Actinic reticuloid. Response to combination treatment with azathioprine, hydroxychloroquine, and prednisone.
We treated an intractable case of actinic reticuloid with azathioprine, hydroxychloroquine, prednisone, and solar protection with E-Z film and obtained a clinically worthwhile effect. The patient was initially sensitive to less than 2 mjoules/cm2 ultraviolet B (UVB) and less than 1 joule/cm UVA, which caused erythematous and infiltrated scaly plaques that persisted for more than 6 weeks after testing. The case is also instructive in the difficulty presented in differentiating it from mycosis fungoides, and for the presence of Sézary-type cells in skin, blood, and lymph nodes.
D001379:Azathioprine / Q000008:administration & dosage*; D004359:Drug Therapy, Combination; D006801:Humans; D006886:Hydroxychloroquine / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D010787:Photosensitivity Disorders / Q000188:drug therapy* / Q000628:therapy; D010969:Plastics; D011241:Prednisone / Q000008:administration & dosage*; D011482:Protective Devices
D010969:Plastics; D006886:Hydroxychloroquine; D001379:Azathioprine; D011241:Prednisone