Author's Reply
Identifieur interne : 002707 ( Pmc/Corpus ); précédent : 002706; suivant : 002708Author's Reply
Auteurs : Brian S. Hoyt ; Philip R. CohenSource :
- Indian Journal of Dermatology [ 0019-5154 ] ; 2014.
Url:
PubMed: 24891671
PubMed Central: 4037961
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Author's Reply</title><author><name sortKey="Hoyt, Brian S" sort="Hoyt, Brian S" uniqKey="Hoyt B" first="Brian S" last="Hoyt">Brian S. Hoyt</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Cohen, Philip R" sort="Cohen, Philip R" uniqKey="Cohen P" first="Philip R" last="Cohen">Philip R. Cohen</name><affiliation><nlm:aff id="aff2"><italic>Department of Dermatology, University of California San Diego, San Diego, California, United States. E-mail:<email xlink:href="mitehead@gmail.com">mitehead@gmail.com</email></italic></nlm:aff></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24891671</idno><idno type="pmc">4037961</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4037961</idno><idno type="RBID">PMC:4037961</idno><date when="2014">2014</date><idno type="wicri:Area/Pmc/Corpus">002707</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">002707</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Author's Reply</title><author><name sortKey="Hoyt, Brian S" sort="Hoyt, Brian S" uniqKey="Hoyt B" first="Brian S" last="Hoyt">Brian S. Hoyt</name><affiliation><nlm:aff id="aff1"></nlm:aff></affiliation></author><author><name sortKey="Cohen, Philip R" sort="Cohen, Philip R" uniqKey="Cohen P" first="Philip R" last="Cohen">Philip R. Cohen</name><affiliation><nlm:aff id="aff2"><italic>Department of Dermatology, University of California San Diego, San Diego, California, United States. E-mail:<email xlink:href="mitehead@gmail.com">mitehead@gmail.com</email></italic></nlm:aff></affiliation></author></analytic><series><title level="j">Indian Journal of Dermatology</title><idno type="ISSN">0019-5154</idno><idno type="eISSN">1998-3611</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Hoyt, Bs" uniqKey="Hoyt B">BS Hoyt</name></author><author><name sortKey="Cohen, Pr" uniqKey="Cohen P">PR Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ruocco, E" uniqKey="Ruocco E">E Ruocco</name></author><author><name sortKey="Caccavale, S" uniqKey="Caccavale S">S Caccavale</name></author><author><name sortKey="Siano, M" uniqKey="Siano M">M Siano</name></author><author><name sortKey="Schiavo, Al" uniqKey="Schiavo A">AL Schiavo</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Serrano Ortega, S" uniqKey="Serrano Ortega S">S Serrano-Ortega</name></author><author><name sortKey="Buendia Eisman, A" uniqKey="Buendia Eisman A">A Buendia-Eisman</name></author><author><name sortKey="Ortega Del Olmo, Rm" uniqKey="Ortega Del Olmo R">RM Ortega del Olmo</name></author><author><name sortKey="Linares, Solano J" uniqKey="Linares S">Solano J Linares</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Chodkiewicz, Hm" uniqKey="Chodkiewicz H">HM Chodkiewicz</name></author><author><name sortKey="Cohen, Pr" uniqKey="Cohen P">PR Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Cohen, Pr" uniqKey="Cohen P">PR Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Schepp, Ed" uniqKey="Schepp E">ED Schepp</name></author><author><name sortKey="Cohen, Pr" uniqKey="Cohen P">PR Cohen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ruocco, V" uniqKey="Ruocco V">V Ruocco</name></author><author><name sortKey="Brunetti, G" uniqKey="Brunetti G">G Brunetti</name></author><author><name sortKey="Puca, Rv" uniqKey="Puca R">RV Puca</name></author><author><name sortKey="Ruocco, E" uniqKey="Ruocco E">E Ruocco</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="reply"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Indian J Dermatol</journal-id><journal-id journal-id-type="iso-abbrev">Indian J Dermatol</journal-id><journal-id journal-id-type="publisher-id">IJD</journal-id><journal-title-group><journal-title>Indian Journal of Dermatology</journal-title></journal-title-group><issn pub-type="ppub">0019-5154</issn><issn pub-type="epub">1998-3611</issn><publisher><publisher-name>Medknow Publications & Media Pvt Ltd</publisher-name><publisher-loc>India</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24891671</article-id><article-id pub-id-type="pmc">4037961</article-id><article-id pub-id-type="publisher-id">IJD-59-304a</article-id><article-categories><subj-group