Reactive Epidermal Hyperplasia and Angiogenesis of the Rear (REAR): A Proposed Unifying Name for Senile Gluteal Dermatosis and Prurigiform Angiomatosis

Senile gluteal dermatosis (SGD) is a common but seldom recognized condition. It is characterized clinically by unilateral or bilateral hyperkeratotic, lichenified plaques on the gluteal area, being attributed to prolonged sitting, particularly in the elderly. SGD also encompasses the recently propos...

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Main Authors: Michelle Weiting Liang, Joel H. L. Lim, Hui Yi Chia, Shang-Ian Tee, Joyce S. S. Lee
Format: Article
Language:English
Published: MDPI AG 2022-10-01
Series:Dermatopathology
Subjects:
Online Access:https://www.mdpi.com/2296-3529/9/4/40
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author Michelle Weiting Liang
Joel H. L. Lim
Hui Yi Chia
Shang-Ian Tee
Joyce S. S. Lee
author_facet Michelle Weiting Liang
Joel H. L. Lim
Hui Yi Chia
Shang-Ian Tee
Joyce S. S. Lee
author_sort Michelle Weiting Liang
collection DOAJ
description Senile gluteal dermatosis (SGD) is a common but seldom recognized condition. It is characterized clinically by unilateral or bilateral hyperkeratotic, lichenified plaques on the gluteal area, being attributed to prolonged sitting, particularly in the elderly. SGD also encompasses the recently proposed entity of prurigiform angiomatosis. Histologically, there are features of lichenification, such as epidermal hyperplasia and a preserved granular layer, with prominent dermal angioproliferation. We report 4 cases of this condition as well as novel findings of variably increased mast cells and superficial lymphatic vessels in addition to the proliferation of dermal blood vessels. We propose a unifying name for Reactive Epidermal hyperplasia and Angiogenesis of the Rear (REAR) to encapsulate the characteristic clinical and histological features of this distinct entity.
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spelling doaj.art-b03d0b9153524b34bbceb116902f08602023-11-24T14:14:26ZengMDPI AGDermatopathology2296-35292022-10-019434335410.3390/dermatopathology9040040Reactive Epidermal Hyperplasia and Angiogenesis of the Rear (REAR): A Proposed Unifying Name for Senile Gluteal Dermatosis and Prurigiform AngiomatosisMichelle Weiting Liang0Joel H. L. Lim1Hui Yi Chia2Shang-Ian Tee3Joyce S. S. Lee4National Skin Centre, Singapore 637551, SingaporeNational Skin Centre, Singapore 637551, SingaporeNational Skin Centre, Singapore 637551, SingaporeNational Skin Centre, Singapore 637551, SingaporeNational Skin Centre, Singapore 637551, SingaporeSenile gluteal dermatosis (SGD) is a common but seldom recognized condition. It is characterized clinically by unilateral or bilateral hyperkeratotic, lichenified plaques on the gluteal area, being attributed to prolonged sitting, particularly in the elderly. SGD also encompasses the recently proposed entity of prurigiform angiomatosis. Histologically, there are features of lichenification, such as epidermal hyperplasia and a preserved granular layer, with prominent dermal angioproliferation. We report 4 cases of this condition as well as novel findings of variably increased mast cells and superficial lymphatic vessels in addition to the proliferation of dermal blood vessels. We propose a unifying name for Reactive Epidermal hyperplasia and Angiogenesis of the Rear (REAR) to encapsulate the characteristic clinical and histological features of this distinct entity.https://www.mdpi.com/2296-3529/9/4/40senile gluteal dermatosispressure dermatitisprurigiform angiomatosissitter’s triangle
spellingShingle Michelle Weiting Liang
Joel H. L. Lim
Hui Yi Chia
Shang-Ian Tee
Joyce S. S. Lee
Reactive Epidermal Hyperplasia and Angiogenesis of the Rear (REAR): A Proposed Unifying Name for Senile Gluteal Dermatosis and Prurigiform Angiomatosis
Dermatopathology
senile gluteal dermatosis
pressure dermatitis
prurigiform angiomatosis
sitter’s triangle
title Reactive Epidermal Hyperplasia and Angiogenesis of the Rear (REAR): A Proposed Unifying Name for Senile Gluteal Dermatosis and Prurigiform Angiomatosis
title_full Reactive Epidermal Hyperplasia and Angiogenesis of the Rear (REAR): A Proposed Unifying Name for Senile Gluteal Dermatosis and Prurigiform Angiomatosis
title_fullStr Reactive Epidermal Hyperplasia and Angiogenesis of the Rear (REAR): A Proposed Unifying Name for Senile Gluteal Dermatosis and Prurigiform Angiomatosis
title_full_unstemmed Reactive Epidermal Hyperplasia and Angiogenesis of the Rear (REAR): A Proposed Unifying Name for Senile Gluteal Dermatosis and Prurigiform Angiomatosis
title_short Reactive Epidermal Hyperplasia and Angiogenesis of the Rear (REAR): A Proposed Unifying Name for Senile Gluteal Dermatosis and Prurigiform Angiomatosis
title_sort reactive epidermal hyperplasia and angiogenesis of the rear rear a proposed unifying name for senile gluteal dermatosis and prurigiform angiomatosis
topic senile gluteal dermatosis
pressure dermatitis
prurigiform angiomatosis
sitter’s triangle
url https://www.mdpi.com/2296-3529/9/4/40
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