Acquired Ulcero-Mutilating Bilateral Acro-Osteopathy (Bureau-Barrière Syndrome)

  • Georgi Tchernev Medical Institute of Ministry of Interior (MVR), Department of Dermatology and Dermatologic Surgery, General Skobelev 79, 1606 Sofia, Bulgaria and Onkoderma Polyclinic for Dermatology and Dermatologic Surgery, Sofia
  • Hristo Mangarov Medical Institute of Ministry of Interior (MVR), Department of Dermatology and Dermatologic Surgery, General Skobelev 79, 1606 Sofia
  • Ilia Lozev Institute of Ministry of Interior (MVR), Department of Surgery, General Skobelev 79, 1606 Sofia
  • Ivan Pidakev Institute of Ministry of Interior (MVR), Department of Surgery, General Skobelev 79, 1606 Sofia
  • Torello Lotti University of Rome “ G.Marconi”, Rome
  • Uwe Wollina Department of Dermatology and Allergology, Academic Teaching Hospital Dresden-Friedrichstadt, Friedrichstrasse 41, 01067 Dresden
  • Serena Gianfaldoni University G. Marconi of Rome, Rome
  • Kristina Semkova St. John's Institute of Dermatology, London
  • Jacopo Lotti Department of Nuclear, Subnuclear and Radiation Physics, University of Rome "G. Marconi", Rome
  • Katlein França Institute for Bioethics & Health Policy; Department of Dermatology & Cutaneous Surgery; Department of Psychiatry & Behavioral Sciences, University of Miami Miller School of Medicine - Miami, FL
  • Atanas Batashki Abdominal and Thoracic Surgery, Department of Special Surgery, Medical University of Plovdiv, bul. "Peshtersko shose" Nr 66, 4000 Plovdiv
Keywords: neuropathy, acquired, eczema, ulcerations, ulcero mutilating lesions, bilateral

Abstract

We present a 35-year-old male patient with Bureau-Barrière syndrome. Bureau-Barrière syndrome is an ulcero-mutilating acropathy almost invariably associated with excessive alcohol intake. It presents with a triad of trophic skin changes with recurrent ulcerations, bone lesions and nerve damage. The clinical presentation includes chronic painless plantar ulcerations with periulcerous hyperkeratosis, hyperhidrosis, livedoid skin colour, nail dystrophy, widening and infiltration of the toes and common interdigital mycoses. Other non-specific skin changes related to the alcohol consumption are commonly observed as well. The condition affects mainly middle-aged men suffering from alcoholism. Often a bilateral location at the lower limb of male alcoholics has been described, as in our patient. Successful treatment of the Bureau-Barrière syndrome requires an interdisciplinary approach. Cessation of alcohol intake and smoking is of paramount importance.

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References

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Published
2017-07-24
How to Cite
1.
Tchernev G, Mangarov H, Lozev I, Pidakev I, Lotti T, Wollina U, Gianfaldoni S, Semkova K, Lotti J, França K, Batashki A. Acquired Ulcero-Mutilating Bilateral Acro-Osteopathy (Bureau-Barrière Syndrome). Open Access Maced J Med Sci [Internet]. 2017Jul.24 [cited 2020Oct.22];5(4):558-60. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2017.134

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