subj-group-type="heading"><subject>Correspondence</subject></subj-group></article-categories><title-group><article-title>Author's Reply</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Hoyt</surname><given-names>Brian S</given-names></name><xref ref-type="aff" rid="aff1"></xref></contrib><contrib contrib-type="author"><name><surname>Cohen</surname><given-names>Philip R</given-names></name><xref ref-type="aff" rid="aff2">1</xref></contrib></contrib-group><aff id="aff1"><italic>From the Department of Dermatology, University of Texas Medical School at Houston, Houston, Texas, United States</italic></aff><aff id="aff2"><label>1</label><italic>Department of Dermatology, University of California San Diego, San Diego, California, United States. E-mail:<email xlink:href="mitehead@gmail.com">mitehead@gmail.com</email></italic></aff><pub-date pub-type="ppub"><season>May-Jun</season><year>2014</year></pub-date><volume>59</volume><issue>3</issue><fpage seq="a">304</fpage><lpage>304</lpage><permissions><copyright-statement>Copyright: © Indian Journal of Dermatology</copyright-statement><copyright-year>2014</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc-sa/3.0"><license-p>This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><related-article related-article-type="letter" id="d35e75" vol="59" page="302" issue="3" ext-link-type="pmc"><article-title>Radiation Port Cutaneous Metastases: A Further Example of Immunocompromised District</article-title></related-article></article-meta></front><body><p>Sir,</p><p>We appreciate the erudite and insightful contribution of the authors regarding our manuscript on cutaneous metastases within a radiation port.[<xref rid="ref1" ref-type="bibr">1</xref><xref rid="ref2" ref-type="bibr">2</xref>] Furthermore, we concur with the excellent and relevant examples that were provided. Indeed, a variety of insults to the skin, including surgical scars, can result in a localized immunocompromised district.[<xref rid="ref3" ref-type="bibr">3</xref>]</p><p>In addition, we have noticed and acknowledged the immunocompromised district in three additional settings. A 75-year-old man underwent stereotactic radiation therapy for treatment of his non-small-cell lung cancer. He developed radiodermatitis which subsequently resolved completely. However, 3 months after completing his radiotherapy the patient developed biopsy-confirmed erythema multiforme localized within his radiation port. The lesions resolved with topical corticosteroids.[<xref rid="ref4" ref-type="bibr">4</xref>]</p><p>Graft-versus-host disease can also present within an immunocompromised district. A 74-year-old man with mantle cell lymphoma developed sclerotic cutaneous graft-versus-host disease following a second allogenic stem cell transplant. Interestingly, the sclerotic skin changes were localized to the waistband area. We suspect that the repeated physical trauma, pressure, and friction from the patient's pants and belt created an immunocompromised district, thus predisposing that area to the subsequent development of graft-versus-host disease.[<xref rid="ref5" ref-type="bibr">5</xref>]</p><p>Two patients were noted to have zosteriform <italic>Staphylococcus aureus</italic> infections localized to a distinct dermatome (T11-12 and T4, respectively). The presentation of <italic>Staphylococcus aureus</italic> in a dermatomal distribution had not been previously reported, and we suspect that these patients may have previously experienced subclinical herpetic infection. Thus, the dermatomal presentation of <italic>S. aureus</italic> would represent an example of Wolf's isotopic response. Alternatively, the lesions could in fact be following the lines of Blaschko, representing a congenital susceptibility to infection.[<xref rid="ref6" ref-type="bibr">6</xref>]</p><p>In conclusion, as the authors mentioned, physical injuries such as surgical scars,[<xref rid="ref3" ref-type="bibr">3</xref>] as well as repeated friction or trauma,[<xref rid="ref4" ref-type="bibr">4</xref>] ionizing radiation,[<xref rid="ref5" ref-type="bibr">5</xref>] or burns,[<xref rid="ref7" ref-type="bibr">7</xref>] can produce an immunocompromised district. Localized immunocompromised districts can also result from chronic lymphedema, herpetic infections, and vaccinations.[<xref rid="ref6" ref-type="bibr">6</xref><xref rid="ref7" ref-type="bibr">7</xref>] Therefore, in summary, a wide variety of cutaneous insults can produce localized immune dysregulation by affecting both lymphatic flow and neuromediator signaling. This can result in a blunted or heightened immune response.