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Acquired reactive perforating collagenosis associated with sick euthyroid syndrome
Mohamad I Fatani1, Yousef M Al-Ghamdi, Khalid A Al-Afif
1Department of Dermatology, King Faisal Hospital, PO Box 5970, Makkah, Kingdom of Saudi Arabia. m_fatani@yahoo.com
Saudi Medical Journal
|December 31, 2002
Summary
Acquired reactive perforating collagenosis is a rare skin condition linked to systemic diseases. This case highlights its association with sick euthyroid syndrome, a novel finding in dermatological research.
Area of Science:
- Dermatology
- Endocrinology
- Nephrology
Background:
- Acquired reactive perforating collagenosis (ARPC) is a rare dermatosis.
- It is frequently associated with systemic conditions like diabetes mellitus and chronic renal failure.
- Patient presented with pruritic skin eruption.
Observation:
- A 52-year-old female patient with multiple comorbidities including type II diabetes mellitus, chronic renal impairment, hypertension, peripheral vascular disease, congestive heart failure, stroke, and left hemiplegia.
- The patient presented with a widespread, itchy rash on her trunk and extremities.
Findings:
- The patient's presentation of ARPC in conjunction with sick euthyroid syndrome is a unique clinical observation.
- This association has not been previously documented in medical literature.
Implications:
- This case expands the known associations of acquired reactive perforating collagenosis.
- It suggests a potential link between thyroid dysfunction and ARPC, warranting further investigation.
- Clinicians should consider evaluating thyroid function in patients with ARPC, especially those with multiple comorbidities.