Tumorous variant of scleromyxedema. Successful therapy with intravenous immunoglobulins
ABSTRACT We present an unusual tumorous variety of scleromyxedema mimicking facies leonina in lymphoma. In spite of pronounced and widespread cutaneous changes, hypergammaglobulinaemia and paraproteinaemia, the general condition of the patient was satisfactory, there was no internal involvement and...
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Published in | Journal of the European Academy of Dermatology and Venereology Vol. 19; no. 4; pp. 462 - 465 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
Oxford, UK
Blackwell Science Ltd
01.07.2005
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Abstract | ABSTRACT
We present an unusual tumorous variety of scleromyxedema mimicking facies leonina in lymphoma. In spite of pronounced and widespread cutaneous changes, hypergammaglobulinaemia and paraproteinaemia, the general condition of the patient was satisfactory, there was no internal involvement and no symptoms of any malignancy. Initially, melphalan and corticosteroids were applied but were not effective. High‐dose intravenous immunoglobulin (IVIG) therapy had dramatic effect, and after five 5‐day monthly courses the tumours almost regressed and the skin became less hard. After a further five courses in the following year there was complete clearance, which was sustained without any therapy for 1 year (until now). IVIG appears to be the therapy of choice for scleromyxedema. We stress, however, that at the start of therapy, IVIG applications should be supplemented with small doses of melphalan and/or corticosteroids. |
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AbstractList | ABSTRACT
We present an unusual tumorous variety of scleromyxedema mimicking facies leonina in lymphoma. In spite of pronounced and widespread cutaneous changes, hypergammaglobulinaemia and paraproteinaemia, the general condition of the patient was satisfactory, there was no internal involvement and no symptoms of any malignancy. Initially, melphalan and corticosteroids were applied but were not effective. High‐dose intravenous immunoglobulin (IVIG) therapy had dramatic effect, and after five 5‐day monthly courses the tumours almost regressed and the skin became less hard. After a further five courses in the following year there was complete clearance, which was sustained without any therapy for 1 year (until now). IVIG appears to be the therapy of choice for scleromyxedema. We stress, however, that at the start of therapy, IVIG applications should be supplemented with small doses of melphalan and/or corticosteroids. We present an unusual tumorous variety of scleromyxedema mimicking facies leonina in lymphoma. In spite of pronounced and widespread cutaneous changes, hypergammaglobulinaemia and paraproteinaemia, the general condition of the patient was satisfactory, there was no internal involvement and no symptoms of any malignancy. Initially, melphalan and corticosteroids were applied but were not effective. High-dose intravenous immunoglobulin (IVIG) therapy had dramatic effect, and after five 5-day monthly courses the tumours almost regressed and the skin became less hard. After a further five courses in the following year there was complete clearance, which was sustained without any therapy for 1 year (until now). IVIG appears to be the therapy of choice for scleromyxedema. We stress, however, that at the start of therapy, IVIG applications should be supplemented with small doses of melphalan and/or corticosteroids. |
Author | Błaszczyk, M Glińska, M Wojas‐Pelc, A Jabłońska, S |
