Lipoatrophie annulaire des chevilles

Bennani, Z.; Boussofara, L.; Denguezli, M.; Ghariani, N.; Saïdi, W.; Sriha, Badreddine; Belajouza, C.; Nouira, R.

doi:10.1016/j.annder.2011.01.046

Cited by 3 publications

(8 citation statements)

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“…In the literature, we found 16 other childhood cases of ALA (Table A1) and four adult female cases (from 19 to 49 years). [5][6][7][8] ALA is a lipoatrophic panniculitis that mostly affects girls (75%). Associated autoimmune diseases have been described (diabetes, celiac disease, thyroid disorders etc.)…”

Section: Discussionmentioning

confidence: 99%

“…The differential diagnosis includes granuloma annulare, morphea, erythema nodosum, tumid lupus, and erythema migrans 5,9,14 but the characteristic annular involvement of the ankles makes ALA a distinctive condition. The skin biopsy must be carefully interpreted (with immunohistochemical and molecular analysis) to differentiate ALA from subcutaneous panniculitis-like T-cell lymphoma (SPTCL) 14 due to an overlap in histopathologic features.…”

Section: Discussionmentioning

confidence: 99%

“…Annular lipoatrophy of the ankle (ALA) is a rare acquired lipoatrophic panniculitis first reported in 1953 by Ferreira‐Marques by the name lipoatrophia annularis 1 and then described by Winkelmann as connective tissue panniculitis (CTP), 2 but it would appear that ALA is a more localized form of CTP 3 . It mainly affects children who are otherwise healthy but may present with autoimmune diseases 3‐5 and has a stereotyped presentation, starting with inflammatory nodules or plaques around the ankles which progress into circumferential subcutaneous atrophy within a few months. There is no consensus on treatment, and long‐term outcomes are poorly documented.…”

Section: Introductionmentioning

confidence: 99%

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Annular lipoatrophy of the ankle: Four new pediatric cases and a review of the literature

Touhouche

Tournier

Lamant

et al. 2021

Pediatric Dermatology

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Annular lipoatrophy of the ankle (ALA) is a rare acquired lipoatrophic panniculitis first reported in 1953 by Ferreira-Marques by the name lipoatrophia annularis 1 and then described by Winkelmann as connective tissue panniculitis (CTP), 2 but it would appear that ALA is a more localized form of CTP. 3 It mainly affects children who are otherwise healthy but may present with autoimmune diseases 3-5 and has a stereotyped presentation, starting with inflammatory nodules or plaques around the ankles which progress into circumferential subcutaneous atrophy within a few months. There is no consensus on treatment, and long-term outcomes are poorly documented. We present four new cases of childhood ALA, including a patient with an extended follow-up of more than 10 years. | C A S E REP ORTSFour children (two boys and two girls), aged between 5 and 9 years, were diagnosed with ALA. All were otherwise healthy. Their characteristics are presented in Table 1. ALA has a classic history starting with inflammatory nodules or plaques around the ankles and calves evolving over months to subcutaneous atrophy. Some had triggering events, such as Patient 1 (Figure 1) who reported the appearance of lesions after wearing a new pair of high-top shoes that may have caused local trauma. All had a classic history of ALA except for Patient 2, who reported no initial inflammatory stage. Only, Patient 1 reported initial debilitating symptoms (severe cramps and myalgia).The lesions were located on the lower extremities for all patients except for Patient 3 (Figure 2), who had mild lesions on the buttocks.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Annular lipoatrophy of the ankle: Four new pediatric cases and a review of the literature

Touhouche

Tournier

Lamant

et al. 2021

Pediatric Dermatology

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“…Une autre patiente [4] était atteinte de la maladie de Basedow. Les deux dernières patientes décrites dans la littérature présentaient chacune deux pathologies auto-immunes : un diabète de type I associé à une maladie de Basedow chez une patiente de 22 ans [5], une maladie coeliaque associée à une hypothyroïdie chez une patiente de 13 ans [6].…”

Section: Résultat/discussionunclassified

“…Tous les autres patients ont été traités à la phase inflammatoire : quatre patients par corticothérapie [3,[8][9][10], un par AINS [6], un par antibiothérapie (pénicilline) [11], deux par chloroquine [5,8].…”

Section: Résultat/discussionunclassified