[Treatment of symptomatic mucinosis follicularis in mycosis fungoides using fast electrons]. / Behandlung einer symptomatischen Mucinosis follicularis bei Mycosis fungoides mit schnellen Elektronen.

Mucinosis follicularis is a chronic type of dermatosis involving the sebaceous glands and outer root sheaths, which can be differentiated into primary and secondary types. The latter - also called symptomatic mucinosis follicularis - causes therapeutic problems because of the underlying malignant lymphoma. Successful treatment using electron beams supported by etretinate is described in detail in a 40-year-old man with symptomatic mucinosis follicularis based on plaque-type mycosis fungoides. After 6 months free of skin symptoms, the mycosis fungoides lesions recurred in the overlapping borders of the irradiation fields. These lesions were treated again with electron beams. A relapse after 32 months was controlled by PUVA. Electron beam therapy is recomended in the plaque type of mycosis fungoides, especially if PUVA has no effect for some reason.

[Acute febrile neutrophilic dermatosis--Sweet syndrome]. / Akute febrile neutrophile Dermatose--Sweet-Syndrom.

Since 1964 there are 65 women and 13 men with the typical features of Sweet syndrome reported. An additional case in a 40 year old man is the purpose of this review of the literature. The Sweet syndrome is mainly observed in the fourth and fifth decade of life and begins with typical symptoms of high temperatures, peripheral leucocytosis, with eminent red plaques showing bumpy surface. The histologic picture is not specific but characteristic. The onset of cutaneous eruption is preceded about 10 days by symptoms of influenza and infections of the upper respiratory tract. Sites of predilection are the surface of extremities, face, nape and superior trunk. Erythema nodosum like foci and acneiform lesions have been described. Histologically, there is a distinctive edema in the upper corium and perivascular infiltrates, consisting of polynuclear leucocytes with leucocytoclasia. The pathological process is interpreted as an immune complex disease, different from erythema exsudativum multiforme. There is reason to believe in an infectious allergic origin. During the acute state lesions may occur, provoked by unspecific trauma.