Topical tacrolimus therapy in the management of lower extremity ulcers due to prolidase deficiency

Pediatr Dermatol. 2019 Nov;36(6):926-928. doi: 10.1111/pde.13973. Epub 2019 Oct 6.

Abstract

Prolidase deficiency is a rare autosomal recessive disorder characterized by cutaneous ulcers, facial dysmorphism, recurrent infections, and intellectual disability. We report a unique case of a 6-year-old boy with prolidase deficiency and Crohn's disease who presented with lower extremity ulcers. Cutaneous ulcers due to prolidase deficiency are historically resistant to treatment, and we report success with the novel use of topical tacrolimus.

Keywords: prolidase deficiency; topical treatment; ulcers.

Publication types

  • Case Reports

MeSH terms

  • Administration, Topical
  • Calcineurin Inhibitors / therapeutic use*
  • Child
  • Humans
  • Leg Ulcer / drug therapy*
  • Leg Ulcer / genetics
  • Male
  • Ointments
  • Prolidase Deficiency / complications*
  • Tacrolimus / therapeutic use*

Substances

  • Calcineurin Inhibitors
  • Ointments
  • Tacrolimus