Infective dermatitis: A purely cutaneous manifestation of HTLV-1 infection

Bravo Puccio, Francisco Gerardo

dc.contributor.author	Bravo Puccio, Francisco Gerardo
dc.date.accessioned	2020-07-14T00:00:58Z
dc.date.available	2020-07-14T00:00:58Z
dc.date.issued	2020
dc.identifier.uri	https://hdl.handle.net/20.500.12866/8240
dc.description.abstract	Infectious dermatitis is a cutaneous manifestation of HTLV-1 infection. Although initially described in children in Jamaica, it is well documented that the disease can also present in adults. The clinical picture is of an oozing dermatitis affecting the scalp, face, retroauricular areas, the neck, and intertrigious areas, such as the axilla and groin. Histologically it has two patterns: a superficial perivascular dermatitis or a lichenoid dermatitis. The epidermal hyperplasia may mimic psoriasis. An important differential diagnosis is with mycosis fungoides, with epidermotropism, alignment of lymphocytes along the epidermal junction, lymphocytes in halo and wiry bundles of collagen in the papillary dermis. An important difference is the lack of marked lymphocytic atypia. The infiltrate is composed of a predominance of CD8-positive lymphocytes, analogous to what is seen in tropical spastic paraparesis. Infectious dermatitis patients may be confused with many common dermatological conditions, such a atopic dermatitis and contact dermatitis. Its diagnosis represent a challenge both to clinicians and dermatopathologists working in endemic areas.	en_US
dc.language.iso	eng
dc.publisher	Elsevier
dc.relation.ispartofseries	Seminars in Diagnostic Pathology
dc.rights	info:eu-repo/semantics/restrictedAccess
dc.rights.uri	https://creativecommons.org/licenses/by-nc-nd/4.0/deed.es
dc.subject	HTLV-1	en_US
dc.subject	Impetiginized dermatitis	en_US
dc.subject	Impetiginized intertrigo	en_US
dc.subject	Infective dermatitis	en_US
dc.subject	Scalp eczema	en_US
dc.title	Infective dermatitis: A purely cutaneous manifestation of HTLV-1 infection	en_US
dc.type	info:eu-repo/semantics/article
dc.identifier.doi	https://doi.org/10.1053/j.semdp.2019.04.002
dc.subject.ocde	https://purl.org/pe-repo/ocde/ford#3.01.09
dc.relation.issn	1930-1111