Jardim Márcio Martins Lobo, Diniz Ticiana Andrade Castelo Branco, Cunha Thaís Amaral Carneiro, Valente Neusa Yurico Sakai
Department of Dermatology. Hospital do Servidor Público Estadual de São Paulo - São Paulo (SP), Brazil.
An Bras Dermatol. 2018 Jan-Feb;93(1):116-118. doi: 10.1590/abd1806-4841.20186576.
Subcorneal pustular dermatosis is a rare pustular eruption which occurs mainly in middle-aged women and rarely during childhood. We report a case of a 15-year-old female with a 4-year history of pustular lesions on the proximal region of the upper limbs with subsequent impairment of the trunk. Physical examination revealed small pustules distributed on the trunk and proximal region of the limbs. Histopathology showed a subcorneal pustule and direct immunofluorescence for IgA, IgM, IgG and fibrinogen was negative, confirming the diagnosis of subcorneal pustular dermatosis. The patient was treated with dapsone with good clinical response after one month. Subcorneal pustular dermatosis is a rare condition and there are only isolated cases reported in the literature in pediatric patients. Thus, we discuss the main clinical aspects and treatment response of this condition during childhood.
角层下脓疱性皮肤病是一种罕见的脓疱性皮疹,主要发生于中年女性,儿童期罕见。我们报告一例15岁女性,上肢近端有脓疱性皮损4年,随后累及躯干。体格检查发现躯干和四肢近端有小脓疱。组织病理学显示角层下脓疱,IgA、IgM、IgG和纤维蛋白原的直接免疫荧光检查为阴性,确诊为角层下脓疱性皮肤病。患者接受氨苯砜治疗,1个月后临床反应良好。角层下脓疱性皮肤病是一种罕见疾病,文献中仅有小儿患者的个别病例报道。因此,我们讨论了儿童期该病的主要临床特点及治疗反应。