Chronic Actinic Dermatitis with Leonine Facies and Iatrogenic Adrenal Insufficiency Successfully Treated with Topical Tacrolimus

Chronic actinic dermatitis is a chronic photosensitivity disorder characterized by severe eczematous lesions on sun-exposed skin areas. We report a case of chronic actinic dermatitis presenting with leonine facies and secondary adrenal insufficiency, which was successfully treated with topical tacro...

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Autores principales: Busaracome, Ploysyne, Wattanakrai, Penpun, Rajatanavin, Natta
Formato: Texto
Lenguaje:English
Publicado: S. Karger AG 2011
Materias:
Published: February 2011
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3073753/
https://www.ncbi.nlm.nih.gov/pubmed/21487461
http://dx.doi.org/10.1159/000325068
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author Busaracome, Ploysyne
Wattanakrai, Penpun
Rajatanavin, Natta
author_facet Busaracome, Ploysyne
Wattanakrai, Penpun
Rajatanavin, Natta
author_sort Busaracome, Ploysyne
collection PubMed
description Chronic actinic dermatitis is a chronic photosensitivity disorder characterized by severe eczematous lesions on sun-exposed skin areas. We report a case of chronic actinic dermatitis presenting with leonine facies and secondary adrenal insufficiency, which was successfully treated with topical tacrolimus. The facial lesions dramatically improved after sun avoidance and topical tacrolimus application. After almost 20 years of oral corticosteroid therapy complicated with secondary adrenal insufficiency, we were able to switch treatment from systemic corticosteroids to topical tacrolimus to control the patient's symptoms.
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spelling pubmed-30737532011-04-12 Chronic Actinic Dermatitis with Leonine Facies and Iatrogenic Adrenal Insufficiency Successfully Treated with Topical Tacrolimus Busaracome, Ploysyne Wattanakrai, Penpun Rajatanavin, Natta Case Rep Dermatol Published: February 2011 Chronic actinic dermatitis is a chronic photosensitivity disorder characterized by severe eczematous lesions on sun-exposed skin areas. We report a case of chronic actinic dermatitis presenting with leonine facies and secondary adrenal insufficiency, which was successfully treated with topical tacrolimus. The facial lesions dramatically improved after sun avoidance and topical tacrolimus application. After almost 20 years of oral corticosteroid therapy complicated with secondary adrenal insufficiency, we were able to switch treatment from systemic corticosteroids to topical tacrolimus to control the patient's symptoms. S. Karger AG 2011-02-25 /pmc/articles/PMC3073753/ /pubmed/21487461 http://dx.doi.org/10.1159/000325068 Text en Copyright © 2011 by S. Karger AG, Basel http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution-Noncommercial-No-Derivative-Works License (http://creativecommons.org/licenses/by-nc-nd/3.0/). Users may download, print and share this work on the Internet for noncommercial purposes only, provided the original work is properly cited, and a link to the original work on http://www.karger.com and the terms of this license are included in any shared versions.
spellingShingle Published: February 2011
Busaracome, Ploysyne
Wattanakrai, Penpun
Rajatanavin, Natta
Chronic Actinic Dermatitis with Leonine Facies and Iatrogenic Adrenal Insufficiency Successfully Treated with Topical Tacrolimus
title Chronic Actinic Dermatitis with Leonine Facies and Iatrogenic Adrenal Insufficiency Successfully Treated with Topical Tacrolimus
title_full Chronic Actinic Dermatitis with Leonine Facies and Iatrogenic Adrenal Insufficiency Successfully Treated with Topical Tacrolimus
title_fullStr Chronic Actinic Dermatitis with Leonine Facies and Iatrogenic Adrenal Insufficiency Successfully Treated with Topical Tacrolimus
title_full_unstemmed Chronic Actinic Dermatitis with Leonine Facies and Iatrogenic Adrenal Insufficiency Successfully Treated with Topical Tacrolimus
title_short Chronic Actinic Dermatitis with Leonine Facies and Iatrogenic Adrenal Insufficiency Successfully Treated with Topical Tacrolimus
title_sort chronic actinic dermatitis with leonine facies and iatrogenic adrenal insufficiency successfully treated with topical tacrolimus
topic Published: February 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3073753/
https://www.ncbi.nlm.nih.gov/pubmed/21487461
http://dx.doi.org/10.1159/000325068
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AT rajatanavinnatta chronicactinicdermatitiswithleoninefaciesandiatrogenicadrenalinsufficiencysuccessfullytreatedwithtopicaltacrolimus

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