Development of psoriatic lesions during acute and convalescent phases of Kawasaki disease
: A 7‐month‐old infant developed a discrete pustular rash confined to both soles during the acute phase of Kawasaki disease. Histological examination of a pustular lesion from the sole of a foot showed subcorneal neutrophilic microabscesses, psoriasiform acanthosis with a thin granular layer and mo...
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| Veröffentlicht in: | Journal of paediatrics and child health 2003-04, Vol.39 (3), p.229-231 |
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| creator | Zvulunov, A Greenberg, D Cagnano, E Einhorn, M |
| description | : A 7‐month‐old infant developed a discrete pustular rash confined to both soles during the acute phase of Kawasaki disease. Histological examination of a pustular lesion from the sole of a foot showed subcorneal neutrophilic microabscesses, psoriasiform acanthosis with a thin granular layer and mononuclear perivascular infiltrates in the upper dermis, consistent with psoriasis. Following the standard treatment with intravenous gamma globulin, the initial symptoms and signs of Kawasaki disease resolved completely. Eight weeks later, psoriasiform plaques appeared on both cheeks and on the extensor surfaces of the forearms and legs. Skin biopsy from one of these lesions revealed psoriasiform epidermal hyperplasia, focal parakeratosis and dilated papillary capillaries. The patient was treated with mild‐potency topical steroids that resulted in rapid and complete resolution of the skin lesions. Concurrent association of psoriatic skin lesions and Kawasaki disease might not be incidental and could stem from a common pathogenetic mechanism induced by superantigens. |
| doi_str_mv | 10.1046/j.1440-1754.2003.00117.x |
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Histological examination of a pustular lesion from the sole of a foot showed subcorneal neutrophilic microabscesses, psoriasiform acanthosis with a thin granular layer and mononuclear perivascular infiltrates in the upper dermis, consistent with psoriasis. Following the standard treatment with intravenous gamma globulin, the initial symptoms and signs of Kawasaki disease resolved completely. Eight weeks later, psoriasiform plaques appeared on both cheeks and on the extensor surfaces of the forearms and legs. Skin biopsy from one of these lesions revealed psoriasiform epidermal hyperplasia, focal parakeratosis and dilated papillary capillaries. The patient was treated with mild‐potency topical steroids that resulted in rapid and complete resolution of the skin lesions. Concurrent association of psoriatic skin lesions and Kawasaki disease might not be incidental and could stem from a common pathogenetic mechanism induced by superantigens.</description><identifier>ISSN: 1034-4810</identifier><identifier>EISSN: 1440-1754</identifier><identifier>DOI: 10.1046/j.1440-1754.2003.00117.x</identifier><identifier>PMID: 12654150</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Science Pty</publisher><subject>Acute Disease ; Administration, Topical ; Biological and medical sciences ; Biopsy, Needle ; Blood and lymphatic vessels ; Cardiology. Vascular system ; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous ; Follow-Up Studies ; Foot Dermatoses - complications ; Foot Dermatoses - diagnosis ; Foot Dermatoses - drug therapy ; Humans ; Immunohistochemistry ; Infant ; Kawasaki disease ; Male ; Medical sciences ; Mucocutaneous Lymph Node Syndrome - complications ; Mucocutaneous Lymph Node Syndrome - diagnosis ; Psoriasis - complications ; Psoriasis - diagnosis ; Psoriasis - drug therapy ; pustular psoriasiform dermatitis ; Risk Assessment ; Severity of Illness Index ; Steroids - administration & dosage ; Treatment Outcome</subject><ispartof>Journal of paediatrics and child health, 2003-04, Vol.39 (3), p.229-231</ispartof><rights>2003 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3947-507d69092bef3a5e9eeeda92905a27350abfa401e159894881c87d4fc934828d3</citedby><cites>FETCH-LOGICAL-c3947-507d69092bef3a5e9eeeda92905a27350abfa401e159894881c87d4fc934828d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1046%2Fj.1440-1754.2003.00117.