Kyrle′s disease presenting in an extensive distribution along lines of Blaschko

A 24-year-old lady presented with the complaints of asymptomatic dark, raised lesions over her body since past 4 years. Dermatological examination revealed hyperkeratotic, hyperpigmented papules in a Blaschkoid distribution over trunk and extremities. The hyperkeratotic lesions could be removed leav...

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Main Authors: Rajesh Verma, Biju Vasudevan, Sunita Kakkar, Pratibha Mishra, Vijendran Pragasam, Disha Dabbas
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Indian Journal of Dermatology
Subjects:
Online Access:http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=4;spage=423;epage=423;aulast=Verma
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author Rajesh Verma
Biju Vasudevan
Sunita Kakkar
Pratibha Mishra
Vijendran Pragasam
Disha Dabbas
author_facet Rajesh Verma
Biju Vasudevan
Sunita Kakkar
Pratibha Mishra
Vijendran Pragasam
Disha Dabbas
author_sort Rajesh Verma
collection DOAJ
description A 24-year-old lady presented with the complaints of asymptomatic dark, raised lesions over her body since past 4 years. Dermatological examination revealed hyperkeratotic, hyperpigmented papules in a Blaschkoid distribution over trunk and extremities. The hyperkeratotic lesions could be removed leaving behind a small crater. Skin biopsy revealed hyperkeratosis, parakeratosis with epidermal invagination, focal cornified plug with basophilic degenerated material and dyskeratotic keratinocytes. Dermis showed dilated capillaries with moderate amount of perivascular lymphocytic infiltrate and granulomatous lymphocytic infiltrate in the deep dermis. A diagnosis of Kyrle′s disease was made and patient was started on oral acitretin 25 mg daily with satisfactory response to therapy. This is the first reported instance of Kyrle′s disease occurring in an extensive Blaschkoid distribution.
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spelling doaj.art-3d00ee1c5071418f9e226aa9bdade8b92022-12-21T18:26:51ZengWolters Kluwer Medknow PublicationsIndian Journal of Dermatology0019-51541998-36112015-01-0160442342310.4103/0019-5154.160542Kyrle′s disease presenting in an extensive distribution along lines of BlaschkoRajesh VermaBiju VasudevanSunita KakkarPratibha MishraVijendran PragasamDisha DabbasA 24-year-old lady presented with the complaints of asymptomatic dark, raised lesions over her body since past 4 years. Dermatological examination revealed hyperkeratotic, hyperpigmented papules in a Blaschkoid distribution over trunk and extremities. The hyperkeratotic lesions could be removed leaving behind a small crater. Skin biopsy revealed hyperkeratosis, parakeratosis with epidermal invagination, focal cornified plug with basophilic degenerated material and dyskeratotic keratinocytes. Dermis showed dilated capillaries with moderate amount of perivascular lymphocytic infiltrate and granulomatous lymphocytic infiltrate in the deep dermis. A diagnosis of Kyrle′s disease was made and patient was started on oral acitretin 25 mg daily with satisfactory response to therapy. This is the first reported instance of Kyrle′s disease occurring in an extensive Blaschkoid distribution.http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=4;spage=423;epage=423;aulast=VermaBlaschkoidKyrle′s diseaseperforating disordersretinoids
spellingShingle Rajesh Verma
Biju Vasudevan
Sunita Kakkar
Pratibha Mishra
Vijendran Pragasam
Disha Dabbas
Kyrle′s disease presenting in an extensive distribution along lines of Blaschko
Indian Journal of Dermatology
Blaschkoid
Kyrle′s disease
perforating disorders
retinoids
title Kyrle′s disease presenting in an extensive distribution along lines of Blaschko
title_full Kyrle′s disease presenting in an extensive distribution along lines of Blaschko
title_fullStr Kyrle′s disease presenting in an extensive distribution along lines of Blaschko
title_full_unstemmed Kyrle′s disease presenting in an extensive distribution along lines of Blaschko
title_short Kyrle′s disease presenting in an extensive distribution along lines of Blaschko
title_sort kyrle s disease presenting in an extensive distribution along lines of blaschko
topic Blaschkoid
Kyrle′s disease
perforating disorders
retinoids
url http://www.e-ijd.org/article.asp?issn=0019-5154;year=2015;volume=60;issue=4;spage=423;epage=423;aulast=Verma
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