Long-term follow-up study of clear cell papulosis
Clear cell papulosis (CCP) was described as a new entity in 1987. Since then, only case reports or small case series have appeared in the literature and the long-term outcome of CCP remains unknown. The aim of this study was to review cases of CCP diagnosed at our institution and to investigate thei...
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| Veröffentlicht in: | Journal of the American Academy of Dermatology Jg. 63; H. 2; S. 266 - 273 |
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| Format: | Journal Article |
| Sprache: | Englisch |
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New York, NY
Mosby, Inc
01.08.2010
Elsevier |
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| ISSN: | 0190-9622, 1097-6787, 1097-6787 |
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| Abstract | Clear cell papulosis (CCP) was described as a new entity in 1987. Since then, only case reports or small case series have appeared in the literature and the long-term outcome of CCP remains unknown.
The aim of this study was to review cases of CCP diagnosed at our institution and to investigate their outcome.
Nineteen patients given a diagnosis of CCP more than 6 years previously were identified. Their medical records and histopathologic findings were reviewed.
With a median follow-up duration of 11.5 years, regression of skin lesions was observed in 85.7% of patients. Persistence of skin lesions 11.5 years after diagnosis was confirmed histopathologically in one case, with a reduction in clear cell density.
Retrospective nature of the study is a limitation.
No treatment is necessary for CCP because the skin lesions are asymptomatic and most patients experience at least partial regression. |
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| AbstractList | Clear cell papulosis (CCP) was described as a new entity in 1987. Since then, only case reports or small case series have appeared in the literature and the long-term outcome of CCP remains unknown.BACKGROUNDClear cell papulosis (CCP) was described as a new entity in 1987. Since then, only case reports or small case series have appeared in the literature and the long-term outcome of CCP remains unknown.The aim of this study was to review cases of CCP diagnosed at our institution and to investigate their outcome.OBJECTIVESThe aim of this study was to review cases of CCP diagnosed at our institution and to investigate their outcome.Nineteen patients given a diagnosis of CCP more than 6 years previously were identified. Their medical records and histopathologic findings were reviewed.METHODSNineteen patients given a diagnosis of CCP more than 6 years previously were identified. Their medical records and histopathologic findings were reviewed.With a median follow-up duration of 11.5 years, regression of skin lesions was observed in 85.7% of patients. Persistence of skin lesions 11.5 years after diagnosis was confirmed histopathologically in one case, with a reduction in clear cell density.RESULTSWith a median follow-up duration of 11.5 years, regression of skin lesions was observed in 85.7% of patients. Persistence of skin lesions 11.5 years after diagnosis was confirmed histopathologically in one case, with a reduction in clear cell density.Retrospective nature of the study is a limitation.LIMITATIONSRetrospective nature of the study is a limitation.No treatment is necessary for CCP because the skin lesions are asymptomatic and most patients experience at least partial regression.CONCLUSIONNo treatment is necessary for CCP because the skin lesions are asymptomatic and most patients experience at least partial regression. Background Clear cell papulosis (CCP) was described as a new entity in 1987. Since then, only case reports or small case series have appeared in the literature and the long-term outcome of CCP remains unknown. Objectives The aim of this study was to review cases of CCP diagnosed at our institution and to investigate their outcome. Methods Nineteen patients given a diagnosis of CCP more than 6 years previously were identified. Their medical records and histopathologic findings were reviewed. Results With a median follow-up duration of 11.5 years, regression of skin lesions was observed in 85.7% of patients. Persistence of skin lesions 11.5 years after diagnosis was confirmed histopathologically in one case, with a reduction in clear cell density. Limitations Retrospective nature of the study is a limitation. Conclusion