PMID- 19379647
OWN - NLM
STAT- MEDLINE
DCOM- 20090624
LR  - 20090421
IS  - 1087-2108 (Electronic)
IS  - 1087-2108 (Linking)
VI  - 15
IP  - 3
DP  - 2009 Mar 15
TI  - Atypical histopathology in bowel-associated dermatosis-arthritis syndrome: A case 
      report.
PG  - 3
AB  - Bowel-associated dermatosis-arthritis syndrome (BADAS) is characterized by a 
      prodrome of fever, chills, and flu-like symptoms with subsequent skin eruptions, 
      myalgias, and polyarthralgias. The syndrome was initially described following 
      jejunoileal bypass surgery for weight loss. Histopathology of the skin lesions 
      present in BADAS is described in the literature as identical to that of Sweet 
      syndrome. We present a patient whose clinical history and physical exam were 
      consistent with the diagnosis of BADAS. Dermatopathology in this case 
      demonstrated a large subcorneal pustule without a significant dermal neutrophilic 
      infiltrate. The histologic differential included subcorneal pustular dermatosis, 
      bullous impetigo, or IgA pemphigus. The histology in BADAS may not necessarily be 
      identical to Sweet syndrome, and the clinical picture alone plays an important 
      role in diagnosis. The correct diagnosis of BADAS prevents a myriad of laboratory 
      tests and allows for more effective symptom management in this chronic condition.
FAU - Patton, Timothy
AU  - Patton T
AD  - Department of Dermatology, University of Pittsburgh Medical Center, Pittsburgh, 
      Pennsylvania, USA. pattontj@upmc.edu
FAU - Jukic, Drazen
AU  - Jukic D
FAU - Juhas, Elizabeth
AU  - Juhas E
LA  - eng
PT  - Case Reports
PT  - Journal Article
DEP - 20090315
PL  - United States
TA  - Dermatol Online J
JT  - Dermatology online journal
JID - 9610776
RN  - 0 (Antigens, Bacterial)
SB  - IM
MH  - Antigens, Bacterial/immunology
MH  - Arthralgia/diagnosis/etiology/immunology/*pathology
MH  - Arthritis/diagnosis/etiology/immunology/*pathology
MH  - Chills/etiology
MH  - Diagnosis, Differential
MH  - Erythema/diagnosis/etiology/immunology/*pathology
MH  - Female
MH  - Fever/etiology
MH  - *Gastric Bypass
MH  - Humans
MH  - Impetigo/diagnosis
MH  - Intestines/microbiology
MH  - Middle Aged
MH  - Neutrophils/pathology
MH  - Pemphigus/diagnosis
MH  - Postoperative Complications/etiology/immunology/*pathology
MH  - Skin Diseases, Vesiculobullous/diagnosis
MH  - Sweet Syndrome/diagnosis
EDAT- 2009/04/22 09:00
MHDA- 2009/06/25 09:00
CRDT- 2009/04/22 09:00
PHST- 2009/04/22 09:00 [entrez]
PHST- 2009/04/22 09:00 [pubmed]
PHST- 2009/06/25 09:00 [medline]
PST - epublish
SO  - Dermatol Online J. 2009 Mar 15;15(3):3.