Dimethyl Fumarate Used as an Effective Treatment for Granuloma Annulare Disseminatum: An Immunohistochemical Case Study

Author:

Gabutti Max1,Heidemeyer Kristine1ORCID,Seyed Jafari S. Morteza1,Bossart Simon1,Hunger Robert E.1,Feldmeyer Laurence1,Yawalkar Nikhil1ORCID

Affiliation:

1. Department of Dermatology, Inselspital, Bern University Hospital, University of Bern, 3010 Bern, Switzerland

Abstract

This investigation demonstrates the use of dimethyl fumarate (DMF) for the treatment of disseminated granuloma annulare (GAD), a rare and chronic inflammatory skin disease. In this case, progressive GAD was treated with DMF, resulting in significant improvement of skin lesions within 5 weeks and complete healing within 7 months. Clinical response was associated with a reduction in inflammatory cells, including both T cell subsets (CD4+ > CD8+), CD183+/CXCR3+ cells, Langerhans cells (CD1a+), myeloid DCs, M1- and M2-like macrophages and the activation marker HLA-DR in immunohistochemical analysis. These findings support the use of DMF as a promising treatment option for this rare skin condition.

Funder

Department of Dermatology, Bern University, Bern, Switzerland

Publisher

MDPI AG

Subject

Inorganic Chemistry,Organic Chemistry,Physical and Theoretical Chemistry,Computer Science Applications,Spectroscopy,Molecular Biology,General Medicine,Catalysis

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