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An Bras Dermatol. 2009 Nov-Dec;84(6):655-8.

[Febrile ulceronecrotic Mucha-Habermann disease with exuberant mucosal involvement: case report].

[Article in Portuguese]

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  • 1FMRP, USP, Ribeirão Preto, SP, Brasil.


Pityriasis lichenoides is a rare idiopathic cutaneous disorder, with a clinical-histopathological spectrum comprising the acute varioliform form (Mucha-Habermann's disease), its febrile ulceronecrotic variant, and its chronic form. Systemic manifestations may occur in the febrile ulceronecrotic variant, with reports of adult mortality. The case of a young male patient with clinical and histopathological diagnosis of Mucha-Habermann's disease, febrile ulceronecrotic variant, with severe mucosal involvement - an occasional incidence even in the most severe forms of pityriasis lichenoides - is presented. In addition to the atypical clinical aspect, an excellent therapeutic result is shown with the association of prednisone and methotrexate.

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