[<xref rid="ref7" ref-type="bibr">7</xref>] Subsequently, dermatologic conditions, skin infections, or neoplasms (primary or metastatic) can occur in the cutaneous immunocompromised district.</p></body><back><ref-list><ref id="ref1"><label>1</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Hoyt</surname><given-names>BS</given-names></name><name><surname>Cohen</surname><given-names>PR</given-names></name></person-group><article-title>Radiation port cutaneous metastases: Reports of two patients whose recurrent visceral cancers presented as skin lesions at the site of previous radiation and literature review</article-title><source>Indian J Dermatol</source><year>2014</year><volume>59</volume><fpage>176</fpage><lpage>81</lpage><pub-id pub-id-type="pmid">24700938</pub-id></element-citation></ref><ref id="ref2"><label>2</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ruocco</surname><given-names>E</given-names></name><name><surname>Caccavale</surname><given-names>S</given-names></name><name><surname>Siano</surname><given-names>M</given-names></name><name><surname>Schiavo</surname><given-names>AL</given-names></name></person-group><article-title>Radiation Port Cutaneous Metastases: A Further Example of Immunocompromised District</article-title><source>Indian J Dermatol</source><year>2014</year><volume>59</volume><fpage>302</fpage><lpage>3</lpage></element-citation></ref><ref id="ref3"><label>3</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Serrano-Ortega</surname><given-names>S</given-names></name><name><surname>Buendia-Eisman</surname><given-names>A</given-names></name><name><surname>Ortega del Olmo</surname><given-names>RM</given-names></name><name><surname>Linares</surname><given-names>Solano J</given-names></name></person-group><article-title>Melanoma metastasis in donor site of full-thickness skin graft</article-title><source>Dermatology</source><year>2000</year><volume>201</volume><fpage>377</fpage><lpage>8</lpage><pub-id pub-id-type="pmid">11146359</pub-id></element-citation></ref><ref id="ref4"><label>4</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Chodkiewicz</surname><given-names>HM</given-names></name><name><surname>Cohen</surname><given-names>PR</given-names></name></person-group><article-title>Radiation port erythema multiforme: Erythema multiforme localized to the radiation port in a patient with non-small cell lung cancer</article-title><source>Skinmed</source><year>2012</year><volume>10</volume><fpage>390</fpage><lpage>2</lpage><pub-id pub-id-type="pmid">23346669</pub-id></element-citation></ref><ref id="ref5"><label>5</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Cohen</surname><given-names>PR</given-names></name></person-group><article-title>Isomorphic sclerotic-type cutaneous chronic graft-versus-host disease: Report and review of chronic graft-versus-host disease in a cutaneous immunocompromised district</article-title><source>Dermatol Ther (Heidelb)</source><year>2013</year><volume>3</volume><fpage>215</fpage><lpage>22</lpage><pub-id pub-id-type="pmid">24318412</pub-id></element-citation></ref><ref id="ref6"><label>6</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Schepp</surname><given-names>ED</given-names></name><name><surname>Cohen</surname><given-names>PR</given-names></name></person-group><article-title>Zosteriform staphylococcus aureus cutaneous infection: Report of two patients with dermatomal bacterial infection</article-title><source>Skinmed</source><year>2014</year><comment>In Press</comment></element-citation></ref><ref id="ref7"><label>7</label><element-citation publication-type="journal"><person-group person-group-type="author"><name><surname>Ruocco</surname><given-names>V</given-names></name><name><surname>Brunetti</surname><given-names>G</given-names></name><name><surname>Puca</surname><given-names>RV</given-names></name><name><surname>Ruocco</surname><given-names>E</given-names></name></person-group><article-title>The immunocompromised district: A unifying concept for lymphoedematous, herpes-infected and otherwise damaged sites</article-title><source>J Eur Acad Dermatol Venereol</source><year>2009</year><volume>23</volume><fpage>1364</fpage><lpage>73</lpage><pub-id pub-id-type="pmid">19548975</pub-id></element-citation></ref></ref-list></back></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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