Medina CDE, Hierro OS

Language: Spanish
References: 23
Page: 93-99
PDF size: 216.50 Kb.

ABSTRACT

Auto-sensitization or auto-eczematization is a phenomenon in which secondary acute dermatitis lesions develop with erythema or eczema in locations other than the primary inflammatory focus. The reaction patterns vary from a generalized morbilliform erythematous rash and in other cases urticaria-like eruption, papular and petechial dermatosis, followed by an acute episode of stasis dermatitis or others. We present six clinical cases with auto-sensitization secondary to stasis dermatitis in three female patients, one male patient, and two young patients with a history of irritant contact dermatitis. Epicutaneous tests were performed in all patients except one, who did not attend the appointment. The clinical auto-sensitization patterns found were the papular, maculopapular and urticaria-like. In all cases there was clinical improvement using: drying powders or topical and systemic steroids according to the clinical situation and comorbidities.

REFERENCES

1. Belsito D, Dermatitis por autosensibilización. En Wolff K, Goldsmith LA, Katz SI, Gilchrest BA, Palle AS y Leffell DJ, Fitzpatrick’s dermatology in general medicine, 7th ed., Nueva York, McGraw-Hill, 2008, pp. 1638-40.

2. Lowther C, Miedler JD y Cockerell CJ, Id-like reaction to bcg therapy for bladder cancer, Cutis 2013; 91:145-51.

3. Morrison JG y Fourie ED, The papulonecrotic tuberculide. From Arthus reaction to lupus vulgaris, Br J Dermatol 1974; 91:263-70.

4. Al Aboud K, Al Hawsawi K y Alfadley A, Tinea incognito on the hand causing a facial dermatophytid reaction, Acta Derm Venereol 2003; 83:59.

5. Gorgievska-Sukarovska B, Skerlev M, Žele-Starčević L, Husar K y Halasz M, Kerion celsi due to microsporum canis with a dermatophytid reaction, Acta Dermatovenerol Croat 2017; 25:151-4.

6. Crum N, Hardaway C y Graham B, Development of an idlike reaction during treatment for acute pulmonary histoplasmosis: a new cutaneous manifestation in histoplasmosis, J Am Acad Dermatol 2003; 48(2 Suppl):S5-6.

7. Connor CJ, Selby JC y Wanat KA, Severe pediculosis capitus: a case of “crusted lice” with autoeczematization, Dermatology Online Journal 2016; 22(3):6.

8. Takci Z, Tekn Ö y Ays, e SK, A pediculid case: autosensitization dermatitis caused by pediculosis capitis, Turkiye Parazitol Derg 2012; 36:185-7.

9. Lian J, Dundas G, Tron V, Lauzon G y Roa W, Radiotherapy-induced id reaction, Am J Clin Oncol 2005; 28:105-6.

10. Chao SC, Lee YP y Lee JY, Eosinophilic cellulitis and panniculitis with generalized vesicular pustular id reaction after a molten aluminum burn, Dermatitis 2010; 21:E11-5.

11. Hudghes M, Pratt M. Allergic Contact Dermatitis and Autoeczematization to Proctosedyl® cream and Proctomyxin® cream. Case Rep. Dermatol 2018; 10:238-46.

12. Mitchell J y Maibach HI, Managing the excited skin syndrome: patch testing hiperirritable skin, Contact Dermatitis 1997; 37:193-9.

13. Sundaresan S, Migden MR y Silapunt S, Stasis dermatitis: pathophysiology, evaluation, and management, Am J Clin Dermatol 2017; 18(3):383-90.

14. Nedorost S, White S, Rowland DY, Bednarchik B, Flocke S, Carman TL, Karpinski L y Shi Y, Development and implementation of an order set to improve set to improve value of care for patients with severe stasis dermatitis, J Am Acad Dermatol 2019; 80:815-7.

15. Haxthausen H, Generalized “ids” (“autosensitization”) in varicose eczema, Acta Derm Venereol 1955; 35:271.

16. Cormia FE y Esplin BM, Autoeczematization, Arch of Dermatol and Syphilol 1951; 1:931-43.

17. Cunningham MJ, Zone JJ, Petersen MJ y Green JA, Circulating activated (dr-positive) t lymphocytes in a patient with autoeczematization, J Am Acad Dermatol 1986; 14:1039-41.

18. Kasteler JS, Petersen MJ, Vance JE y Zone JJ, Circulating activated t lymphocytes in autoeczematization, Arch Dermatol 1992; 128:795-8.

19. Ansel J, Perry P, Brown J, Damm D, Phan T, Hart C, Luger T y Hefeneider S, Cytokine modulation of keratinocyte cytokines, J Invest Dermatol 1990; 94(6 Suppl):101S-107S.

20. Kupper TS, The activated keratinocyte: a model for inducible cytokine production by non-bone marrow-derived cells in cutaneous inflammatory and immune responses, J Invest Dermatol 1990; 94(6 Suppl):146S-150S.

21. González-Amaro R, Baranda L, Abud-Mendoza C, Delgado SP y Moncada B, San Luis Potosi, Mexico. Autoeczematization is associated with abnormal immune recognition of autologous skin antigens, J Am Acad Dermatol 1993; 28:56-60.

22. Atzori L, Pau M y Aste M, Erythema multiforme id reaction in atypical dermatophytosis: a case report, J Eur Acad Dermatol Venereol 2003; 17(6):699-701.

23. Fritsch P y Reider N, Eczematous Group. En Bolognia JL, Jorizzo J y Rapini R (eds.), Dermatology, vol. 1, St. Louis, Mosby, 2003, pp. 221-2.