A case of reticular erythematous mucinosis successfully treated with topical and oral steroids

Risa Nakaie, Takeshi Nakahara, Makiko Nakahara, Hiroshi Uchi, Hiroshi Tsukamoto, Masutaka Furue

研究成果: Contribution to journalArticle査読

抄録

A 65-year-old Japanese woman with an eight-month history of reticular macular erythema on the midlines of her back and chest was referred to our hospital. She had a history of MALT lymphoma and Takayasu arteritis, and had been treated with oral prednisolone (5 mg/day) for Takayasu arteritis. Histopathological examination of a biopsy from the erythema revealed perivascular lymphocytic infiltrates and mucin deposition in the superficial dermis. Based on the clinical and histopathological findings, a diagnosis of reticular erythematous mucinosis (REM) was made. Antimalarial agents are known to be effective in the treatment of REM, but antimalarial agents were not approved in Japan at the time. Thus, although topical and oral steroids are generally not effective against REM, we administered topical betamethasone butyrate propionate to the lesions. Soon after the administration of the topical steroid, the lesions improved gradually. Two months after the administration, oral prednisolone was increased to 10 mg/day, and the lesions almost completely cleared.

本文言語英語
ページ(範囲)140-143
ページ数4
ジャーナルNishinihon Journal of Dermatology
79
2
DOI
出版ステータス出版済み - 2017

All Science Journal Classification (ASJC) codes

  • 皮膚病学

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