Resolution of painful trichodysplasia spinulosa with topical cidofovir : case report

Purpose: Trichodysplasia spinulosa (TS) is a rare, disfiguring skin condition which presents with widespread asymptomatic or pruritic, skin-colored papules with white protruding keratin spiculations in immunocompromised individuals. Due to its rarity, there is little data to guide treatment decisions. The purpose of this article is to report a case of TS that completely resolved after treatment with topical cidofovir.Materials and methods: A 19-year-old immunosuppressed female presented with widespread painful, itchy bumps on the nose and face. Upon examination, there were erythematous papules with hyperkeratinized spicules affecting the central face. Biopsy of the lesions was consistent with TS which was confirmed via PCR analysis. The tenderness of this patient's eruption was highly atypical for TS. Once daily topical application of compounded 1% cidofovir cream was prescribed.Results: The patient's symptoms resolved completely after 4 weeks of therapy with topical cidofovir 1% cream, without reduction of immunosuppression.Conclusions: Topical cidofovir 1% cream may be a valuable treatment for this rare disease.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

The Journal of dermatological treatment - 35(2024), 1 vom: 14. März, Seite 2328180

Sprache:

Englisch

Beteiligte Personen:

Burningham, Kevin M [VerfasserIn]
Swali, Ritu N [VerfasserIn]
Rady, Peter L [VerfasserIn]
Patel, Anisha B [VerfasserIn]
Tyring, Stephen K [VerfasserIn]

Links:

Volltext

Themen:

Case Reports
Case report
Cidofovir
Immunosuppression
JIL713Q00N
Journal Article
TSPyV
Therapy
Topical cidofovir
Trichodysplasia spinulosa
Trichodysplasia spinulosa-associated polyomavirus

Anmerkungen:

Date Completed 19.03.2024

Date Revised 27.03.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/09546634.2024.2328180

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369834828