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Contributor

Bernard Cohen, MD

Diagnosis

prurigo, subacute elastosis rhomboidalis nuchae elastosis, solar

Body Site

neck back

Age

70 years

Pigmentation

light

Organization

patchy confluent

Color

red

Morphology

papulosquamous (bump, scale)

Pattern

sun exposed areas generalized, disseminated

Comments

This elderly farmer with extensive solar elastosis developed a widespread chronic pruritic dermatitis involving his neck, chest, back, and extremities. A coomplete medical evaluation with appropriate cancer screening studies was negative. He improved with photochemotherapy (PUVA).

Description

red scaly crusted confluent papules overlying diffusely thickened skin with fissuring

Categories

papulosquamous eruptions photosensitivity, photoexacerbated

Image Added

12/21/2004 22:09:35

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Other Resources

PubMed Medline Plus Medscape

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