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Cites_doi | 10.1136/ard.61.1.59 10.1016/0190-9622(93)70021-K 10.1007/BF02914373 10.1007/BF00362184 10.1067/mjd.2001.111630 10.1067/mjd.2000.104001 10.1067/mjd.2001.111903 10.1038/jid.1953.25 10.1111/j.1365-2230.1995.tb02673.x 10.1016/S0190-9622(86)70104-7 10.1067/mjd.2001.112325 10.1016/S0190-9622(99)70383-X 10.1016/S0190-9622(98)70052-0 10.1016/S0190-9622(98)70567-5 10.1067/mjd.2001.119085 10.1016/S0190-9622(00)90274-3 10.1001/archderm.123.6.786 10.1001/archderm.1976.01630250027008 10.1016/S0190-9622(99)70471-8 |
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References_xml | – volume: 199 start-page: 71 year: 1954 end-page: 91 article-title: Skleromyxedem (eine eigenartige Erscheinungsform von Myxothesaurodermie) publication-title: Arch Dermatol – volume: 123 start-page: 786 year: 1987 end-page: 789 article-title: Plasmapheresis in a patient with scleromyxedema publication-title: Arch Dermatol – volume: 45 start-page: 606 year: 2001 end-page: 608 article-title: Lichen myxedematosus with systemic involvement: clinical and autopsy findings publication-title: J Am Acad Dermatol – volume: 40 start-page: 303 year: 1999 end-page: 307 article-title: Scleromyxedema: treatment with interferon alfa publication-title: J Am Acad Dermatol – volume: 44 start-page: 273 year: 2001 end-page: 281 article-title: Update classification of papular mucinosis, lichen myxedematosus, and scleromyxedema publication-title: J Am Acad Dermatol – volume: 45 start-page: 775 year: 2001 end-page: 783 article-title: Intravenous immune globulin: Fighting antibodies with antibodies publication-title: J Am Acad Dermatol – volume: 112 start-page: 63 year: 1976 end-page: 66 article-title: Scleromyxedema publication-title: Arch Dermatol – volume: 10 start-page: 93 year: 1992 end-page: 104 article-title: Immunoregulatory effects of IVIg in Kawasaki disease and other autoimmune diseases publication-title: Clin Rev Allergy – volume: 44 start-page: 1010 year: 2001 end-page: 1024 article-title: High‐dose intravenous immunoglobulins: an approach to treat severe immune‐mediated and autoimmune diseases of the skin publication-title: J Am Acad Dermatol – volume: 128 start-page: 38 year: 2001 end-page: 41 article-title: Mucinose papuloscléreuse (scleromyxoedeme) cutanéo‐systémique. Remission apres photochimiothérapie extracorporelle et bolus de corticoides publication-title: Ann Dermatol Venereol – volume: 38 start-page: 289 year: 1998 end-page: 294 article-title: Fatal scleromyxedema: report of a case and review of the literature publication-title: J Am Acad Dermatol – volume: 39 start-page: 789 year: 1998 end-page: 790 article-title: Successful treatment of pyoderma gangrenosum with intravenous human immunoglobulin publication-title: J Am Acad Dermatol – volume: 61 start-page: 59 year: 2002 end-page: 61 article-title: Intravenous immunoglobulins control scleromyxedema publication-title: Ann Rheum Dis – volume: 28 start-page: 105 year: 1993 end-page: 108 article-title: The association of potentially lethal neurological syndromes with scleromyxedema (papular mucinosis) publication-title: J Am Acad Dermatol – volume: 20 start-page: 213 year: 1953 end-page: 236 article-title: Lichen myxedematosus (differentiation from cutaneous myxedemas or mucoid states) publication-title: J Invest Dermatol – volume: 14 start-page: 879 year: 1986 end-page: 888 article-title: Scleromyxedema associated with scleroderma renal disease and acute psychosis publication-title: J Am Acad Dermatol – volume: 20 start-page: 157 year: 1995 end-page: 160 article-title: Spontaneous improvement of scleromyxedema publication-title: Clin Exp Dermatol – volume: 8 start-page: 497 year: 1998 end-page: 500 article-title: Papular mucinosis associated with scleroderma publication-title: Eur J Dermatol – volume: 8 start-page: 353 year: 1998 end-page: 354 article-title: Papular mucinosis with rapid spontaneous regression in an HIV‐infected patient publication-title: Eur J Dermatol – volume: 43 start-page: 403 year: 2000 