Skin and Mucous Membrane Eruptions Associated with Chlamydophila Pneumoniae Respiratory Infections: Literature Review

Giulia De Luigi, Lorenzo Zgraggen, Lisa Kottanattu, Giacomo D. Simonetti, Luisa Terraneo, Federica Vanoni, Isabella Terrani, Mario G. Bianchetti, Sebastiano A.G. Lava, Gregorio P. Milani

Research output: Contribution to journalReview article

Abstract

Background: Mycoplasma pneumoniae pneumonia is sometimes associated with skin or mucous membrane eruptions. Available reviews do not address the association of Chlamydophila pneumoniae pneumonia with skin eruptions. We therefore conducted a systematic review of the literature addressing this issue. The National Library of Medicine, Excerpta Medica, and Web of Science databases were employed. Summary: In two reports, skin lesions and especially urticaria were more common (p < 0.05) in atypical pneumonia caused by C. pneumoniae as compared with M. pneumoniae. We found 47 patients (<18 years, n = 16; ≥18 years, n = 31) affected by a C. pneumoniae atypical pneumonia, which was associated with erythema nodosum, erythema multiforme minus, erythema multiforme majus, isolated mucositis, or cutaneous vasculitis. We also found the case of a boy with C. pneumoniae pneumonia and acute generalized exanthematous pustulosis. We did not find any case of C. pneumoniae respiratory infection associated with either Gianotti-Crosti syndrome, pityriasis lichenoides et varioliformis acuta Mucha-Habermann, or varicella-like skin eruptions.

Original languageEnglish
JournalDermatology
DOIs
Publication statusAccepted/In press - Jan 1 2020

ASJC Scopus subject areas

  • Dermatology

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    De Luigi, G., Zgraggen, L., Kottanattu, L., Simonetti, G. D., Terraneo, L., Vanoni, F., Terrani, I., Bianchetti, M. G., Lava, S. A. G., & Milani, G. P. (Accepted/In press). Skin and Mucous Membrane Eruptions Associated with Chlamydophila Pneumoniae Respiratory Infections: Literature Review. Dermatology. https://doi.org/10.1159/000506460