Paronychia and granulation tissue formation during treatment with isotretinoin

Abstract This paper describes the association of two unusual side effects of treatment with isotretinoin for severe acne: paronychia and excess granulation tissue in the nails furrows. We report a case of male patient aged 19 years, who in the course of the 36th week of treatment with isotretinoin f...

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Main Authors: Daniela de Almeida Figueiras, Ticiana Batista Ramos, Ayana Karla de Oliveira Ferreira Marinho, Milena Soneley Mendonça Bezerra, Renata Cavalcanti Cauas
Format: Article
Language:English
Published: Sociedade Brasileira de Dermatologia 2016-04-01
Series:Anais Brasileiros de Dermatologia
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000200223&tlng=en
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author Daniela de Almeida Figueiras
Ticiana Batista Ramos
Ayana Karla de Oliveira Ferreira Marinho
Milena Soneley Mendonça Bezerra
Renata Cavalcanti Cauas
author_facet Daniela de Almeida Figueiras
Ticiana Batista Ramos
Ayana Karla de Oliveira Ferreira Marinho
Milena Soneley Mendonça Bezerra
Renata Cavalcanti Cauas
author_sort Daniela de Almeida Figueiras
collection DOAJ
description Abstract This paper describes the association of two unusual side effects of treatment with isotretinoin for severe acne: paronychia and excess granulation tissue in the nails furrows. We report a case of male patient aged 19 years, who in the course of the 36th week of treatment with isotretinoin for acne grade III showed erythema, edema, excess granulation tissue and onychocryptosis in various nail beds of hands and feet, with no history of trauma associated. A literature review revealed few reports of these adverse events, and two clinical patterns of exuberant granulation tissue has been described: one in periungual location and other in lesions of previous acne. The rarity and lack of knowledge on the best treatment for granuloma-like reactions make this theme a considerable challenge.
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spelling doaj.art-3e06843308b8401788e4a0adc8ef35d42022-12-22T04:13:10ZengSociedade Brasileira de DermatologiaAnais Brasileiros de Dermatologia0365-05962016-04-0191222322510.1590/abd1806-4841.20163817Paronychia and granulation tissue formation during treatment with isotretinoinDaniela de Almeida FigueirasTiciana Batista RamosAyana Karla de Oliveira Ferreira MarinhoMilena Soneley Mendonça BezerraRenata Cavalcanti CauasAbstract This paper describes the association of two unusual side effects of treatment with isotretinoin for severe acne: paronychia and excess granulation tissue in the nails furrows. We report a case of male patient aged 19 years, who in the course of the 36th week of treatment with isotretinoin for acne grade III showed erythema, edema, excess granulation tissue and onychocryptosis in various nail beds of hands and feet, with no history of trauma associated. A literature review revealed few reports of these adverse events, and two clinical patterns of exuberant granulation tissue has been described: one in periungual location and other in lesions of previous acne. The rarity and lack of knowledge on the best treatment for granuloma-like reactions make this theme a considerable challenge.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000200223&tlng=enParonychiaGranulation tissueRetinoids
spellingShingle Daniela de Almeida Figueiras
Ticiana Batista Ramos
Ayana Karla de Oliveira Ferreira Marinho
Milena Soneley Mendonça Bezerra
Renata Cavalcanti Cauas
Paronychia and granulation tissue formation during treatment with isotretinoin
Anais Brasileiros de Dermatologia
Paronychia
Granulation tissue
Retinoids
title Paronychia and granulation tissue formation during treatment with isotretinoin
title_full Paronychia and granulation tissue formation during treatment with isotretinoin
title_fullStr Paronychia and granulation tissue formation during treatment with isotretinoin
title_full_unstemmed Paronychia and granulation tissue formation during treatment with isotretinoin
title_short Paronychia and granulation tissue formation during treatment with isotretinoin
title_sort paronychia and granulation tissue formation during treatment with isotretinoin
topic Paronychia
Granulation tissue
Retinoids
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0365-05962016000200223&tlng=en
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AT milenasoneleymendoncabezerra paronychiaandgranulationtissueformationduringtreatmentwithisotretinoin
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