Case Report

Treatment of Subcorneal Pustular Dermatosis without Dapsone: A Case Report and Review of the Literature

Table 1

Colchicine therapy for subcorneal pustular dermatosis.

CasePatientColchicine therapy courseWas colchicine successful?

Lao-Ang et al. Unknown date [8]49-year-old femaleColchicine 0.5 mg/day: complete resolution after 6 weeks and no relapse at 6-month follow-upYes
Pavithran [9]40-year-old maleColchicine 0.5 mg BID and then maintenance dose of 0.5 mg/day: complete resolution after one week. No relapses at maintenance doseYes
Present case67-year-old femaleColchicine 0.6 mg per day, adalimumab 40 mg every two weeks, triamcinolone 0.1% cream or augmented betamethasone 0.05% ointment twice daily as needed: improvement within 3 weeks with one flare which resolved with topical steroids. There was no improvement with adalimumab and topicals aloneYes
Bedi [10]28-year-old femaleColchicine 0.6 mg BID: initial response but flare at 3 monthsYes, but recurrence reported
Teraki and Sugai [11]72-year-old female with mild IgA elevationColchicine, unknown dose: initial complete response but recurrence 1-2 months laterYes, but recurrence reported
Stefanaki et al. [12]57-year-old male with palmoplantar pustular psoriasis (PPP)Colchicine 0.5–1.5 mg/day: started when patient had PPP eruption, not SPD (although had a recent history of SPD previously controlled with dapsone). At 12 month follow-up after starting colchicine and discontinuing dapsone, patient did not have relapse of PPP or SPDUnclear, may have prevented recurrence
Orton and George [13]40-year-old femaleColchicine 1 mg/day: no maintained responseNo
Bonifati et al. [14]54-year-old femaleColchicine, unknown dose: only partial controlNo
Ratnarathorn and Newman [15]45-year-old male with nodal marginal zone lymphomaColchicine 0.6 mg TID and fluocinonide ointment: worsening of SPD over the next 3 months. Colchicine was discontinuedNo
Khachemoune and Blyumin [3]28-year-old maleColchicine 0.6 mg/day with dapsone 50 mg/day for 3 months: no response and had side effects such as diarrhea and weight lossNo
Berk et al. [16]51-year-old maleColchicine, unknown dose: no benefitNo
Berk et al. [16]61-year-old maleColchicine, unknown dose: no benefitNo
Voigtländer et al. [17]79-year-old femaleColchicine, unknown dose: no benefitNo
Romagnuolo et al. [18]80-year-old femaleColchicine, unknown dose: unknown benefit, discontinued due to “severe” gastrointestinal side effectsNo
Naretto et al. [19]37-year-old female with systemic lupus erythematosusColchicine, unknown dose: no benefitNo
Todd et al. [20]71-year-old male with monoclonal IgA gammopathyColchicine, unknown dose: no benefitNo
Brown et al. [21]78-year-old female with chronic lymphocytic leukemiaColchicine 1.5 mg/day: no benefitNo
Guerin et al. [1]69-year-old female with monoclonal IgA gammopathyColchicine, unknown dose: no benefitNo
Ahmad and Ramsay [22]57-year-old female with pyoderma gangrenosum and IgA myelomaColchicine 0.5 mg/day: no benefitNo