- Email: [email protected]
Burn-induced bullous pemphigoid
Posters - Con,acr
S206
oped infiltrative plaques on the trunk and limbs and tumorous lesion on the right cheeck as well as bullous lesions on the skin. The diagnose of inliltrative plaques was verified by histologically and immunohistochemically methods as mycosis fungoides. The diagnose of bullous lesions on the skin was histologically established as bullous pemphigoid. This case is a very rare example of malignant lymphoma typus mycosis fungoides associated with bullous pemphigoid as a paraneoblastic syndrom. The patient was treated with combined therapy of prednisolon and retinoids (etretinate) and he responded well. Infiltrative plaques and bullae dissapeared; only tumorous infltrate on the right cheeck persists.
P85
Erithema
multiforme
and Blaschko
I C. Micalizzi, G. Tagliapietra, A. Farris. S. Pa010 Hospital, Savona, Italy
Dept.
lines
ofDernmto/ogy,
We describe the case of a young lady affected by erithema multiforme along Blaschko lines interesting trunk and right arm. The diagnosis was made by clinical and histological examination. To our best knowledge this is the first report of erithema multiforme with this pattern of distribution.
Erythema I P86 R. GimCnez Garcia, Valladolid, Spuin
multiforme Christian
and hepatitis Perna.
Hospitaldel
dermatitis up to 50%. Complete systemic corticosteroid
clinical treatment.
remission
was
obtained
after
Contact dermatitis I P88
Contact dermatitis: dermatoses
L. Stransky, Vetrereology,
A trigger
G. Dragieva. Departnlent Soja, Bulgaria
for non-contact
ofDennatology
arrd
Recently, a number of skin diseases of presumably genetically determined origin and obscure pathogenesis are connected etiologically with a contact. The substance in some cases is proven to be a contact sensitizer. We report three cases of granuloma anulare, pemphigoid and pemphigus respectively, whose appearance seems to be triggered by the contact dermatitis in a non-specific way. Granuloma anulare developed following allergic contact dermatitis to nickel. The appearance of pemphigoid was triggered by a contact with Balsam of Peru containing antiscabiel remedy. Pemphigus vulgaris appeared in the oral mucous membrane after a contact dermatitis produced by a cinnamic aldehyde containing toothpaste.
C Rio Hortega,
Recurrente and persistent erythema multiforme are associated with viral infection. ?\No cases of erythema multiforme (acute and persistent) have been described as clinical manifestation of hepatitis C virus infection. We present two new possible additional cases of erythema multiforme (EM) associated with hepatitis C. References [I]
Antinori, S. et al., Erythema multifonne and hepatitis C. Lancet 1991.337: 428. [2] Berard F.. Pincemaille B.. Charhon A. et al., Erytheme polymorphe persistant associe 1 une infection chronique par le virus de I’hepatite C. Efficacitb de I ‘interf&on alpha, Ann Dermatol Venereol 1997: 124: 329-33 I.
Burn-induced bullous pemphigoid I P87 D. Serafmova, A. Dourmishev, S. Vassileva, E. Bardarov. Department of Dermatology, Uaiversiry of Medicine, Sofa, Bcrlgaria Bullous pemphigoid is an autoimmune disease characterized with production of autoantibodies against chemidesmozomes, resulting in bullae formation. It is very rarely induced by systemic medication or physical agents. We describe a 7 I year-old woman with widespread pruritic vesiculo-bullous eruption, appeared at the site of a termal burn. Six months ago the patient had a second degree termal burn on the right forearm which healed spontaneously. A subepidermal blister was found on routine histology. Direct IF testing revealed linear deposits of IgG and C3 along the basement membrane zone. Additional laboratory tests was unremarkable except for blood eosinophilia
I P89
Occupational contact urticaria from Tribolium confusurn (confused flour beetle)
K. Alanko, L. Kanerva. Firhad
M. Vanhanen, T. Tuomi. T. Estlander, R. Jolanki. Finnish hstitrtre of Occapatiowl Health, Helsinki,
A 35year-old non-atopic mechanic in a rye crisp bread factory developed urticaria on his wrists, lower arms, hands, neck and face, as well as rhinitis, conjunctivitis and asthmatic symptoms, in the maintenance and repair of machines which were contaminated by flour. This flour had been in and on the machines for a long time, and it contained small beetles. The patient did not get any symptoms from handling fresh, clean flours. Skin prick tests with standard enviromental allergens, storage mites, enzymes, flours and molds were negative. A prick test with flour from the machines gave a IO mm reaction. An open application of the flour caused urticarial whealing on the exposed skin. A prick test with fresh Rour from the factory was negative. A prick test with Tribolium coaf~won (confused flour beetle), from the flour in the machines, gave a 7 mm reaction. Histamine hydrochloride IO mglml gave a 7 mm reaction. Prick tests with the flour from the machines were negative in five control patients. It was concluded that the patient had occupational contact urticaria from Tribolirrm confkww.