end-page: 408 article-title: Scleromyxedema: response to high‐dose intravenous immunoglobulin (hdIVIg) publication-title: J Am Acad Dermatol – volume: 9 start-page: 551 year: 1999 end-page: 554 article-title: Scleromyxedema is a scleroderma‐like disorder and not a coexistence of scleroderma with papular mucinosis publication-title: Eur J Dermatol – volume: 40 start-page: 343 year: 1999 end-page: 346 article-title: Scleromyxedema publication-title: J Am Acad Dermatol – volume: 42 start-page: 927 year: 2000 end-page: 928 article-title: Scleromyxedema with dermato‐neuro syndrome publication-title: J Am Acad Dermatol – volume: 9 start-page: 551 year: 1999 ident: e_1_2_4_5_2 article-title: Scleromyxedema is a scleroderma‐like disorder and not a coexistence of scleroderma with papular mucinosis publication-title: Eur J Dermatol contributor: fullname: Jabłońska S – ident: e_1_2_4_16_2 doi: 10.1136/ard.61.1.59 – ident: e_1_2_4_17_2 doi: 10.1016/0190-9622(93)70021-K – volume: 10 start-page: 93 year: 1992 ident: e_1_2_4_20_2 article-title: Immunoregulatory effects of IVIg in Kawasaki disease and other autoimmune diseases publication-title: Clin Rev Allergy doi: 10.1007/BF02914373 contributor: fullname: Leung DY – ident: e_1_2_4_2_2 doi: 10.1007/BF00362184 – ident: e_1_2_4_12_2 doi: 10.1067/mjd.2001.111630 – ident: e_1_2_4_22_2 doi: 10.1067/mjd.2000.104001 – ident: e_1_2_4_7_2 doi: 10.1067/mjd.2001.111903 – ident: e_1_2_4_3_2 doi: 10.1038/jid.1953.25 – ident: e_1_2_4_15_2 doi: 10.1111/j.1365-2230.1995.tb02673.x – ident: e_1_2_4_9_2 doi: 10.1016/S0190-9622(86)70104-7 – ident: e_1_2_4_19_2 doi: 10.1067/mjd.2001.112325 – ident: e_1_2_4_6_2 doi: 10.1016/S0190-9622(99)70383-X – ident: e_1_2_4_21_2 doi: 10.1016/S0190-9622(98)70052-0 – ident: e_1_2_4_8_2 doi: 10.1016/S0190-9622(98)70567-5 – volume: 8 start-page: 353 year: 1998 ident: e_1_2_4_14_2 article-title: Papular mucinosis with rapid spontaneous regression in an HIV‐infected patient publication-title: Eur J Dermatol contributor: fullname: Depaire‐Duclos F – ident: e_1_2_4_18_2 doi: 10.1067/mjd.2001.119085 – ident: e_1_2_4_10_2 doi: 10.1016/S0190-9622(00)90274-3 – ident: e_1_2_4_13_2 doi: 10.1001/archderm.123.6.786 – volume: 8 start-page: 497 year: 1998 ident: e_1_2_4_4_2 article-title: Papular mucinosis associated with scleroderma publication-title: Eur J Dermatol contributor: fullname: Sawada Y – volume: 112 start-page: 63 year: 1976 ident: e_1_2_4_11_2 article-title: Scleromyxedema publication-title: Arch Dermatol doi: 10.1001/archderm.1976.01630250027008 contributor: fullname: Wright RC – volume: 128 start-page: 38 year: 2001 ident: e_1_2_4_24_2 article-title: Mucinose papuloscléreuse (scleromyxoedeme) cutanéo‐systémique. Remission apres photochimiothérapie extracorporelle et bolus de corticoides publication-title: Ann Dermatol Venereol contributor: fullname: D’Incan M – ident: e_1_2_4_23_2 doi: 10.1016/S0190-9622(99)70471-8 |
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We present an unusual tumorous variety of scleromyxedema mimicking facies leonina in lymphoma. In spite of pronounced and widespread cutaneous... We present an unusual tumorous variety of scleromyxedema mimicking facies leonina in lymphoma. In spite of pronounced and widespread cutaneous changes,... |
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SubjectTerms | Diagnosis, Differential Facial Dermatoses - diagnosis Facial Dermatoses - drug therapy Facial Dermatoses - pathology facies leonina Female high‐dose intravenous immunoglobulin Humans Immunoglobulins, Intravenous - administration & dosage lymphoma‐like lesions Middle Aged Myxedema - diagnosis Myxedema - drug therapy Myxedema - pathology scleromyxedema |
Title | Tumorous variant of scleromyxedema. Successful therapy with intravenous immunoglobulins |
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