Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?

Detalhes bibliográficos
Autor(a) principal: Neves,J. M.
Data de Publicação: 2021
Outros Autores: Brasileiro,A., Mendes-Bastos,P.
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-23952021000200066
Resumo: ABSTRACT Palmoplantar pustulosis (PPP) is a chronic and relapsing disease of the palms and soles, which tends to be difficult to treat. Classically it was described as a subtype of psoriasis. Nowadays it is regarded as a separate entity, although plaque-type psoriasis affects concomitantly many patients with PPP. A link between allergic contact dermatitis (ACD) and PPP has been described, and the former may encompass a potential to perpetuate the latter. Hereby we report two cases of difficult to treat plantar pustulosis. Underneath the dermatosis’s refractive nature was an allergic sensitization to potassium dichromate and cobalt chloride. Leather shoes and leather insoles were commonly worn, and both allergens are employed by the leather industry. Clinical remission was achieved in both cases with allergen eviction. Patch testing must be considered in cases of PPP without response to treatment. If relevant sensitization is found, allergen eviction measures are mandatory.
id RCAP_d0d61515af449137371c4b005950f172
oai_identifier_str oai:scielo:S2182-23952021000200066
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?Dermatitis, Allergic ContactFoot DermatosesPatch TestsPotassium Dichromate/adverse effectsABSTRACT Palmoplantar pustulosis (PPP) is a chronic and relapsing disease of the palms and soles, which tends to be difficult to treat. Classically it was described as a subtype of psoriasis. Nowadays it is regarded as a separate entity, although plaque-type psoriasis affects concomitantly many patients with PPP. A link between allergic contact dermatitis (ACD) and PPP has been described, and the former may encompass a potential to perpetuate the latter. Hereby we report two cases of difficult to treat plantar pustulosis. Underneath the dermatosis’s refractive nature was an allergic sensitization to potassium dichromate and cobalt chloride. Leather shoes and leather insoles were commonly worn, and both allergens are employed by the leather industry. Clinical remission was achieved in both cases with allergen eviction. Patch testing must be considered in cases of PPP without response to treatment. If relevant sensitization is found, allergen eviction measures are mandatory.Sociedade Portuguesa de Dermatologia e Venereologia2021-06-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/reporttext/htmlhttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-23952021000200066Revista da Sociedade Portuguesa de Dermatologia e Venereologia v.79 n.2 2021reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttp://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-23952021000200066Neves,J. M.Brasileiro,A.Mendes-Bastos,P.info:eu-repo/semantics/openAccess2024-02-06T17:26:31Zoai:scielo:S2182-23952021000200066Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-20T02:31:37.583552Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?
title Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?
spellingShingle Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?
Neves,J. M.
Dermatitis, Allergic Contact
Foot Dermatoses
Patch Tests
Potassium Dichromate/adverse effects
title_short Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?
title_full Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?
title_fullStr Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?
title_full_unstemmed Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?
title_sort Recalcitrant Palmoplantar Pustulosis: Have You Considered Allergic Contact Dermatitis?
author Neves,J. M.
author_facet Neves,J. M.
Brasileiro,A.
Mendes-Bastos,P.
author_role author
author2 Brasileiro,A.
Mendes-Bastos,P.
author2_role author
author
dc.contributor.author.fl_str_mv Neves,J. M.
Brasileiro,A.
Mendes-Bastos,P.
dc.subject.por.fl_str_mv Dermatitis, Allergic Contact
Foot Dermatoses
Patch Tests
Potassium Dichromate/adverse effects
topic Dermatitis, Allergic Contact
Foot Dermatoses
Patch Tests
Potassium Dichromate/adverse effects
description ABSTRACT Palmoplantar pustulosis (PPP) is a chronic and relapsing disease of the palms and soles, which tends to be difficult to treat. Classically it was described as a subtype of psoriasis. Nowadays it is regarded as a separate entity, although plaque-type psoriasis affects concomitantly many patients with PPP. A link between allergic contact dermatitis (ACD) and PPP has been described, and the former may encompass a potential to perpetuate the latter. Hereby we report two cases of difficult to treat plantar pustulosis. Underneath the dermatosis’s refractive nature was an allergic sensitization to potassium dichromate and cobalt chloride. Leather shoes and leather insoles were commonly worn, and both allergens are employed by the leather industry. Clinical remission was achieved in both cases with allergen eviction. Patch testing must be considered in cases of PPP without response to treatment. If relevant sensitization is found, allergen eviction measures are mandatory.
publishDate 2021
dc.date.none.fl_str_mv 2021-06-01
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-23952021000200066
url http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-23952021000200066
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv http://scielo.pt/scielo.php?script=sci_arttext&pid=S2182-23952021000200066
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Portuguesa de Dermatologia e Venereologia
publisher.none.fl_str_mv Sociedade Portuguesa de Dermatologia e Venereologia
dc.source.none.fl_str_mv Revista da Sociedade Portuguesa de Dermatologia e Venereologia v.79 n.2 2021
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799137376988037120

Registros relacionados