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Porokeratosis - Head to toe: An unusual presentation.

Bhaskar S, Jaiswal AK, Raj N, Reddy D - Indian Dermatol Online J (2015 Mar-Apr)

Bottom Line: Porokeratosis is a disorder of epidermal proliferation in which many different clinical variants can be distinguished.Herein we report a rare case of porokeratosis involving almost all parts of the body with simultaneous occurrence of various forms of the disease in the same individual (classical porokeratosis of Mibelli, disseminated superficial actinic porokeratosis, hypertrophic porokeratosis, and genital porokeratosis).

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Raja Rajeswari Medical College and Hospital, Bengaluru, Karnataka, India.

ABSTRACT
Porokeratosis is a disorder of epidermal proliferation in which many different clinical variants can be distinguished. Herein we report a rare case of porokeratosis involving almost all parts of the body with simultaneous occurrence of various forms of the disease in the same individual (classical porokeratosis of Mibelli, disseminated superficial actinic porokeratosis, hypertrophic porokeratosis, and genital porokeratosis).

No MeSH data available.


Related in: MedlinePlus

Histopathology in low power view showing parakeratotic column present superficially, overlying an effaced epidermis (H and E, ×10)
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Figure 9: Histopathology in low power view showing parakeratotic column present superficially, overlying an effaced epidermis (H and E, ×10)

Mentions: Cutaneous examination revealed multiple, superficial, annular, hyperpigmented, atrophic plaques 1 to 3 cm in diameter with a slightly raised peripheral border over the face and neck [Figure 1]. Lesions over the front of the right ear, palms, and soles showed typical furrows [Figures 2 and 3]. Verrucous annular plaques with central atrophy were noted over the right forearm [Figure 4], scrotum and penis [Figure 5]. The lesion over the scalp was associated with alopecia [Figure 6]. A milky white, raised, cord-like lesion with maceration was seen over mucosal surface of the lower lip [Figure 7]. A vitiliginous depigmented macule was present over glans penis and mucosal surface of prepuce [Figure 8]. Dermoscopic examination showed a “white track” structure with brown pigmentation in the inside of the track [Figure 8]. A provisional diagnosis of porokeratosis was made, which was confirmed by histopathological examination [Figures 9 and 10].


Porokeratosis - Head to toe: An unusual presentation.

Bhaskar S, Jaiswal AK, Raj N, Reddy D - Indian Dermatol Online J (2015 Mar-Apr)

Histopathology in low power view showing parakeratotic column present superficially, overlying an effaced epidermis (H and E, ×10)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4375752&req=5

Figure 9: Histopathology in low power view showing parakeratotic column present superficially, overlying an effaced epidermis (H and E, ×10)
Mentions: Cutaneous examination revealed multiple, superficial, annular, hyperpigmented, atrophic plaques 1 to 3 cm in diameter with a slightly raised peripheral border over the face and neck [Figure 1]. Lesions over the front of the right ear, palms, and soles showed typical furrows [Figures 2 and 3]. Verrucous annular plaques with central atrophy were noted over the right forearm [Figure 4], scrotum and penis [Figure 5]. The lesion over the scalp was associated with alopecia [Figure 6]. A milky white, raised, cord-like lesion with maceration was seen over mucosal surface of the lower lip [Figure 7]. A vitiliginous depigmented macule was present over glans penis and mucosal surface of prepuce [Figure 8]. Dermoscopic examination showed a “white track” structure with brown pigmentation in the inside of the track [Figure 8]. A provisional diagnosis of porokeratosis was made, which was confirmed by histopathological examination [Figures 9 and 10].

Bottom Line: Porokeratosis is a disorder of epidermal proliferation in which many different clinical variants can be distinguished.Herein we report a rare case of porokeratosis involving almost all parts of the body with simultaneous occurrence of various forms of the disease in the same individual (classical porokeratosis of Mibelli, disseminated superficial actinic porokeratosis, hypertrophic porokeratosis, and genital porokeratosis).

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Raja Rajeswari Medical College and Hospital, Bengaluru, Karnataka, India.

ABSTRACT
Porokeratosis is a disorder of epidermal proliferation in which many different clinical variants can be distinguished. Herein we report a rare case of porokeratosis involving almost all parts of the body with simultaneous occurrence of various forms of the disease in the same individual (classical porokeratosis of Mibelli, disseminated superficial actinic porokeratosis, hypertrophic porokeratosis, and genital porokeratosis).

No MeSH data available.


Related in: MedlinePlus