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Poikilodermatous changes on the forearms of a woman practicing aroma-therapy: extracervical poikiloderma of Civatte?

An Bras Dermatol. 2014 Jul;89(4):655-656

Authors: Katoulis A, Makris M, Gregoriou S, Rallis E, Kanelleas A, Stavrianeas N, Rigopoulos D

Abstract
We report the case of a 48-year-old, Caucasian female who presented with slowly progressing asymptomatic poikilodermatous changes of the extensor aspects of the forearms. She also had typical Poikiloderma of Civatte on the V of the neck and erythemato-telangiectatic rosacea of the central face. The patient had been practicing aroma-therapy for many years. Histologic examination revealed findings consistent with PC. Patch-testing revealed positive reactions to Fragrance mix and Nickel sulphate. Based on clinical and histological findings, a diagnosis of extracervical PC was suggested. PC with extra-cervical or extra-facial involvement is rare. In addition, this case supports the theory that contact sensitization to fragrances may contribute to the development of PC.

PMID: 25054757 [PubMed - as supplied by publisher]

http://www.ncbi.nlm.nih.gov/pubmed/25054757?dopt=Abstract = URL to article