A report of disseminated actinic granuloma: An unusually extensive presentation
In this report, a case of disseminated actinic granuloma in a 50-year-old female with type 2 diabetes mellitus is described. This case is unique due to the unusually extensive cutaneous involvement of the face, neck, trunk, and extremities at initial presentation. The lesions were in a striking phot...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
| Published: |
SAGE Publishing
2023-08-01
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| Series: | SAGE Open Medical Case Reports |
| Online Access: | https://doi.org/10.1177/2050313X231195487 |
| _version_ | 1797733486328545280 |
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| author | Carolyn Ahlers Eva Rawlings Parker |
| author_facet | Carolyn Ahlers Eva Rawlings Parker |
| author_sort | Carolyn Ahlers |
| collection | DOAJ |
| description | In this report, a case of disseminated actinic granuloma in a 50-year-old female with type 2 diabetes mellitus is described. This case is unique due to the unusually extensive cutaneous involvement of the face, neck, trunk, and extremities at initial presentation. The lesions were in a striking photo-distribution, highlighting ultraviolet light as an important environmental trigger for this process. Interestingly, the patient refused the recommended systemic therapy with hydroxychloroquine, despite her significant burden of skin disease. This refusal stems from an unexpected reluctance on the part of the patient to take this medication due to the publicity and media coverage of side effects associated with inappropriate prescribing of this drug during the COVID-19 pandemic, presenting a new and surprising treatment barrier that clinicians may need to overcome. |
| first_indexed | 2024-03-12T12:28:49Z |
| format | Article |
| id | doaj.art-8974731ce2b441e690a70c88aecd559c |
| institution | Directory Open Access Journal |
| issn | 2050-313X |
| language | English |
| last_indexed | 2024-03-12T12:28:49Z |
| publishDate | 2023-08-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | SAGE Open Medical Case Reports |
| spelling | doaj.art-8974731ce2b441e690a70c88aecd559c2023-08-29T17:43:44ZengSAGE PublishingSAGE Open Medical Case Reports2050-313X2023-08-011110.1177/2050313X231195487A report of disseminated actinic granuloma: An unusually extensive presentationCarolyn Ahlers0Eva Rawlings Parker1Department of Medicine, Duke University School of Medicine, Durham, NC, USASchool of Medicine, Vanderbilt University, Nashville, TN, USAIn this report, a case of disseminated actinic granuloma in a 50-year-old female with type 2 diabetes mellitus is described. This case is unique due to the unusually extensive cutaneous involvement of the face, neck, trunk, and extremities at initial presentation. The lesions were in a striking photo-distribution, highlighting ultraviolet light as an important environmental trigger for this process. Interestingly, the patient refused the recommended systemic therapy with hydroxychloroquine, despite her significant burden of skin disease. This refusal stems from an unexpected reluctance on the part of the patient to take this medication due to the publicity and media coverage of side effects associated with inappropriate prescribing of this drug during the COVID-19 pandemic, presenting a new and surprising treatment barrier that clinicians may need to overcome.https://doi.org/10.1177/2050313X231195487 |
| spellingShingle | Carolyn Ahlers Eva Rawlings Parker A report of disseminated actinic granuloma: An unusually extensive presentation SAGE Open Medical Case Reports |
| title | A report of disseminated actinic granuloma: An unusually extensive presentation |
| title_full | A report of disseminated actinic granuloma: An unusually extensive presentation |
| title_fullStr | A report of disseminated actinic granuloma: An unusually extensive presentation |
| title_full_unstemmed | A report of disseminated actinic granuloma: An unusually extensive presentation |
| title_short | A report of disseminated actinic granuloma: An unusually extensive presentation |
| title_sort | report of disseminated actinic granuloma an unusually extensive presentation |
| url | https://doi.org/10.1177/2050313X231195487 |
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