Acute Postinfectious Pityriasis Rubra Pilaris: A Superantigenmediated Dermatosis

Ferrándiz-Pulido, C.; Bartralot, R.; Bassas, P.; Bodet, D.; Repiso, T.; Aparicio, G.; Mollet, J.; Serra, M.; García-Patos, V.

doi:10.1016/S1578-2190(09)70153-2

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Zemelman, I. Sazunic, C. Morales, K. Palma, M. Vargas" "autores" => array:6 [ 0 => array:2 [ "nombre" => "F." "apellidos" => "Mardones" ] 1 => array:2 [ "nombre" => "V." "apellidos" => "Zemelman" ] 2 => array:2 [ "nombre" => "I." "apellidos" => "Sazunic" ] 3 => array:2 [ "nombre" => "C." "apellidos" => "Morales" ] 4 => array:2 [ "nombre" => "K." "apellidos" => "Palma" ] 5 => array:2 [ "nombre" => "M." 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"apellidos" => "Bartralot" ] 2 => array:2 [ "nombre" => "P." "apellidos" => "Bassas" ] 3 => array:2 [ "nombre" => "D." "apellidos" => "Bodet" ] 4 => array:2 [ "nombre" => "T." "apellidos" => "Repiso" ] 5 => array:2 [ "nombre" => "G." "apellidos" => "Aparicio" ] 6 => array:2 [ "nombre" => "J." "apellidos" => "Mollet" ] 7 => array:2 [ "nombre" => "M." "apellidos" => "Serra" ] 8 => array:2 [ "nombre" => "V." "apellidos" => "García-Patos" ] ] "afiliaciones" => array:1 [ 0 => array:1 [ "entidad" => "Servicio de Dermatología, Hospital Vall d’Hebron, Universidad Autónoma de Barcelona, Barcelona, Spain" ] ] "correspondencia" => array:1 [ 0 => array:3 [ "identificador" => "cor1" "etiqueta" => "⁎" "correspondencia" => "Correspondence: Hospital Vall d’Hebron, Paseo Vall d’Hebron, 119-129, 08035 Barcelona, Spain." ] ] ] ] "titulosAlternativos" => array:1 [ "es" => array:1 [ "titulo" => "Pitiriasis Rubra Pilaris Aguda Postinfecciosa: Una Dermatosis Mediada por Superantígenos" ] ] "pdfFichero" => "main.pdf" "tienePdf" => true "fechaAceptado" => "2009-01-23" "PalabrasClave" => array:2 [ "en" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Key words" "identificador" => "xpalclavsec84571" "palabras" => array:6 [ 0 => "pityriasis rubra pilaris" 1 => "erythroderma" 2 => "infection" 3 => "childhood" 4 => "juvenile" 5 => "superantigens" ] ] ] "es" => array:1 [ 0 => array:4 [ "clase" => "keyword" "titulo" => "Palabras clave" "identificador" => "xpalclavsec84572" "palabras" => array:6 [ 0 => "pitiriasis rubra pilaris" 1 => "eritrodermia" 2 => "infección" 3 => "infantil" 4 => "juvenil" 5 => "superantígenos" ] ] ] ] "tieneResumen" => true "resumen" => array:2 [ "en" => array:2 [ "titulo" => "Abstract" "resumen" => "Acute postinfectious pityriasis rubra pilaris (PRP) is a variant of juvenile PRP (Griffiths type III) characterized by no family history, an acute course associated with a prior fever, and good prognosis. Clinical features may resemble other superantigen-mediated diseases, such as scarlatiniform rash or staphylococcal scalded skin syndrome, but its histology and treatment are different. We present 4 cases of acute postinfectious PRP that illustrate the clinical features of this uncommon disease and we review possible underlying pathogenic mechanisms." ] "es" => array:2 [ "titulo" => "Resumen" "resumen" => "La pitiriasis rubra pilaris (PRP) aguda postinfecciosa es una variante de la forma juvenil de PRP (tipo III de Griffiths) caracterizada por la ausencia de antecedentes familiares, curso agudo relacionado con un episodio febril previo y buen pronóstico. Clínicamente puede simular otras enfermedades mediadas por superantígenos, como los exantemas escarlatiniformes o el síndrome de la escaldadura estafilocócica; sin embargo, su histología y tratamiento son distintos. Presentamos 4 casos de PRP aguda postinfecciosa que ilustran las características clínicas de este proceso infrecuente y revisamos los posibles mecanismos fisiopatogénicos subyacentes." ] ] "bibliografia" => array:2 [ "titulo" => "References" "seccion" => array:1 [ 0 => array:1 [ "bibliografiaReferencia" => array:15 [ 0 => array:3 [ "identificador" => "bib1" "etiqueta" => "1." "referencia" => array:1 [ 0 => array:2 [ "contribucion" => array:1 [ 0 => array:2 [ "titulo" => "(Juvenile) Pityriasis rubra pilaris" "autores" => array:1 [ 0 => array:2 [ "etal" => false "autores" => array:2 [ 0 => "V.N. Sehgal" 1 => "G. 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Actas Dermo-Sifiliográficas

ISSN: 0001-7310

Actas Dermo-Sifiliográficas es la publicación oficial de la Academia Española de Dermatología y Venereología (AEDV). Actas Dermo-Sifiliográficas, fundada en 1909, es la más antigua de las revistas médicas mensuales editadas en España. En el año 2006 ha sido indexada en la base de datos de Medline, y se ha convertido en uno de los vehículos de expresión de la medicina española más actuales y modernos. Todos los artículos son sometidos a un riguroso proceso de revisión por pares y a una cuidadosa corrección de estilo, tanto literario como científico. Junto a las clásicas secciones de Originales y Casos clínicos, destacan las Revisiones, Casos para el diagnóstico y Crítica de libros. En resumen, Actas Dermo-Sifiliográficas constituye una publicación imprescindible para quien necesite estar al día en todos los aspectos de la Dermatología española y mundial.

Con su JCI 2023, Actas Dermo-Sifiliográficas es Q1 y se posiciona la revista nº 15 de 94 en Dermatología

With JCI 2023, Actas Dermo-Sifiliográficas is Q1 and is ranked number 15 of 94 in Dermatology

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Acute postinfectious pityriasis rubra pilaris (PRP) is a variant of juvenile PRP (Griffiths type III) characterized by no family history, an acute course associated with a prior fever, and good prognosis. Clinical features may resemble other superantigen-mediated diseases, such as scarlatiniform rash or staphylococcal scalded skin syndrome, but its histology and treatment are different. We present 4 cases of acute postinfectious PRP that illustrate the clinical features of this uncommon disease and we review possible underlying pathogenic mechanisms.

Key words:

pityriasis rubra pilaris

erythroderma

infection

childhood

juvenile

superantigens

Resumen

La pitiriasis rubra pilaris (PRP) aguda postinfecciosa es una variante de la forma juvenil de PRP (tipo III de Griffiths) caracterizada por la ausencia de antecedentes familiares, curso agudo relacionado con un episodio febril previo y buen pronóstico. Clínicamente puede simular otras enfermedades mediadas por superantígenos, como los exantemas escarlatiniformes o el síndrome de la escaldadura estafilocócica; sin embargo, su histología y tratamiento son distintos. Presentamos 4 casos de PRP aguda postinfecciosa que ilustran las características clínicas de este proceso infrecuente y revisamos los posibles mecanismos fisiopatogénicos subyacentes.

Palabras clave:

pitiriasis rubra pilaris

eritrodermia

infección

infantil

juvenil

superantígenos

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