TY - JOUR KW - Adult KW - Brazil KW - Genes, Recessive KW - Genetic Predisposition to Disease KW - Humans KW - Leprosy, lepromatous KW - Male KW - Netherton Syndrome KW - Proteinase Inhibitory Proteins, Secretory KW - Serine Peptidase Inhibitor Kazal-Type 5 AU - Oliveira FL AU - Vasconcellos BO AU - Morais TS AU - Nascimento MB AU - Teles R AU - Costa Nery JA AU - Miranda MJS AU - Azulay-Abulafia L AB -

OBJECTIVES: Netherton's syndrome (NS) is a rare autosomal recessive condition, first described in 1958, which involves a complex immunological dysfunction, ichthyosiform dermatitis, and erythroderma, characteristic defects of the hair shaft and atopy. Recurrent bacterial infection in the skin of patients with NS is frequent.

METHODS: This paper represents the first case report of leprosy and concurrent NS.

DISCUSSION: This case merits discussion among doctors in endemic and non-endemic areas to evaluate the chronic use of systemic corticosteroids as a risk factor for leprosy. The present patient came from an endemic area of leprosy and was treated chronically with systemic corticosteroids for erythroderma. This treatment, along with the immunodeficiency related to the syndrome and caused by a genetic mutation in SPINK5, may be a facilitating factor for the infection.

BT - International journal of dermatology C1 - http://www.ncbi.nlm.nih.gov/pubmed/23347305?dopt=Abstract DA - 2013 Feb DO - 10.1111/j.1365-4632.2012.05620.x IS - 2 J2 - Int. J. Dermatol. LA - eng N2 -

OBJECTIVES: Netherton's syndrome (NS) is a rare autosomal recessive condition, first described in 1958, which involves a complex immunological dysfunction, ichthyosiform dermatitis, and erythroderma, characteristic defects of the hair shaft and atopy. Recurrent bacterial infection in the skin of patients with NS is frequent.

METHODS: This paper represents the first case report of leprosy and concurrent NS.

DISCUSSION: This case merits discussion among doctors in endemic and non-endemic areas to evaluate the chronic use of systemic corticosteroids as a risk factor for leprosy. The present patient came from an endemic area of leprosy and was treated chronically with systemic corticosteroids for erythroderma. This treatment, along with the immunodeficiency related to the syndrome and caused by a genetic mutation in SPINK5, may be a facilitating factor for the infection.

PY - 2013 SP - 186 EP - 90 T2 - International journal of dermatology TI - Netherton's syndrome and lepromatous leprosy: a mere coincidence? VL - 52 SN - 1365-4632 ER -