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Published on: February 9, 2011
Childhood pustular psoriasis associated with Panton-Valentine leukocidin-producing Staphylococcus aureus
Guillaume Pouessel1, Hubert Ythier, Olivier Carpentier
1Department of Paediatrics, Victor Provo Hospital, Roubaix, France. guillaume.pouessel@ch-roubaix.fr
Insights
This study links generalized pustular psoriasis to Staphylococcus aureus producing Panton-Valentine leukocidin in a child and their family. It highlights a novel bacterial toxin association with this severe skin condition.
Area of Science:
- Dermatology
- Infectious Diseases
- Microbiology
Background:
- Generalized pustular psoriasis is a severe inflammatory skin condition with various potential triggers.
- Staphylococcus aureus infections are common, but their specific role in generalized pustular psoriasis requires further investigation.
Observation:
- A 5-year-old child presented with generalized pustular psoriasis.
- The child was infected with Staphylococcus aureus that produced Panton-Valentine leukocidin (PVL).
- Three family members also had skin lesions and carried the same PVL-producing S. aureus strain.
Findings:
- This is the first report associating Panton-Valentine leukocidin-producing Staphylococcus aureus with generalized pustular psoriasis.
- The presence of the same bacterial strain in multiple family members suggests potential transmission and a role in cutaneous manifestations.
Implications:
- The findings suggest a potential causal link between PVL-producing S. aureus and generalized pustular psoriasis.
- This association may open new avenues for understanding and treating severe skin conditions.
- Further research is warranted to elucidate the pathogenic mechanisms of PVL in skin inflammation.
Abstract:
We report the association of a generalized pustular psoriasis and infection by Staphylococcus aureus which produced Panton-Valentine leukocidin in a 5-year-old child. Another S. aureus strain with the same toxin gene content was also isolated among three family members presenting with cutaneous lesions. Although a methicillin-resistant staphylococcal strain has been reported in association with pustular psoriasis, this is the first report of a Panton-Valentine leukocidin strain associated with generalized pustular psoriasis. The causal relationship between S. aureus produced Panton-Valentine leukocidin and skin lesions is discussed.
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