Pyoderma Gangrenosum with an Underlying Leukocyte Adhesion Deficiency Type 1 (LAD-1) and Pregnancy in the Shade of COVID-19 Epidemic: A Patient and Physician Experience.

COVID-19 Cyclosporine Leukocyte adhesion deficiency type 1 Prednisolone Pregnancy Pyoderma gangrenosum

Journal

Dermatology and therapy
ISSN: 2193-8210
Titre abrégé: Dermatol Ther (Heidelb)
Pays: Switzerland
ID NLM: 101590450

Informations de publication

Date de publication:
Jun 2021
Historique:
received: 19 01 2021
pubmed: 10 3 2021
medline: 10 3 2021
entrez: 9 3 2021
Statut: ppublish

Résumé

In the first part of this article, the anonymous patient diagnosed with leukocyte adhesion deficiency type 1 (LAD-1) and pyoderma gangrenosum (PG) discusses her experience of her medical history and treatment in a foreign country during her pregnancy and the coronavirus disease-19 (COVID-19) pandemic. The patient's dermatologists, immunologist, and diagnostician refer to the epidemiology, genetics, diagnosis, morphologic manifestations, including skin lesions, treatment, and prognosis in LAD-1. The patient's diagnostic and therapeutic process was discussed in the last part of this paper.

Identifiants

pubmed: 33686591
doi: 10.1007/s13555-021-00507-x
pii: 10.1007/s13555-021-00507-x
pmc: PMC7939102
doi:

