Skin disorders with prominent eosinophilic infiltration treated successfully with nicotine. Report of two cases

Dermatology. 2004;208(2):153-7. doi: 10.1159/000076492.

Abstract

Background: Nicotine was effective in the treatment of skin disorders attributable to neutrophils such as pyoderma gangrenosum and orogenital ulcerations due to Behçet's disease.

Objective: We assessed the efficacy of nicotine for treating skin disorders with prominent eosinophilic infiltration.

Patients and methods: A 67-year-old man with Kimura's disease was treated for 2 weeks with nicotine chewing gum (6 mg/day). A 50-year-old woman with erythema nodosum with eosinophilic infiltration was treated for 4 weeks with transdermal nicotine patches (5 mg/day).

Results: Both patients showed a dramatic clinical and histopathological improvement.

Conclusion: Our results suggest that nicotine may be useful for treating skin disorders with eosinophilic infiltration as well as neutrophilic dermatoses.

Publication types

  • Case Reports

MeSH terms

  • Administration, Topical
  • Aged
  • Angiolymphoid Hyperplasia with Eosinophilia / drug therapy*
  • Angiolymphoid Hyperplasia with Eosinophilia / pathology*
  • Biopsy, Needle
  • Chewing Gum
  • Facial Dermatoses / drug therapy
  • Facial Dermatoses / pathology
  • Female
  • Follow-Up Studies
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Nicotine / therapeutic use*
  • Risk Assessment
  • Severity of Illness Index
  • Skin Diseases / drug therapy*
  • Skin Diseases / pathology*
  • Treatment Outcome

Substances

  • Chewing Gum
  • Nicotine