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Papular mucinosis associated with scleroderma

Y Sawada1, M Seishima, M Funabashi

  • 1Department of Dermatology, Gifu University School of Medicine, Tsukasamachi 40, Gifu 500-8705, Japan.

European Journal of Dermatology : EJD
|December 17, 1998
PubMed
Summary
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This study suggests that scleroderma manifestations can occur in some patients with papular mucinosis. Treatment with prostaglandin E1 derivatives showed positive results in managing symptoms like hand papules and Raynaud

Area of Science:

  • Dermatology
  • Rheumatology
  • Immunology

Background:

  • Limited cutaneous scleroderma is an autoimmune condition affecting the skin.
  • Papular mucinosis is a skin condition characterized by small, raised papules.
  • The co-occurrence of these conditions is not well-documented.

Observation:

  • A 49-year-old Japanese woman presented with limited cutaneous scleroderma and papular mucinosis.
  • Papular mucinosis manifested as asymptomatic, skin-colored papules on the dorsal hands.
  • Histopathology revealed hyaluronic acid deposition and dermal sclerosis in the papules.

Findings:

  • The patient had a positive speckled antinuclear antibody test.
  • Intravenous prostaglandin E1 derivatives reduced papule size, sclerodactyly, and Raynaud's phenomenon severity.

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  • These findings indicate a potential link between scleroderma and papular mucinosis.
  • Implications:

    • Scleroderma may present with papular mucinosis in some individuals.
    • Prostaglandin E1 derivatives may be a viable treatment option for such cases.
    • Further research is needed to understand the relationship between these conditions.