Clinical Aspects and Treatment of Pityriasis Lichenoides Et Varioliformis Acuta: A Retrospective Vietnamese Study

• Published in: Open access Macedonian journal of medical sciences Vol. 7; no. 2; pp. 198 - 199
• Main Authors: Van, Thuong Nguyen, Thi, Tuyen Nguyen, Huu, Doanh Le, Huu, Nghi Dinh, Thi, Mai Le, Minh, Thu Nguyen, Huyen, My Le, Gandolfi, Marco, Satolli, Francesca, Feliciani, Claudio, Tirant, Michael, Vojvodic, Aleksandra, Lotti, Torello
• Format: Journal Article
• Language: English
• Published: Macedonia Republic of Macedonia 30.01.2019
• Subjects: Clinical Science; Pityriasis lichenoides; Pityriasis lichenoides et varioliformis acuta
• ISSN: 1857-9655; 1857-9655
• DOI: 10.3889/oamjms.2019.005

Pityriasis lichenoides et varioliformis acuta (PLEVA) is an uncommon condition which presents acutely with papulo-vesicles that may develop necrotic, ulcerative, or hemorrhagic changes. We studied clinical, and treatment characteristics of PLEVA hospitalised patients at our hospital from September 2009 to December 2014. The records of 15 PLEVA patients were retrospectively reviewed. The median age of onset was 21.8 ± 18.81 (from 1 to 68), male to female ratio was 2/1. The common area of onset was trunk (60.0%) and extremities (33.3%). Clinical features were purpuric papules (100%), hemorrhagic crusted papules (46.7%), pustular purpuric papules (40%), and necrotic ulcerating lesions (13.3%). All patients were received systemic antibiotics (macrolides: 53.3%, others: 46.7%), 2 patients were added immunosuppressive drugs. A 1-year-old patient died, others had a good response.