Maronese Carlo Alberto, Derlino Federica, Moltrasio Chiara, Cattaneo Daniele, Iurlo Alessandra, Marzano Angelo Valerio
Dermatology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.
Department of Pathophysiology and Transplantation, Università degli Studi di Milano, Milan, Italy.
Front Med (Lausanne). 2024 Jan 5;10:1324258. doi: 10.3389/fmed.2023.1324258. eCollection 2023.
Cutaneous manifestations of hematologic malignancy represent both a clinical challenge for the treating physician and a pathophysiological model for advancing the knowledge on individual neoplasms. Indeed, a growing body of evidence supports the concept of recurrent molecular defects associating with specific clinical features, as best exemplified by VEXAS. Herein neutrophilic and eosinophilic dermatoses of potential interest for both hematologists and dermatologists will be reviewed, including subcorneal pustular dermatosis-type IgA pemphigus, neutrophilic eccrine hidradenitis, Sweet's syndrome as well as myelodysplasia cutis and VEXAS, pyoderma gangrenosum, eosinophilic annular erythema, eosinophilic dermatosis of hematological malignancy, Wells syndrome and cutaneous involvement in hypereosinophilic syndromes. Possible management approaches are discussed for each, emphasizing scenarios that require treatment of the underlying condition to achieve remission at the skin level.
血液系统恶性肿瘤的皮肤表现对治疗医生来说既是一项临床挑战,也是推进对个体肿瘤认识的病理生理模型。事实上,越来越多的证据支持与特定临床特征相关的复发性分子缺陷这一概念,VEXAS就是最好的例证。本文将综述血液科医生和皮肤科医生可能感兴趣的嗜中性和嗜酸性皮肤病,包括角膜下脓疱性皮肤病型IgA天疱疮、嗜中性小汗腺汗管炎、Sweet综合征以及皮肤骨髓增生异常和VEXAS、坏疽性脓皮病、嗜酸性环状红斑、血液系统恶性肿瘤的嗜酸性皮肤病、Wells综合征和高嗜酸性粒细胞综合征的皮肤受累。针对每种情况讨论了可能的管理方法,重点强调需要治疗基础疾病以实现皮肤层面缓解的情况。