare skin condition: "Half-Half" blisters (subcorneal pustular dermatosis). J Allergy Clin Immunol Pract [Internet]. 2020;8(2):732-733. https://doi.org/10.1016/j.jaip.2019.09.018
(16) Pinkus H. Is subcorneal pustular dermatosis of Sneddon and Wilkinson and entity sui generis? Am J Dermatopathol [Internet]. 1981;3(4):379-80. https://doi.org/10.1097/00000372-198100340-00009
(17) Razera F, Olm GS, Bonamigo RR. Neutrophilic dermatoses: part II. An Bras Dermatol [Internet]. 2011;86(2):195-209. https://doi.org/10.1590/s0365-05962011000200001
(18) Bordignon M, Zattra E, Montesco MC, Alaibac M. Subcorneal pustular dermatosis (Sneddon-Wilkinson disease) with absence of desmoglein 1 and 3 antibodies: case report and literature review. Am J Clin Dermatol [Internet]. 2008;9(1):51-5. https://doi.org/10.2165/00128071-200809010-00006
(19) Gruss C, Zillikens D, Hashimoto T, Amagai M, Kroiss M, Vogt T, et al. Rapid response of IgA pemphigus of subcorneal pustular dermatosis type to treatment with isotretinoin. J Am Acad Dermatol [Internet]. 2000;43(5):923-6. https://doi.org/10.1067/mjd.2000.104002
(20) Cohen PR. Neutrophilic dermatoses: a review of current treatment options. Am J Clin Dermatol [Internet]. 2009;10(5):301-12. https://doi.org/10.2165/11310730-000000000-00000
(21) Bhargava S, Kumar U, Kroumpouzos G. Subcorneal pustular dermatosis: Comprehensive review and report of a case presenting during pregnancy. Int J Womens Dermatol [Internet]. 2020;6(3):131-6. https://doi.org/10.1016/j.ijwd.2020.02.003
(22) Carrascosa JM, Gardeazábal J, Pérez-Ferriols A, Alomar A, Manrique P, Jones-Caballero M, et al. Documento de consenso sobre fototerapia: terapias PUVA y UVB de banda estrecha. Actas Dermosifiliogr [Internet]. 2005;96(10):635-58. https://doi.org/10.1016/s0001-7310(05)73153-7
(23) Ferrillo M, Villani A, Fabbrocini G, Mascolo M, Megna M, Costa C, et al. A case of the co-existence of subcorneal pustular dermatosis and pyoderma gangrenosum and a review of the literature. Open Access Maced J Med Sci [Internet]. 2018;6(7):1271-4. https://doi.org/10.3889/oamjms.2018.214
(24) Versini M, Mantoux F, Angeli K, Passeron T, Lacour JP. Sneddon-Wilkinson disease: efficacy of intermittent adalimumab therapy after lost response toinfliximab and etanercept. Ann Dermatol Venereol [Internet]. 2013;140(12):797-800. https://doi.org/10.1016/j.annder.2013.07.012
(25) Mayba JN, Hawkins CN. First presentation of Sneddon-Wilkinson disease with unexpected immunoglobulin A gammopathy: A case report and review of the literature. SAGE Open Med Case Reports [Internet]. 2019;7:2050313X1982643. https://doi.org/10.1177/2050313X19826432
(26) Tanboon J, Nishino I. Classification of idiopathic inflammatory myopathies: pathology perspectives. Curr Opin Neurol [Internet]. 2019;32(5):704-14. https://doi.org/10.1097/WCO.0000000000000740
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