Resistant pityriasis lichenoides et varioliformis acuta in a 3-year-old boy: successful treatment with methotrexate.
Τίτλος | Resistant pityriasis lichenoides et varioliformis acuta in a 3-year-old boy: successful treatment with methotrexate. |
Publication Type | Journal Article |
Year of Publication | 2010 |
Authors | Lazaridou, E., Fotiadou C., Tsorova C., Trachana M., Trigoni A., Patsatsi A., & Ioannides D. |
Journal | Int J Dermatol |
Volume | 49 |
Issue | 2 |
Pagination | 215-7 |
Date Published | 2010 Feb |
ISSN | 1365-4632 |
Λέξεις κλειδιά | Biopsy, Needle, Child, Preschool, Dose-Response Relationship, Drug, Drug Administration Schedule, Drug Therapy, Combination, Follow-Up Studies, Humans, Immunohistochemistry, Male, Methotrexate, Pityriasis Lichenoides, Prednisolone, Risk Assessment, Severity of Illness Index, Time Factors, Treatment Outcome |
Abstract | Pityriasis lichenoides et varioliformis acuta (PLEVA) represents the acute clinical subtype of pityriasis lichenoides (PL) and its occurrence is relatively common during childhood. Diagnosis and treatment may sometimes pose certain difficulties. We present the recalcitrant case of a 3-year-old boy with an asymptomatic polymorphic eruption consisting of multiple, scattered, 0.5 cm, round to ovoid, erythematous papules covered in places with a fine scale, vesicles and superficial erosions with thick hemorrhagic crusts. The correlation of the clinical features with the lesional histopathology favored the diagnosis of PLEVA. No first-line treatment scheme succeeded in controlling the eruption of new lesions. The only therapeutic approach that eventually managed to cease the disease evolution was the combination of prednisolone and methotrexate. |
DOI | 10.1111/j.1365-4632.2009.04325.x |
Alternate Journal | Int. J. Dermatol. |
PubMed ID | 20465649 |