Anetoderma Schweninger-Buzzi: Two Case Reports

  • Uwe Wollina Academic Teaching Hospital DresdenDepartment of Dermatology and Allergology
  • Diana Mühle Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Akademic Teaching Hospital
  • Torello Lotti Department of Dermatology, University of Rome “G. Marconi”, Rome, Italy
  • Aleksandra Vojvodic Military Medical Academy of Belgrade, Serbia, and University of Rome Guglielmo Marconi Rome, Italy
Keywords: Anetoderma, Connective tissue disorders, Chronic infections, Prothrombotic conditions, Histopathology

Abstract

BACKGROUND: Anetodermas are rare disorders of connective tissue with a focal loss of elastic fibres in the upper and mid dermis. Two types are separated, inflammatory and non-inflammatory.

CASE REPORTS: We report two cases of acquired anetoderma Schweniger-Buzzi type. This non-inflammatory subtype is characterised by skin-coloured or whitish atrophic sac-like protrusions of trunk skin in adult males. Chronic infections and autoimmune disorders have been excluded. The diagnosis had been confirmed by characteristic histopathology.

CONCLUSIONS: Anetodermas are symptomless disorders. They can be easily overlooked. The knowledge of such conditions is of importance to identify patients with a risk of thromboembolic events and underlying infections or autoimmune connective tissue diseases.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

Plum Analytics Artifact Widget Block

Author Biographies

Uwe Wollina, Academic Teaching Hospital DresdenDepartment of Dermatology and Allergology

Head of Department of Dermatology and Allergology

Diana Mühle, Department of Dermatology and Allergology, Städtisches Klinikum Dresden, Akademic Teaching Hospital

Assistant

Torello Lotti, Department of Dermatology, University of Rome “G. Marconi”, Rome, Italy

Professor of Dermatology

Aleksandra Vojvodic, Military Medical Academy of Belgrade, Serbia, and University of Rome Guglielmo Marconi Rome, Italy

Professor of Dermatology

References

Andrés-Ramos I, Alegría-Landa V, Gimeno I, Pérez-Plaza A, Rütten A, Kutzner H, Requena L. Cutaneous Elastic Tissue Anomalies. Am J Dermatopathol. 2019; 41(2):85-117.

Persechino S, Caperchi C, Cortesi G, Persechino F, Raffa S, Pucci E, Tammaro A, Torrisi MR. Anetoderma: evidence of the relationship with autoimmune disease and a possible role of macrophages in the etiopathogenesis. Int J Immunopathol Pharmacol. 2011; 24(4):1075-7. https://doi.org/10.1177/039463201102400425 PMid:22230413

Venencie P, Winkelmann R, Moore B. Anetoderma: clinical findings, associations, and long-term follow-up evaluations. Arch Dermatol. 1984; 120(8):1032-9. https://doi.org/10.1001/archderm.1984.01650440062021 PMid:6465909

Göebel-Pinto JB, de Almeida HL Jr, de Castro LAS, Rocha NM. Ultrastructural aspects of primary anetoderma. J Cutan Pathol. 2017; 44(9):786-9. https://doi.org/10.1111/cup.12978 PMid:28605051

Fabbri P, Lotti T, Panconesi E. A case of Pellizzari-Jadasshon anetoderma. Clinical and immunopathologic study. G Ital Dermatol Venereol. 1985; 120(5):333-7.

Casigliani R, Difonzo EM, Ganucci Cancellieri GA, Lotti T. A case of Schweninger-Buzzi anetoderma. G Ital Dermatol Venereol. 1988; 123(3):83-5.

Grandi V, Mori M, Mariotti G, Gunnella S, Maio V. Primary idiopathic anetoderma. G Ital Dermatol Venereol. 2016; 151:130-1.

Fukayama M, Miyagaki T, Akamata K, Suzuki S, Tanaka M, Sato S. Japanese familial anetoderma: A report of two cases and review of the published work. J Dermatol. 2018; 45(12):1459-62. https://doi.org/10.1111/1346-8138.14672 PMid:30320485

Wollina U. Primary anetoderma of Schweninger-Buzzi type - a cutaneous sign for prothrombotic stage. Kosmet Med. 2015; 36:32-3.

Morales-Raya C, Maroñas-Jiménez L, Burillo-Martínez S, Ortiz-Romero PL. Primary anetoderma: A cutaneous marker of prothrombotic states. Med Clin (Barc). 2016; 147(8):e47. https://doi.org/10.1016/j.medcle.2016.11.001

Kang HS, Paek JO, Lee MW, Yu HJ, Kim JS. Anetoderma developing in generalized granuloma annulare in an infant. Ann Dermatol. 2014; 26(2):283-5. https://doi.org/10.5021/ad.2014.26.2.283 PMid:24882997 PMCid:PMC4037695

Emer J, Roberts D, Sidhu H, Phelps R, Goodheart H. Generalized Anetoderma after Intravenous Penicillin Therapy for Secondary Syphilis in an HIV Patient. J Clin Aesthet Dermatol. 2013; 6(8):23-8.