Types de publication

Letter

Langues

eng

Pagination

643-653

Références

Hayward AR, Harvey BA, Leonard J, Greenwood MC, Wood CB, Soothill JF. Delayed separation of the umbilical cord, widespread infections, and defective neutrophil mobility. Lancet. 1979;8126:1099–101.
doi: 10.1016/S0140-6736(79)91786-0
Harris ES, Weyrich AS, Zimmerman GA. Lessons from rare maladies: leukocyte adhesion deficiency syndromes. Curr Opin Hematol. 2013;20:16–25.
pubmed: 23207660 pmcid: 3564641
Hibbs ML, Wardlaw AJ, Stacker SA, et al. Transfection of cells from patients with leukocyte adhesion deficiency with an integrin beta subunit (CD18) restores lymphocyte function-associated antigen-1 expression and function. J Clin Invest. 1990;85:674–81.
doi: 10.1172/JCI114491
van de Vijver E, Maddalena A, Sanal Ö, et al. Hematologically important mutations: leukocyte adhesion deficiency (first update). Blood Cells Mol Dis. 2012;48:53–61.
doi: 10.1016/j.bcmd.2011.10.004
Fagerholm SC, Guenther C, Llort Asens M, Savinko T, Uotila LM. Beta2-integrins and interacting proteins in leukocyte trafficking, immune suppression, and immunodeficiency disease. Front Immunol. 2019;10:254.
doi: 10.3389/fimmu.2019.00254
Levy-Mendelovich S, Rechavi E, Abuzaitoun O, et al. Highlighting the problematic reliance on CD18 for diagnosing leukocyte adhesion deficiency type 1. Immunol Res. 2016;64:476–82.
doi: 10.1007/s12026-015-8706-5
Kuijpers TW, Van Lier RA, Hamann D, et al. Leukocyte adhesion deficiency type 1 (LAD-1)/variant. A novel immunodeficiency syndrome characterized by dysfunctional beta2 integrins. J Clin Invest. 1997;100:1725–33.
doi: 10.1172/JCI119697
Kohl S, Springer TA, Schmalstieg FC, Loo LS, Anderson DC. Defective natural killer cytotoxicity and polymorphonuclear leukocyte antibody-dependent cellular cytotoxicity in patients with LFA-1/OKM-1 deficiency. J Immunol. 1984;133:2972–8.
pubmed: 6092461
Bednarczyk M, Stege H, Grabbe S, Bros M. β2 Integrins-multi-functional leukocyte receptors in health and disease. Int J Mol Sci. 2020;21:1402.
doi: 10.3390/ijms21041402
Anderson DC, Schmalsteig FC, Finegold MJ, et al. The severe and moderate phenotypes of heritable Mac-1, LFA-1 deficiency: their quantitative definition and relation to leukocyte dysfunction and clinical features. J Infect Dis. 1985;152:668–89.
doi: 10.1093/infdis/152.4.668
Springer TA. Traffic signals for lymphocyte recirculation and leukocyte emigration: the multistep paradigm. Cell. 1994;76:301–14.
doi: 10.1016/0092-8674(94)90337-9
Etzioni A. Genetic etiologies of leukocyte adhesion defects. Curr Opin Immunol. 2009;21:481–6.
doi: 10.1016/j.coi.2009.07.005
Tone Y, Wada T, Shibata F, et al. Somatic revertant mosaicism in a patient with leukocyte adhesion deficiency type 1. Blood. 2007;109:1182–4.
doi: 10.1182/blood-2006-08-039057
El-Sayed ZA, El-Ghoneimy DH, Abd-Allah H, Afifi HM. A rare association between leukocyte adhesion deficiency type I and psoriasis in humans. Allergy Asthma Immunol Res. 2011;3:138–40.
doi: 10.4168/aair.2011.3.2.138
Vasconcelos Dde M, Beitler B, Martinez GA, et al. CD18 deficiency evolving to megakaryocytic (M7) acute myeloid leukemia: case report. Blood Cells Mol Dis. 2014;53:180–4.
doi: 10.1016/j.bcmd.2014.07.005
De Rose DU, Giliani S, Notarangelo LD, et al. Long term outcome of eight patients with type 1 leukocyte adhesion deficiency (LAD-1): not only infections, but high risk of autoimmune complications. Clin Immunol. 2018;191:75–80.
doi: 10.1016/j.clim.2018.03.005
Moutsopoulos NM, Konkel J, Sarmadi M, et al. Defective neutrophil recruitment in leukocyte adhesion deficiency type I disease causes local IL-17-driven inflammatory bone loss. Sci Transl Med. 2014;6:229ra40.
doi: 10.1126/scitranslmed.3007696
van de Vijver E, van den Berg TK, Kuijpers TW. Leukocyte adhesion deficiencies. Hematol Oncol Clin North Am. 2013;27:101–16.
doi: 10.1016/j.hoc.2012.10.001
Movahedi M, Entezari N, Pourpak Z, et al. Clinical and laboratory findings in Iranian patients with leukocyte adhesion deficiency (study of 15 cases). J Clin Immunol. 2007;27:302–7.
doi: 10.1007/s10875-006-9069-4
Marsili M, Lougaris V, Lucantoni M, et al. Successful anti-TNF-α treatment in a girl with LAD-1 disease and autoimmune manifestations. J Clin Immunol. 2014;34:788–91.
doi: 10.1007/s10875-014-0086-4
Uzel G, Kleiner DE, Kuhns DB, Holland SM. Dysfunctional LAD-1 neutrophils and colitis. Gastroenterology. 2001;121:958–64.
doi: 10.1053/gast.2001.28022
Simpson AM, Chen K, Bohnsack JF, Lamont MN, Siddiqi FA, Gociman B. Pyoderma gangrenosum-like wounds in leukocyte adhesion deficiency: case report and review of literature. Plast Reconstr Surg Glob Open. 2018;6:e1886.
doi: 10.1097/GOX.0000000000001886
Madkaikar M, Italia K, Gupta M, et al. Leukocyte adhesion deficiency-I with a novel intronic mutation presenting with pyoderma gangrenosum-like lesions. J Clin Immunol. 2015;35:431–4.
doi: 10.1007/s10875-015-0155-3
Cantisani C, Naqeshbandi AF, Goldust M, Lampitelli S, Cantoresi F, Alsorori E. Type I leucocyte adhesion deficiency in Yemenian family managed with appropriate treatment: a case series. Dermatol Ther. 2019;32:e12864.
pubmed: 30834665
Thakur N, Sodani R, Chandra J, Singh V. Leukocyte adhesion defect type 1 presenting with recurrent pyoderma gangrenosum. Indian J Dermatol. 2013;58:158.
doi: 10.4103/0019-5154.108076
Maverakis E, Marzano AV, Le ST, et al. Pyoderma gangrenosum. Nat Rev Dis Primers. 2020;6:81.
doi: 10.1038/s41572-020-0213-x
Braswell SF, Kostopoulos TC, Ortega-Loayza AG. Pathophysiology of pyoderma gangrenosum (PG): an updated review. J Am Acad Dermatol. 2015;73:691–8.
doi: 10.1016/j.jaad.2015.06.021
DeFilippis EM, Feldman SR, Huang WW. The genetics of pyoderma gangrenosum and implications for treatment: a systematic review. Br J Dermatol. 2015;172:1487–97.
doi: 10.1111/bjd.13493
Goldust M, Hagstrom EL, Rathod D, Ortega-Loayza AG. Diagnosis and novel clinical treatment strategies for pyoderma gangrenosum. Expert Rev Clin Pharmacol. 2020;13:157–61.
doi: 10.1080/17512433.2020.1709825
Almarza Novoa E, Kasbekar S, Thrasher AJ, et al. Leukocyte adhesion deficiency-I: a comprehensive review of all published cases. J Allergy Clin Immunol Pract. 2018;6(1418–20):e10.
Chakraborty S, Gupta D, Thakral D, et al. Successful reconstitution of leukocyte adhesion defect after umbilical cord blood stem cell transplant. Cent Eur J Immunol. 2020;45:117–21.
doi: 10.5114/ceji.2020.94713
Qian X, Wang P, Wang H, et al. Successful umbilical cord blood transplantation in children with leukocyte adhesion deficiency type I. Transl Pediatr. 2020;9:34–42.
doi: 10.21037/tp.2020.01.06
Wolach B, Gavrieli R, Wolach O, et al. Leucocyte adhesion deficiency—a multicentre national experience. Eur J Clin Invest. 2019;49:e13047.
doi: 10.1111/eci.13047
Moutsopoulos NM, Zerbe CS, Wild T, et al. Interleukin-12 and interleukin-23 blockade in leukocyte adhesion deficiency type 1. N Engl J Med. 2017;376:1141–6.
doi: 10.1056/NEJMoa1612197

Auteurs

Aleksandra Opalińska (A)

Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszów, Poland.

Adrian Burdacki (A)

Department of Hematology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszów, Poland.

Konrad Kwaśniak (K)

Department of Immunology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland.

Katarzyna Pogoda (K)

Department of Immunology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland.

Jacek Tabarkiewicz (J)

Department of Immunology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszow, Poland.

Adam Reich (A)

Department of Dermatology, Institute of Medical Sciences, Medical College of Rzeszow University, Rzeszów, Poland. adi_medicalis@go2.pl.

Classifications MeSH