No treatment is necessary for CCP because the skin lesions are asymptomatic and most patients experience at least partial regression. Clear cell papulosis (CCP) was described as a new entity in 1987. Since then, only case reports or small case series have appeared in the literature and the long-term outcome of CCP remains unknown. The aim of this study was to review cases of CCP diagnosed at our institution and to investigate their outcome. Nineteen patients given a diagnosis of CCP more than 6 years previously were identified. Their medical records and histopathologic findings were reviewed. With a median follow-up duration of 11.5 years, regression of skin lesions was observed in 85.7% of patients. Persistence of skin lesions 11.5 years after diagnosis was confirmed histopathologically in one case, with a reduction in clear cell density. Retrospective nature of the study is a limitation. No treatment is necessary for CCP because the skin lesions are asymptomatic and most patients experience at least partial regression. |
| Author | Lu, Pei-Hsuan Hui, Rosaline Chung-Yee Chan, Heng-Leong Chan, Ming-Jing Tseng, Fang-Wen Kuo, Tseng-Tong |
| Author_xml | – sequence: 1 givenname: Fang-Wen surname: Tseng fullname: Tseng, Fang-Wen organization: Department of Dermatology, Chang Gung Memorial Hospital, Taipei, Taiwan – sequence: 2 givenname: Tseng-Tong surname: Kuo fullname: Kuo, Tseng-Tong organization: Department of Pathology, Chang Gung Memorial Hospital, Taipei, Taiwan – sequence: 3 givenname: Pei-Hsuan surname: Lu fullname: Lu, Pei-Hsuan organization: Department of Dermatology, Chang Gung Memorial Hospital, Taipei, Taiwan – sequence: 4 givenname: Heng-Leong surname: Chan fullname: Chan, Heng-Leong organization: Department of Dermatology, Sutein Clinic, Taipei, Taiwan – sequence: 5 givenname: Ming-Jing surname: Chan fullname: Chan, Ming-Jing organization: Department of Dermatology, Chang Gung Memorial Hospital, Taipei, Taiwan – sequence: 6 givenname: Rosaline Chung-Yee surname: Hui fullname: Hui, Rosaline Chung-Yee email: ba1128@adm.cgmh.org.tw organization: Department of Dermatology, Chang Gung Memorial Hospital, Taipei, Taiwan |
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| Cites_doi | 10.1046/j.1365-2133.1998.02185.x 10.1046/j.0303-6987.2003.046.x 10.5858/2004-128-e149-CCPOTS 10.1097/00000478-198711000-00001 10.1001/archderm.143.3.358 10.1034/j.1600-0560.2002.290103.x 10.1111/j.1365-2559.2008.03043.x 10.1053/adpa.2002.36653 10.1016/j.humpath.2008.01.018 10.1159/000051762 10.1097/01.dad.0000158291.20440.13 10.1016/0190-9622(95)90240-6 10.1111/j.1525-1470.1998.tb01355.x 10.1007/s00428-001-0581-x 10.1097/00000478-199902000-00011 10.1034/j.1600-0560.2001.280208.x 10.1097/00000372-199510000-00010 10.1097/01.dad.0000194052.65695.f1 10.1002/1097-0142(197003)25:3<601::AID-CNCR2820250315>3.0.CO;2-I 10.1111/j.1525-1470.1997.tb00987.x 10.1111/j.1525-1470.2005.22322.x |
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| Keywords | MPD CCP milk line PAS clear cells of Toker long-term follow-up EMA clear cell papulosis EMPD extramammary Paget disease CEA carcinoembryonic antigen periodic acid–Schiff mammary Paget disease epithelial membrane antigen Skin disease Pigmentation disorder Clear cell papulosis Dermatology Follow up study Long term |
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| Snippet | Clear cell papulosis (CCP) was described as a new entity in 1987. Since then, only case reports or small case series have appeared in the literature and the... Background Clear cell papulosis (CCP) was described as a new entity in 1987. Since then, only case reports or small case series have appeared in the literature... |
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| SubjectTerms | Biological and medical sciences Carcinoembryonic Antigen - metabolism Child, Preschool clear cell papulosis clear cells of Toker Dermatology Disease Progression extramammary Paget disease Female Follow-Up Studies Humans Hypopigmentation - metabolism Hypopigmentation - pathology Immunohistochemistry Infant long-term follow-up Male Medical sciences milk line Mucin-1 - metabolism Paget Disease, Extramammary - pathology Pigmentary diseases of the skin Remission, Spontaneous Retrospective Studies Skin - metabolism Skin - pathology Skin Diseases, Papulosquamous - metabolism Skin Diseases, Papulosquamous - pathology Staining and Labeling Time Factors |
| Title | Long-term follow-up study of clear cell papulosis |
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