Bureau-Barriere Syndrome

Classification according to ICD-10
G61.1	Alcohol polyneuropathy
ICD-10 online (WHO version 2019)

The Bureau-Barrière syndrome , lat .: Acropathia ulcero-mutilans nonfamiliaris is an alcohol-related polyneuropathy with ulcers on the fingers and toes, called trophic ulcers and bony changes.

The syndrome is also called Bureau-Barrière-I syndrome to distinguish it from Bureau-Barrière-Thomas syndrome .

The disease is named after the people who first described it in 1955, the French dermatologists Yves Bureau and Henri Barrière .

Epidemiology

The disease occurs between the ages of 40 and 60. The feet are preferably affected on both sides.

root cause

It is based on a multifactorial chronic polyneuropathy with impairment of tissue nutrition (trophic) and pain sensitivity (sensory). The acral ulcers lead to osteolysis and mutilation .

In addition to alcohol abuse, other noxious substances can also cause the disease.

clinic

Diagnostic criteria are:

Strong alcohol dependence , almost always male
Onset of the disease between the ages of 40 and 60
Polyneuropathy onset in the feet

Hyperkeratosis with ulcer formation in the stress zones

Redness, overheating and hyperhidrosis of the feet

Frequent bone involvement with ( acro ) osteolysis , spontaneous fractures, dislocations and osteomyelitis

Sensory disorders in the hands

Differential diagnosis

Other neurotrophic ulcers, in particular diabetic and familial polyneuropathy, must be differentiated.

therapy

Treatment options are local to the ulcer and orthopedic shoe care.

literature

Y. Bureau, H. Barrière, JP Kernèis, A. de Ferron, Y. Bruneau: Acropathies ulcéro-mutilantes pseudosyringomyéliques non familiales des membres inférieurs. (Speaking of 23 observations). In: Bull Soc Franc Derm. (1957); 64, p. 187.
E. Diem, G. Wolf, R. Oppolzer: To the knowledge of the non-familial so-called. Sporadic Acropathia ulceromutilans of the lower extremities (Bureau-Barriére-Syndrome). In: Journal of Skin Diseases. 1974; 50, pp. 13-24.
W. Zapf, B. Knopf: Acropathia ulcero-mutilans nonfamiliaris (Bureau-Barrière syndrome). A case report. In: Dermatological Monthly. Volume 176, Numbers 5-6, 1990, pp. 333-335, ISSN 0011-9083 . PMID 2172053 .
E. Thoma, T. Ruzicka, G. Donhauser, T. Albrecht, O. Braun-Falco: Clinical aspects and therapy of Bureau-Barrière syndrome. Observations of 17 cases with review of the literature. In: The dermatologist; Journal of Dermatology, Venereology, and Allied Fields. Volume 44, Number 1, January 1993, pp. 5-13, ISSN 0017-8470 . PMID 8436512 . (Review).
J. Dissemond, J. Knab, M. Goos: Bureau-Barrière-Syndrome of the hand. In: The dermatologist. 2004; 55 (4), pp. 371-375. doi: 10.1007 / s00105-003-0648-5

Individual evidence

^ W. Pschyrembel: Clinical dictionary. 265th edition. Verlag Walter de Gruyter, 2014, ISBN 978-3-11-018534-8 .
^ Y. Bureau, H. Barrière: Acropathies pseudo-syringomyeliques des membres inférieurs. Essai d'interprétation nosographique. In: La semaine des hôpitaux: organe fondé par l'Association d'enseignement médical des hôpitaux de Paris. Volume 31, Number 25, April 1955, pp. 1419-1429. PMID 14385866 .
^ R. Kind, OP Hornstein: Akroosteopathia ulcero-mutilans in a plastics worker. In: Dtsch Med Wochenschr. (1975); 100, pp. 1001-1007.
↑ ^a ^b B. Leiber: The clinical syndromes. Syndromes, sequences and symptom complexes. Edited by G. Burg, J. Kunze, D. Pongratz, PG Scheurlen, A. Schinzel, J. Spranger. 7th edition. Urban & Schwarzenberg, 1990, ISBN 3-541-01727-9 .
↑ Dictionnaire de l'Académie Medicale
↑ S. Krausse, RPA Müller: Ulceromutilierenden Neuropathie - Systematics, Clinic and Therapy of Neuropathic Plantar Ulcers. In: Advances in operative and oncological dermatology. Volume 8, 1994, pp. 230-235.

[1] W. Pschyrembel: Clinical dictionary. 265th edition. Verlag Walter de Gruyter, 2014, ISBN 978-3-11-018534-8 .

[2] Y. Bureau, H. Barrière: Acropathies pseudo-syringomyeliques des membres inférieurs. Essai d'interprétation nosographique. In: La semaine des hôpitaux: organe fondé par l'Association d'enseignement médical des hôpitaux de Paris. Volume 31, Number 25, April 1955, pp. 1419-1429. PMID 14385866 .

[3] R. Kind, OP Hornstein: Akroosteopathia ulcero-mutilans in a plastics worker. In: Dtsch Med Wochenschr. (1975); 100, pp. 1001-1007.

[Leiber-4] B. Leiber: The clinical syndromes. Syndromes, sequences and symptom complexes. Edited by G. Burg, J. Kunze, D. Pongratz, PG Scheurlen, A. Schinzel, J. Spranger. 7th edition. Urban & Schwarzenberg, 1990, ISBN 3-541-01727-9 .

[5] Dictionnaire de l'Académie Medicale

[6] S. Krausse, RPA Müller: Ulceromutilierenden Neuropathie - Systematics, Clinic and Therapy of Neuropathic Plantar Ulcers. In: Advances in operative and oncological dermatology. Volume 8, 1994, pp. 230-235.