Pruritic Vesicular Eruption on the Lower Legs in a Diabetic Female
| Autor: | Hamda Al Ansari, Hussein Al Sada, Khaled Mansour, Sharifa Al Dosari, Samya Abu Shaikha, Hassan Riad, Haya Al Mannai |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2013 |
| Předmět: |
Pathology
medicine.medical_specialty biology medicine.diagnostic_test business.industry Mucin Case Report Dermatology lcsh:RL1-803 medicine.disease Immunoglobulin E Hypochromic anemia medicine.anatomical_structure Dermis Biopsy medicine biology.protein lcsh:Dermatology Antibody business Pathological Direct fluorescent antibody |
| Zdroj: | Case Reports in Dermatological Medicine, Vol 2013 (2013) Case Reports in Dermatological Medicine |
| ISSN: | 2090-6471 2090-6463 |
| Popis: | A 50-year-old diabetic female presented with highly pruritic vesicles and excoriated lesions over the anterior aspect of both lower legs. The lesions were recurrent over the last two years. She received a lot of medications with partial response. Hb A1c was 10.8% (normal up to 7%). CBC showed microcytic, hypochromic anemia. Serum zinc, folate, IgE, TSH and T4 were all within normal ranges. Biopsy showed epidermal separation secondary to keratinocyte necrosis and minimal monocytic, perivascular infiltrate. Direct immunofluorescence was negative for intraepidermal and subepidremal deposition of immunoglobulin. The dermis was positive for mucin deposition stainable by both PAS and Alcian blue while it was negative for Congo red and APC immunoperoxidase staining for amyloid material. In conclusion, the case was diagnosed as bullosis diabeticorum by distinctive clinical and pathological features and after exclusion of other possible differentials. Pruritus was partially controlled by topical potent steroid and the case was resolved spontaneously after eight months. |
| Databáze: | OpenAIRE |
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