I P90
Paederus dermatitis: Aydin, Turkey
A report
of 38 cases
in
N. Sendur, G. Karaman, E. Bozkurt, 0. Bagak. Adnan Menderes University Medical School, Aydm, Tarkey Paederus dermatitis is a specific caused by an insect belonging Staphylinidiae family. Pederin,
form of acute irritant dermatitis to the Paederus genus of the a chemical secreted by tliis
S206
oped infiltrative plaques on the trunk and limbs and tumorous lesion on the right cheeck as well as bullous lesions on the skin. The diagnose of inliltrative plaques was verified by histologically and immunohistochemically methods as mycosis fungoides. The diagnose of bullous lesions on the skin was histologically established as bullous pemphigoid. This case is a very rare example of malignant lymphoma typus mycosis fungoides associated with bullous pemphigoid as a paraneoblastic syndrom. The patient was treated with combined therapy of prednisolon and retinoids (etretinate) and he responded well. Infiltrative plaques and bullae dissapeared; only tumorous infltrate on the right cheeck persists.
P85
Erithema
multiforme
and Blaschko
I C. Micalizzi, G. Tagliapietra, A. Farris. S. Pa010 Hospital, Savona, Italy
Dept.
lines
ofDernmto/ogy,
We describe the case of a young lady affected by erithema multiforme along Blaschko lines interesting trunk and right arm. The diagnosis was made by clinical and histological examination. To our best knowledge this is the first report of erithema multiforme with this pattern of distribution.
Erythema I P86 R. GimCnez Garcia, Valladolid, Spuin
multiforme Christian
and hepatitis Perna.
Hospitaldel
dermatitis up to 50%. Complete systemic corticosteroid
clinical treatment.
remission
was
obtained
after
Contact dermatitis I P88
Contact dermatitis: dermatoses
L. Stransky, Vetrereology,
A trigger
G. Dragieva. Departnlent Soja, Bulgaria
for non-contact
ofDennatology
arrd
Recently, a number of skin diseases of presumably genetically determined origin and obscure pathogenesis are connected etiologically with a contact. The substance in some cases is proven to be a contact sensitizer. We report three cases of granuloma anulare, pemphigoid and pemphigus respectively, whose appearance seems to be triggered by the contact dermatitis in a non-specific way. Granuloma anulare developed following allergic contact dermatitis to nickel. The appearance of pemphigoid was triggered by a contact with Balsam of Peru containing antiscabiel remedy. Pemphigus vulgaris appeared in the oral mucous membrane after a contact dermatitis produced by a cinnamic aldehyde containing toothpaste.
C Rio Hortega,
Recurrente and persistent erythema multiforme are associated with viral infection. ?\No cases of erythema multiforme (acute and persistent) have been described as clinical manifestation of hepatitis C virus infection. We present two new possible additional cases of erythema multiforme (EM) associated with hepatitis C. References [I]
Antinori, S. et al., Erythema multifonne and hepatitis C. Lancet 1991.337: 428. [2] Berard F.. Pincemaille B.. Charhon A. et al., Erytheme polymorphe persistant associe 1 une infection chronique par le virus de I’hepatite C. Efficacitb de I ‘interf&on alpha, Ann Dermatol Venereol 1997: 124: 329-33 I.
Burn-induced bullous pemphigoid I P87 D. Serafmova, A. Dourmishev, S. Vassileva, E. Bardarov. Department of Dermatology, Uaiversiry of Medicine, Sofa, Bcrlgaria Bullous pemphigoid is an autoimmune disease characterized with production of autoantibodies against chemidesmozomes, resulting in bullae formation. It is very rarely induced by systemic medication or physical agents. We describe a 7 I year-old woman with widespread pruritic vesiculo-bullous eruption, appeared at the site of a termal burn. Six months ago the patient had a second degree termal burn on the right forearm which healed spontaneously. A subepidermal blister was found on routine histology. Direct IF testing revealed linear deposits of IgG and C3 along the basement membrane zone. Additional laboratory tests was unremarkable except for blood eosinophilia
I P89
Occupational contact urticaria from Tribolium confusurn (confused flour beetle)
K. Alanko, L. Kanerva. Firhad
M. Vanhanen, T. Tuomi. T. Estlander, R. Jolanki. Finnish hstitrtre of Occapatiowl Health, Helsinki,
A 35year-old non-atopic mechanic in a rye crisp bread factory developed urticaria on his wrists, lower arms, hands, neck and face, as well as rhinitis, conjunctivitis and asthmatic symptoms, in the maintenance and repair of machines which were contaminated by flour. This flour had been in and on the machines for a long time, and it contained small beetles. The patient did not get any symptoms from handling fresh, clean flours. Skin prick tests with standard enviromental allergens, storage mites, enzymes, flours and molds were negative. A prick test with flour from the machines gave a IO mm reaction. An open application of the flour caused urticarial whealing on the exposed skin. A prick test with fresh Rour from the factory was negative. A prick test with Tribolium coaf~won (confused flour beetle), from the flour in the machines, gave a 7 mm reaction. Histamine hydrochloride IO mglml gave a 7 mm reaction. Prick tests with the flour from the machines were negative in five control patients. It was concluded that the patient had occupational contact urticaria from Tribolirrm confkww.
I P90
Paederus dermatitis: Aydin, Turkey
A report
of 38 cases
in
N. Sendur, G. Karaman, E. Bozkurt, 0. Bagak. Adnan Menderes University Medical School, Aydm, Tarkey Paederus dermatitis is a specific caused by an insect belonging Staphylinidiae family. Pederin,
form of acute irritant dermatitis to the Paederus genus of the a chemical secreted by tliis