Acrokeratosis verruciformis of Hopf - Case report

Abstract: A 54 year-old woman with a 3-year history of rheumatoid arthritis (RA) consulted us because of weight loss, fever and skin eruption. On physical examination, erythematous plaques with a pseudo-vesicular appearance were seen on the back of both shoulders. Histological examination was consis...

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Main Authors: Tatiana Cristina Pedro Cordeiro de Andrade, Gardênia Viana da Silva, Tatiane Meira Pinho Silva, Ana Cecília Versiani Duarte Pinto, Adauto José Ferreira Nunes, Antônio Carlos Ceribelli Martelli
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2016-10-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/pdf/abd/v91n5/0365-0596-abd-91-05-0639.pdf
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author Tatiana Cristina Pedro Cordeiro de Andrade
Gardênia Viana da Silva
Tatiane Meira Pinho Silva
Ana Cecília Versiani Duarte Pinto
Adauto José Ferreira Nunes
Antônio Carlos Ceribelli Martelli
author_facet Tatiana Cristina Pedro Cordeiro de Andrade
Gardênia Viana da Silva
Tatiane Meira Pinho Silva
Ana Cecília Versiani Duarte Pinto
Adauto José Ferreira Nunes
Antônio Carlos Ceribelli Martelli
author_sort Tatiana Cristina Pedro Cordeiro de Andrade
collection DOAJ
description Abstract: A 54 year-old woman with a 3-year history of rheumatoid arthritis (RA) consulted us because of weight loss, fever and skin eruption. On physical examination, erythematous plaques with a pseudo-vesicular appearance were seen on the back of both shoulders. Histological examination was consistent with rheumatoid neutrophilic dermatosis (RND). After three days of prednisone treatment, the skin eruption resolved. RND is a rare cutaneous manifestation of seropositive RA, characterized by asymptomatic, symmetrical erythematous plaques with a pseudo-vesicular appearance. Histology characteristically reveals a dense, neutrophilic infiltrate with leucocitoclasis but without other signs of vasculitis. Lesions may resolve spontaneously or with RA treatment. This case illustrates an uncommon skin manifestation of active rheumatoid arthritis.
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spelling doaj.art-000cfb57f5eb4daca8ee96417252f5a72022-12-22T04:15:30ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962016-10-0191563964110.1590/abd1806-4841.20164919Acrokeratosis verruciformis of Hopf - Case reportTatiana Cristina Pedro Cordeiro de AndradeGardênia Viana da SilvaTatiane Meira Pinho SilvaAna Cecília Versiani Duarte PintoAdauto José Ferreira NunesAntônio Carlos Ceribelli MartelliAbstract: A 54 year-old woman with a 3-year history of rheumatoid arthritis (RA) consulted us because of weight loss, fever and skin eruption. On physical examination, erythematous plaques with a pseudo-vesicular appearance were seen on the back of both shoulders. Histological examination was consistent with rheumatoid neutrophilic dermatosis (RND). After three days of prednisone treatment, the skin eruption resolved. RND is a rare cutaneous manifestation of seropositive RA, characterized by asymptomatic, symmetrical erythematous plaques with a pseudo-vesicular appearance. Histology characteristically reveals a dense, neutrophilic infiltrate with leucocitoclasis but without other signs of vasculitis. Lesions may resolve spontaneously or with RA treatment. This case illustrates an uncommon skin manifestation of active rheumatoid arthritis.http://www.scielo.br/pdf/abd/v91n5/0365-0596-abd-91-05-0639.pdfArthritisArthritis, rheumatoidRheumatoid factor
spellingShingle Tatiana Cristina Pedro Cordeiro de Andrade
Gardênia Viana da Silva
Tatiane Meira Pinho Silva
Ana Cecília Versiani Duarte Pinto
Adauto José Ferreira Nunes
Antônio Carlos Ceribelli Martelli
Acrokeratosis verruciformis of Hopf - Case report
Anais Brasileiros de Dermatologia
Arthritis
Arthritis, rheumatoid
Rheumatoid factor
title Acrokeratosis verruciformis of Hopf - Case report
title_full Acrokeratosis verruciformis of Hopf - Case report
title_fullStr Acrokeratosis verruciformis of Hopf - Case report
title_full_unstemmed Acrokeratosis verruciformis of Hopf - Case report
title_short Acrokeratosis verruciformis of Hopf - Case report
title_sort acrokeratosis verruciformis of hopf case report
topic Arthritis
Arthritis, rheumatoid
Rheumatoid factor
url http://www.scielo.br/pdf/abd/v91n5/0365-0596-abd-91-05-0639.pdf
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