Acquired Ulcero-Mutilating Bilateral Acro-Osteopathy (Bureau-Barrière Syndrome)
DOI:
https://doi.org/10.3889/oamjms.2017.134Keywords:
neuropathy, acquired, eczema, ulcerations, ulcero mutilating lesions, bilateralAbstract
We present a 35-year-old male patient with Bureau-Barrière syndrome. Bureau-Barrière syndrome is an ulcero-mutilating acropathy almost invariably associated with excessive alcohol intake. It presents with a triad of trophic skin changes with recurrent ulcerations, bone lesions and nerve damage. The clinical presentation includes chronic painless plantar ulcerations with periulcerous hyperkeratosis, hyperhidrosis, livedoid skin colour, nail dystrophy, widening and infiltration of the toes and common interdigital mycoses. Other non-specific skin changes related to the alcohol consumption are commonly observed as well. The condition affects mainly middle-aged men suffering from alcoholism. Often a bilateral location at the lower limb of male alcoholics has been described, as in our patient. Successful treatment of the Bureau-Barrière syndrome requires an interdisciplinary approach. Cessation of alcohol intake and smoking is of paramount importance.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Thoma E, Ruzicka T, Donhauser G, Albrecht T, Braun-Falco O. [Clinical aspects and therapy of Bureau-Barrière syndrome. Observations of 17 cases with review of the literature]. Hautarzt. 1993;44(1):5-13. PMid:8436512
Dissemond J, Knab J, Goos M. [Bureau-Barrière syndrome of the hand. A case report on an unusual localization]. Hautarzt. 2004;55(4):371-5. https://doi.org/10.1007/s00105-003-0648-5 PMid:15146886
Shibuya N, La Fontaine J, Frania SJ. Alcohol-induced neuroarthropathy in the foot: a case series and review of literature. J Foot Ankle Surg. 2008;47(2):118-24. https://doi.org/10.1053/j.jfas.2007.12.009 PMid:18312919
Alnot JY, Rossarie R, Welby F. [Syringomyelia and associated bone and joint diseases]. Rev Chir Orthop Reparatrice Appar Mot. 2007;93(3):269-76. https://doi.org/10.1016/S0035-1040(07)90249-4
Wollina U, Mohr F, Schier F. Unilateral hyperhidrosis, callosities, and nail dystrophy in a boy with tethered spinal cord syndrome. Pediatr Dermatol. 1998;15(6):486-7. https://doi.org/10.1046/j.1525-1470.1998.1998015486.x PMid:9875980
Wollina U, Krönert C, Heinig B. Bilateral callosities, plantar ulcers and peripheral neuropathy in a 15-year-old nondiabetic boy--think of neuroborreliosis. J Eur Acad Dermatol Venereol. 2005;19(2):259-60. https://doi.org/10.1111/j.1468-3083.2005.01012.x PMid:15752310
Riyaz N, Sehgal VN. Leprosy: trophic skin ulcers. Skinmed. 2017;15(1):45-51. PMid:28270310
Downloads
Published
How to Cite
Issue
Section
License
All rights reserved.