Document Detail


Localized syringolymphoid hyperplasia with alopecia and anhidrosis.
MedLine Citation:
PMID:  11423848     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We describe a female patient with a localized form of syringolymphoid hyperplasia with alopecia and anhidrosis (SLHA). This woman is the eleventh patient with this disease so far reported in the literature. She suffered from a slowly but continuously progressing single lesion on her right ankle. It took 7 years until the diagnosis of SLHA could be established. Many divergent diagnoses were assumed and different treatments were performed during this time. The final diagnosis was established by histopathology revealing syringotropic T-cell infiltrates. Clinical features were scattered brownish papules, which formed a sharply demarcated erythematous patch lacking hairs and sweat production. The progressive course of the disease and the unresponsiveness to treatments support the current view that SLHA is a syringotropic variant of mucinosis follicularis and therefore should be viewed as a facultative precursor lesion of mycosis fungoides. In our patient, during a 7-year follow-up, no T-cell lymphoma occurred. This case emphasizes the difficulties of establishing the diagnosis of SLHA, which requires cooperation between the dermatologist and dermatopathologist.
Authors:
A Haller; E Elzubi; P Petzelbauer
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of the American Academy of Dermatology     Volume:  45     ISSN:  0190-9622     ISO Abbreviation:  J. Am. Acad. Dermatol.     Publication Date:  2001 Jul 
Date Detail:
Created Date:  2001-06-25     Completed Date:  2001-07-26     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  7907132     Medline TA:  J Am Acad Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  127-30     Citation Subset:  IM    
Affiliation:
Department of Dermatology, Division of General Dermatology, University of Vienna Medical School, Austria.
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MeSH Terms
Descriptor/Qualifier:
Adult
Alopecia / etiology*
Ankle / pathology
Disease Progression
Female
Humans
Hyperplasia
Hypohidrosis / etiology*
Lymphoma, T-Cell, Cutaneous / complications,  pathology*
Skin Neoplasms / complications,  pathology*
Syndrome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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