Vol 6, No 4 (2020)
Case report
Published online: 2020-12-07
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Intradermal injections of triamcinolone acetonide in Grahama-Little Syndrome treatment — case report

Aleksandra Siekierko1, Justyna Ceryn1, Małgorzata Skibińska1, Aleksandra Lesiak1
·
Forum Dermatologicum 2020;6(4):130-133.
Affiliations
  1. Klinika Dermatologii, Dermatologii Dziecięcej i Onkologicznej Uniwersytetu Medycznego w Łodzi

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Vol 6, No 4 (2020)
CASE STUDY
Published online: 2020-12-07

Abstract

Graham-Little-Piccardi-Lasseur syndrome (GLPLS) is a rare lichen planopillaris defined by scarring alopecia, loss of pubic and axillary hairs and progressive development of follicular papules located on the whole body. Topical or systemic corticosteroids, cysclosporine or hydroxychlorquina are the treatments usually proposed. We describe the effectiveness of intralesional triamcinolone acetonide in concentration of 8 mg/mL with oral acitretin 10 mg/day combined with topical 0.05% clobetasol propionate ointment in a patient with GLPLS. After 2 months of treatment, reduction of perifollicular erythema and follicular hyperkeratotic papules were observed with no new area of alopecia. We believe that intralesional triamcinolone acetonide could be an effective treatment by limiting the progression of the disease.

Abstract

Graham-Little-Piccardi-Lasseur syndrome (GLPLS) is a rare lichen planopillaris defined by scarring alopecia, loss of pubic and axillary hairs and progressive development of follicular papules located on the whole body. Topical or systemic corticosteroids, cysclosporine or hydroxychlorquina are the treatments usually proposed. We describe the effectiveness of intralesional triamcinolone acetonide in concentration of 8 mg/mL with oral acitretin 10 mg/day combined with topical 0.05% clobetasol propionate ointment in a patient with GLPLS. After 2 months of treatment, reduction of perifollicular erythema and follicular hyperkeratotic papules were observed with no new area of alopecia. We believe that intralesional triamcinolone acetonide could be an effective treatment by limiting the progression of the disease.

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Keywords

Graham-Little-Piccardi-Lasseur syndrome; lichen planopilaris; triamcinolone acetonide

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About this article
Title

Intradermal injections of triamcinolone acetonide in Grahama-Little Syndrome treatment — case report

Journal

Forum Dermatologicum

Issue

Vol 6, No 4 (2020)

Article type

Case report

Pages

130-133

Published online

2020-12-07

Page views

1123

Article views/downloads

25

DOI

10.5603/FD.a2020.0020

Bibliographic record

Forum Dermatologicum 2020;6(4):130-133.

Keywords

Graham-Little-Piccardi-Lasseur syndrome
lichen planopilaris
triamcinolone acetonide

Authors

Aleksandra Siekierko
Justyna Ceryn
Małgorzata Skibińska
Aleksandra Lesiak

References (5)
  1. Lyakhovitsky A, Amichai B, Sizopoulou C, et al. A case series of 46 patients with lichen planopilaris: Demographics, clinical evaluation, and treatment experience. J Dermatolog Treat. 2015; 26(3): 275–279.
  2. Errichetti E, Figini M, Croatto M, et al. Therapeutic management of classic lichen planopilaris: a systematic review. Clin Cosmet Investig Dermatol. 2018; 11: 91–102.
  3. Viglizzo G, Verrini A, Rongioletti F, et al. Familial Lassueur-Graham-Little-Piccardi syndrome. Dermatology. 2004; 208(2): 142–144.
  4. Vega Gutiérrez J, Miranda-Romero A, Pérez Milán F, et al. Graham Little-Piccardi-Lassueur syndrome associated with androgen insensitivity syndrome (testicular feminization). J Eur Acad Dermatol Venereol. 2004; 18(4): 463–466.
  5. Rodríguez-Bayona B, Ruchaud S, Rodríguez C, et al. Autoantibodies against the chromosomal passenger protein INCENP found in a patient with Graham Little-Piccardi-Lassueur syndrome. J Autoimmune Dis. 2007; 4: 1.

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