Chattopadhyay M, Rytina E, Sterling JC, Burrows NP. Anetodermic pilomatricoma in a patient with hypermobility syndrome. Clin Exp Dermatol. 2014; 39(2):218-20. https://doi.org/10.1111/ced.12215 PMid:24313889

Loyal J, Shagalov DR, Vatanchi M, Glick JB, Ferzli GM, Heilman E, Glick SA. Bullous sweet syndrome healing with prominent secondary anetoderma. Pediatr Dermatol. 2018; 35(6):e416-e417. https://doi.org/10.1111/pde.13641 PMid:30152553

Fölster-Holst R, Rohrer T, Jung AM. Dermatological aspects of the S2k guidelines on Down syndrome in childhood and adolescence. J Dtsch Dermatol Ges. 2018; 16(10):1289-95. https://doi.org/10.1111/ddg.13665

Hofer T, Goldenberger D, Itin PH. Anetoderma and borreliosis: is there a pathogenetic relationship? Eur J Dermatol. 2003; 13(4):399-401.

Bauer J, Leitz G, Palmedo G, Hügel H. Anetoderma: another facet of Lyme disease? J Am Acad Dermatol. 2003; 48(5 Suppl):S86-8. https://doi.org/10.1067/mjd.2003.165 PMid:12734487

Enkelmann J, Böhmer M, Fingerle V, Siffczyk C, Werber D, Littmann M, Merbecks SS, Helmeke C, Schroeder S, Hell S, Schlotthauer U, Burckhardt F, Stark K, Schielke A, Wilking H. Incidence of notified Lyme borreliosis in Germany, 2013-2017. Sci Rep. 2018; 8(1):14976. https://doi.org/10.1038/s41598-018-33136-0 PMid:30297731 PMCid:PMC6175818

Razmi TM, Narang T, Chatterjee D, Dogra S, Saikia UN. Lepromatous leprosy masquerading as anetoderma in a boy. Indian J Dermatol Venereol Leprol. 2019.

Hazemann G, Gusdorf L, Mitcov M, Lenormand C, Lipsker D. Multifocal chalazodermic amyloidosis: The concept of immunoglobulinemic elastopathy. Ann Dermatol Venereol. 2018; 145(12):777-84. https://doi.org/10.1016/j.annder.2018.07.021 PMid:30309631

Emer J, Roberts D, Sidhu H, Phelps R, Goodheart H. Generalized Anetoderma after Intravenous Penicillin Therapy for Secondary Syphilis in an HIV Patient. J Clin Aesthet Dermatol. 2013; 6(8):23-8.

Wang K, Ross NA, Saedi N. Anetoderma treated with combined 595-nm pulsed-dye laser and 1550-nm non-ablative fractionated laser. J Cosmet Laser Ther. 2016; 18(1):38-40. https://doi.org/10.3109/14764172.2015.1039039 PMid:25968163

Lee SM, Kim YJ, Chang SE. Pinhole carbon dioxide laser treatment of secondary anetoderma associated with juvenile xanthogranuloma. Dermatol Surg. 2012; 38(10):1741-3. https://doi.org/10.1111/j.1524-4725.2012.02535.x PMid:22861121

Cho S, Jung JY, Lee JH. Treatment of anetoderma occurring after resolution of Stevens-Johnson syndrome using an ablative 10,600-nm carbon dioxide fractional laser.

Cho S, Jung JY, Lee JH. Treatment of anetoderma occurring after resolution of Stevens-Johnson syndrome using an ablative 10,600-nm carbon dioxide fractional laser. Dermatologic Surgery. 2012; 38(4):677-9. https://doi.org/10.1111/j.1524-4725.2011.02272.x PMid:22251221

Wollina U, Goldman A. Fillers for the improvement in acne scars. Clin Cosmet Investig Dermatol. 2015; 8:493-9. https://doi.org/10.2147/CCID.S86478 PMid:26491364 PMCid:PMC4598204

Published
2019-08-19
How to Cite
1.
Wollina U, MühleD, Lotti T, Vojvodic A. Anetoderma Schweninger-Buzzi: Two Case Reports. Open Access Maced J Med Sci [Internet]. 2019Aug.19 [cited 2020Oct.20];7(18):3093-5. Available from: https://www.id-press.eu/mjms/article/view/oamjms.2019.560

Most read articles by the same author(s)

1 2 > >>