Subcorneal pustular dermatosis successfully treated with colchicine

Authors

DOI:

https://doi.org/10.29176/2590843X.1980

Keywords:

Colchicine, Dermatology, Sneddon-Wilkinson disease

Abstract

The subcorneal pustular dermatosis, also known as Sneddon-Wilkinson disease, is a rare, benign, although recurrent condition classified within the group of neutrophilic dermatoses. Its pathogenesis remains unclear. Clinically, pustules appear on the trunk and intertriginous areas, rarely on acral locations. Histologically, subcorneal collections of neutrophils form pustules. While dapsone remains the treatment of choice, this case report highlights a successful alternative treatment using colchicine, a well-established second-line drug, although multiple treatments have been described today, among the most recent, for example, adalimumab, a monoclonal antibody against tumor necrosis factor α (TNF-α). Colchicine is accessible, safe, and effective, and should be considered among the first lines of treatment.

Author Biographies

Bruny Carolina Llamas Castellanos, Universidad de Cartagena, Colombia

Especialización en Dermatología, Facultad de Medicina, Universidad de Cartagena, Colombia.

Stephanie Hernández Buitrado, Universidad de Cartagena, Colombia.

Especialización en Dermatología, Facultad de Medicina, Universidad de Cartagena, Colombia.

Francisco Camacho, Universidad de Cartagena, Colombia

Departamento de Dermatología, Facultad de Medicina, Universidad de Cartagena, Colombia.

Sandra Viviana Meneses-Gaviria, Universidad de Cartagena, Colombia

Especialización en Dermatología, Facultad de Medicina, Universidad de Cartagena, Colombia.

References

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Sara K, Najoua A, Kaoutar Z, Nadia I, Mariame M, Laila B, et al. Maladie de Sneddon-Wilkinson: à propos d´un cas. PAMJ [Internet]. el 1 de noviembre de 2022 [citado el 9 de noviembre de 2023];43(115). Disponible en: https://www.panafrican-med-journal.com/content/article/43/115/full

Sánchez-González V, Morales-Cardona CA, Hiromi-López JC. Dermatosis pustular subcórnea: experiencia de once años en un centro de referencia nacional. Reporte de casos. Iatreia [Internet]. el 19 de diciembre de 2022 [citado el 8 de marzo de 2024]; Disponible en: https://revistas.udea.edu.co/index.php/iatreia/article/view/349707

Zamudio A, Jimenez Segura AM, Camacho Chaljub FM. Pénfigo IgA, reporte de un caso con diagnóstico y tratamiento difíciles. Rev Cienc Bioméd. el 15 de abril de 2022;11(2):179–86.

Dastoli S, Nisticò SP, Morrone P, Patruno C, Leo A, Citraro R, et al. Colchicine in Managing Skin Conditions: A Systematic Review. Pharmaceutics. febrero de 2022;14(2):294.

Guerin C, Beylot-Barry M, Frouin E, Hainaut E, Masson Regnault M. Treatment of Subcorneal Pustular Dermatosis (Sneddon-Wilkinson Disease) With Anti-Tumor Necrosis Factor Alpha. Cureus [Internet]. el 13 de agosto de 2021 [citado el 10 de noviembre de 2023]; Disponible en: https://www.cureus.com/articles/45748-treatment-of-subcorneal-pustular-dermatosis-sneddon-wilkinson-disease-with-anti-tumor-necrosis-factor-alpha

How to Cite

1.
Llamas Castellanos BC, Hernández Buitrado S, Camacho F, Meneses-Gaviria SV. Subcorneal pustular dermatosis successfully treated with colchicine. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2025 Apr. 29 [cited 2026 Mar. 21];33(2). Available from: https://revistaasocoldermaorgco.biteca.online/index.php/asocolderma/article/view/1980

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Published

2025-04-29

How to Cite

1.
Llamas Castellanos BC, Hernández Buitrado S, Camacho F, Meneses-Gaviria SV. Subcorneal pustular dermatosis successfully treated with colchicine. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2025 Apr. 29 [cited 2026 Mar. 21];33(2). Available from: https://revistaasocoldermaorgco.biteca.online/index.php/asocolderma/article/view/1980

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