Anjiyoödemi taklit eden ve asitretin tedavisine iyi yanıt veren atipik skleromiksödemli bir olgu
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Dosyalar
Tarih
2015
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Otuz yedi yaşındaki erkek hasta göz kapaklarında, kulaklarında, boyun ön ve yan yüzleri ile ensesinde şişlik ve hafif kaşıntı şikayeti ile polikliniğimize başvurdu. Dermatolojik muayenesinde göz kapaklarında ve kulaklarında soluk eritem ve ödem; yüz derisinde kabalaşma ve alın bölgesinde oluklanmalar saptandı. Hastanın öyküsünden yaklaşık iki aydır ürtiker-anjioödem tanıları ile sistemik kortikosteroid, antihistaminik ve adrenalin tedavilerinin verildiği fakat bu tedavilerden hiç fayda görmediği öğrenildi. Klinik, histopatolojik ve laboratuvar bulgularının ışığında hastaya monoklonal gamopatisiz atipik skleromiksödem tanısı konuldu. Hastaya asitretin (35 mg/gün) tedavisi başlandı. İki ay sonra lezyonlarda belirgin düzelme gözlendi
A 37-year-old male patient was admitted our clinic with the complaints of edema and mild pruritus of the eyelids, ears, and the neck. On dermatological examination, there were edema and pale erythema on the eyelids and ears as well as coarsening of the facial features and lines grooving the forehead. His medical history revealed that the patients received systemic corticosteroids, antihistamines and epinephrine treatments for about two months with the diagnosis of urticaria and angioedema, however, he did not benefit from these treatments. A diagnosis of atypical scleromyxedema without monoclonal gammopathy was established according to the clinical, histopathological and laboratory findings. Acitretin treatment with a dose of 35 mg/day was started. Marked regression in the lesions was observed two months later.
A 37-year-old male patient was admitted our clinic with the complaints of edema and mild pruritus of the eyelids, ears, and the neck. On dermatological examination, there were edema and pale erythema on the eyelids and ears as well as coarsening of the facial features and lines grooving the forehead. His medical history revealed that the patients received systemic corticosteroids, antihistamines and epinephrine treatments for about two months with the diagnosis of urticaria and angioedema, however, he did not benefit from these treatments. A diagnosis of atypical scleromyxedema without monoclonal gammopathy was established according to the clinical, histopathological and laboratory findings. Acitretin treatment with a dose of 35 mg/day was started. Marked regression in the lesions was observed two months later.
Açıklama
Anahtar Kelimeler
Dermatoloji
Kaynak
Türkderm-Deri Hastalıkları ve Frengi Arşivi
WoS Q Değeri
Scopus Q Değeri
Cilt
49
Sayı
1
