Scleromyxedema: Successful treatment with thalidomide in two patients

被引:23
作者
Amini-Adle, Mona [1 ]
Thieulent, Nadege [1 ]
Dalle, Stephane [1 ]
Balme, Brigitte [1 ]
Thomas, Luc [1 ]
机构
[1] Hop Hotel Dieu, Dept Dermatol, FR-69288 Lyon 02, France
关键词
scleromyxedema; thalidomide; TNF-alpha;
D O I
10.1159/000096914
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Background: Scleromyxedema is an unusual skin disease characterized by mucinous infiltration of the skin. There is no satisfactory treatment for this disorder. Case Report: We report 2 cases of scleromyxedema, both associated with an IgG-lambda paraprotein. Treatment with thalidomide was started and great improvement of the lesion was noted as shown by a quality of life questionnaire similar to those used in rheumatoid arthritis. TNF-lambda value was elevated in both cases during this treatment. Discussion: We hypothesize that the efficiency of thalidomide could be mediated by its costimulatory effect on T cytotoxic lymphocytes. Copyright (c) 2007 S. Karger AG, Basel.
引用
收藏
页码:58 / 60
页数:3
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