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1046%2Fj.1440-1754.2003.00117.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14676525$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12654150$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zvulunov, A</creatorcontrib><creatorcontrib>Greenberg, D</creatorcontrib><creatorcontrib>Cagnano, E</creatorcontrib><creatorcontrib>Einhorn, M</creatorcontrib><title>Development of psoriatic lesions during acute and convalescent phases of Kawasaki disease</title><title>Journal of paediatrics and child health</title><addtitle>J Paediatr Child Health</addtitle><description>: A 7‐month‐old infant developed a discrete pustular rash confined to both soles during the acute phase of Kawasaki disease. Histological examination of a pustular lesion from the sole of a foot showed subcorneal neutrophilic microabscesses, psoriasiform acanthosis with a thin granular layer and mononuclear perivascular infiltrates in the upper dermis, consistent with psoriasis. Following the standard treatment with intravenous gamma globulin, the initial symptoms and signs of Kawasaki disease resolved completely. Eight weeks later, psoriasiform plaques appeared on both cheeks and on the extensor surfaces of the forearms and legs. Skin biopsy from one of these lesions revealed psoriasiform epidermal hyperplasia, focal parakeratosis and dilated papillary capillaries. The patient was treated with mild‐potency topical steroids that resulted in rapid and complete resolution of the skin lesions. Concurrent association of psoriatic skin lesions and Kawasaki disease might not be incidental and could stem from a common pathogenetic mechanism induced by superantigens.</description><subject>Acute Disease</subject><subject>Administration, Topical</subject><subject>Biological and medical sciences</subject><subject>Biopsy, Needle</subject><subject>Blood and lymphatic vessels</subject><subject>Cardiology. Vascular system</subject><subject>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</subject><subject>Follow-Up Studies</subject><subject>Foot Dermatoses - complications</subject><subject>Foot Dermatoses - diagnosis</subject><subject>Foot Dermatoses - drug therapy</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Infant</subject><subject>Kawasaki disease</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Mucocutaneous Lymph Node Syndrome - complications</subject><subject>Mucocutaneous Lymph Node Syndrome - diagnosis</subject><subject>Psoriasis - complications</subject><subject>Psoriasis - diagnosis</subject><subject>Psoriasis - drug therapy</subject><subject>pustular psoriasiform dermatitis</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Steroids - administration & dosage</subject><subject>Treatment Outcome</subject><issn>1034-4810</issn><issn>1440-1754</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMuO1DAQRS0EYoaBX0DewC6h_IptiQ1q3owEC1iwsqqdCrhJJyHuzOPvcegWs2XlkuvcqtJhjAuoBejmxa4WWkMlrNG1BFA1gBC2vrnHzv817pcalK60E3DGHuW8AwBpjHvIzoRsjBYGztn313RF_TjtaTjwseNTHueEhxR5TzmNQ-btMqfhB8e4HIjj0PI4DldYunGNTD8xU16Tn_AaM_5KvE2Zyudj9qDDPtOT03vBvr1983Xzvrr8_O7D5tVlFZXXtjJg28aDl1vqFBryRNSilx4MSqsM4LZDDYKE8c5r50R0ttVd9Eo76Vp1wZ4f507z-HuhfAj7VG7rexxoXHKwSkjTNLaA7gjGecx5pi5Mc9rjfBsEhFVr2IXVXljthVVr-Ks13JTo09OOZbun9i548liAZycAc8S-m3GIKd9xurGNkaZwL4_cderp9r8PCB-_bEqh_gAC7JMC</recordid><startdate>200304</startdate><enddate>200304</enddate><creator>Zvulunov, A</creator><creator>Greenberg, D</creator><creator>Cagnano, E</creator><creator>Einhorn, M</creator><general>Blackwell Science Pty</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200304</creationdate><title>Development of psoriatic lesions during acute and convalescent phases of Kawasaki disease</title><author>Zvulunov, A ; Greenberg, D ; Cagnano, E ; Einhorn, M</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3947-507d69092bef3a5e9eeeda92905a27350abfa401e159894881c87d4fc934828d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Acute Disease</topic><topic>Administration, Topical</topic><topic>Biological and medical sciences</topic><topic>Biopsy, Needle</topic><topic>Blood and lymphatic vessels</topic><topic>Cardiology. Vascular system</topic><topic>Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous</topic><topic>Follow-Up Studies</topic><topic>Foot Dermatoses - complications</topic><topic>Foot Dermatoses - diagnosis</topic><topic>Foot Dermatoses - drug therapy</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Infant</topic><topic>Kawasaki disease</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Mucocutaneous Lymph Node Syndrome - complications</topic><topic>Mucocutaneous Lymph Node Syndrome - diagnosis</topic><topic>Psoriasis - complications</topic><topic>Psoriasis - diagnosis</topic><topic>Psoriasis - drug therapy</topic><topic>pustular psoriasiform dermatitis</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Steroids - administration & dosage</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zvulunov, A</creatorcontrib><creatorcontrib>Greenberg, D</creatorcontrib><creatorcontrib>Cagnano, E</creatorcontrib><creatorcontrib>Einhorn, M</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of paediatrics and child health</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zvulunov, A</au><au>Greenberg, D</au><au>Cagnano, E</au><au>Einhorn, M</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Development of psoriatic lesions during acute and convalescent phases of Kawasaki disease</atitle><jtitle>Journal of paediatrics and child health</jtitle><addtitle>J Paediatr Child Health</addtitle><date>2003-04</date><risdate>2003</risdate><volume>39</volume><issue>3</issue><spage>229</spage><epage>231</epage><pages>229-231</pages><issn>1034-4810</issn><eissn>1440-1754</eissn><abstract>: A 7‐month‐old infant developed a discrete pustular rash confined to both soles during the acute phase of Kawasaki disease. Histological examination of a pustular lesion from the sole of a foot showed subcorneal neutrophilic microabscesses, psoriasiform acanthosis with a thin granular layer and mononuclear perivascular infiltrates in the upper dermis, consistent with psoriasis. Following the standard treatment with intravenous gamma globulin, the initial symptoms and signs of Kawasaki disease resolved completely. Eight weeks later, psoriasiform plaques appeared on both cheeks and on the extensor surfaces of the forearms and legs. Skin biopsy from one of these lesions revealed psoriasiform epidermal hyperplasia, focal parakeratosis and dilated papillary capillaries. The patient was treated with mild‐potency topical steroids that resulted in rapid and complete resolution of the skin lesions. Concurrent association of psoriatic skin lesions and Kawasaki disease might not be incidental and could stem from a common pathogenetic mechanism induced by superantigens.</abstract><cop>Oxford, UK</cop><pub>Blackwell Science Pty</pub><pmid>12654150</pmid><doi>10.1046/j.1440-1754.2003.00117.x</doi><tpages>3</tpages></addata></record> |
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| subjects | Acute Disease Administration, Topical Biological and medical sciences Biopsy, Needle Blood and lymphatic vessels Cardiology. Vascular system Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous Follow-Up Studies Foot Dermatoses - complications Foot Dermatoses - diagnosis Foot Dermatoses - drug therapy Humans Immunohistochemistry Infant Kawasaki disease Male Medical sciences Mucocutaneous Lymph Node Syndrome - complications Mucocutaneous Lymph Node Syndrome - diagnosis Psoriasis - complications Psoriasis - diagnosis Psoriasis - drug therapy pustular psoriasiform dermatitis Risk Assessment Severity of Illness Index Steroids - administration & dosage Treatment Outcome |
| title | Development of psoriatic lesions during acute and convalescent phases of Kawasaki disease |
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