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Apremilast for acquired reactive perforating collagenosis with metabolic and infectious comorbidities: a case report
Fujun Huang1,2, Lei Tang1,3, Mengya Huang1
1Department of Cosmetic Dermatology, Chongqing Traditional Chinese Medicine Hospital, Chongqing, China.
Abstract:
Acquired reactive perforating collagenosis (ARPC) is a rare disorder characterized by transepidermal expulsion of altered collagen, for which no standardized treatment is available. We present a case of a 67-year-old man with ARPC and significant comorbidities, including type 2 diabetes mellitus (T2DM), chronic hepatitis B (CHB), and impaired pulmonary function, who achieved rapid and substantial improvement in cutaneous lesions and pruritus after treatment with oral apremilast therapy. Notably, his comorbid conditions remained stable, and the clinical improvement persisted even after a seven-month drug-free follow-up period. This case highlights apremilast as a potentially effective and safe treatment option for ARPC, especially in patients unsuitable for conventional immunosuppressive therapy.
Insights
Acquired reactive perforating collagenosis (ARPC) treatment with apremilast showed rapid symptom improvement. This therapy offers a safe option for patients unable to use standard immunosuppressants, with lasting effects.
Area of Science:
- Dermatology
- Immunology
- Pharmacology
Background:
- Acquired reactive perforating collagenosis (ARPC) is a rare skin disorder with no established treatment.
- Patients often have comorbidities like diabetes, increasing treatment challenges.
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