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A 39-year-old woman presented to the dermatology department in January 2022 with a 3-week history of a progressively enlarging and intensely pruritic erythematous annular nodule on her left hand. The lesion started as a small blister, which was initially presumed to be a flare up of her pompholyx dermatitis. On her physician's advice, she applied clobetasol propionate ointment twice daily for 5 days; however the blister continued to increase in size until it burst, revealing raw inflamed skin.

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Indeterminate cell histiocytosis is a rare proliferative histiocytic disease with an unknown aetiology, which shares immunophenotypic features of both Langerhans cells and macrophages. There is a relationship between indeterminate cell histiocytosis and cancer, while there are no reports about indeterminate cell histiocytosis and bullous pemphigoid. In this study, we reported the rare case of a patient with primary cutaneous indeterminate cell histiocytosis who had been diagnosed with oesophagal cancer and later developed bullous pemphigoid.

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Article Synopsis
  • - Pemphigus herpetiformis (PH) is a rare autoimmune skin condition that mostly affects adults, but it's extremely uncommon in young children, like the three-year-old girl in the case study.
  • - The child exhibited skin issues resembling other conditions, and a biopsy revealed several specific features, including inflammation and blisters.
  • - Treatment with clobetasol ointment and dapsone led to significant improvement in her symptoms, highlighting the need to recognize PH in pediatric cases and encouraging more research to understand it better.
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Article Synopsis
  • * The condition is characterized by itchy, blistering skin lesions, primarily affecting areas like the axilla and groin, due to IgA autoantibodies disrupting cell adhesion in the skin.
  • * The study presents a case where a 50-year-old male with severe IgA pemphigus had a poor response to Dapsone but was successfully treated with an injection of the TNFa inhibitor, adalimumab.
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Article Synopsis
  • Linear IgA bullous dermatosis (LABD) is a rare autoimmune skin condition characterized by blisters caused by IgA autoantibodies, and can resemble bullous pemphigoid (BP), which is due to IgG and IgE autoantibodies.
  • A case study of a 67-year-old woman with metastatic ovarian cancer showed new blistering skin lesions after she started immunotherapy, which were diagnosed as LABD based on skin biopsy results.
  • The patient’s condition did not improve with prednisone but significantly healed after starting dapsone, emphasizing the need for accurate diagnosis through histology and immunofluorescence to guide effective treatment without halting immunotherapy.
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