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Published on: July 3, 2020
Linear porokeratosis with underlying bony abnormalities.
Stephanie S Tseng1, Eyal K Levit, Isabella Ilarda
1Department of Dermatology, College of Physicians and Surgeons, Columbia University, New York, NY 10032, USA.
Linear porokeratosis, a rare skin condition, can affect bones. This case report details bony abnormalities, including digital narrowing and nail dystrophy, associated with linear porokeratosis, a finding not previously documented.
Area of Science:
- Dermatology
- Skeletal Radiology
Background:
- Porokeratosis of Mibelli is a rare genodermatosis characterized by distinct keratotic lesions.
- Linear porokeratosis is a rare variant presenting in a linear distribution.
Observation:
- A 58-year-old woman presented with linear porokeratosis on her right hand and arm.
- Clinical examination revealed distal digital narrowing and nail dystrophy.
Findings:
- Radiographic imaging demonstrated significant bony abnormalities.
- These included distal digital narrowing and potential bone resorption, correlating with the overlying porokeratosis.
- This represents the first reported instance of bony abnormalities associated with linear porokeratosis.
Implications:
- This case expands the known clinical spectrum of linear porokeratosis.
- Highlights the importance of considering skeletal evaluation in patients with extensive or atypical porokeratosis presentations.
- Suggests a potential link between specific porokeratosis variants and underlying bone pathology.
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