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[Acquired circinated ichthyosis revealing a lymph node tuberculosis].

B Vagamon1, A Dupuy, J Fontaine

  • 1Service de Dermatologie, Hôpital Saint-Louis, 1, avenue Claude Vellefaux, 75475 Paris Cedex 10.

Annales De Dermatologie Et De Venereologie
|September 19, 2003
PubMed
Summary
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Acquired circinated ichthyosis, a rare skin condition, was identified in a patient with underlying lymph node tuberculosis. Treatment for tuberculosis led to the complete resolution of the ichthyosis symptoms.

Area of Science:

  • Dermatology
  • Infectious Diseases
  • Internal Medicine

Background:

  • Acquired ichthyosis often indicates an underlying systemic disease.
  • Classical presentations typically resemble ichthyosis vulgaris.

Observation:

  • A 63-year-old male presented with a generalized erythemato-squamous plaque eruption.
  • Lesions exhibited raised, circinated edges, distinct from typical ichthyosis vulgaris.
  • Histopathology confirmed ichthyosis, while lymph node biopsy revealed tuberculosis.

Findings:

  • A novel presentation of acquired ichthyosis, termed 'acquired circinated ichthyosis', is described.
  • The dermatosis was directly linked to lymph node tuberculosis.
  • Antituberculosis therapy resulted in rapid and complete skin lesion remission.

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Implications:

  • This case highlights the importance of investigating internal diseases in acquired ichthyosis.
  • Suggests 'acquired circinated ichthyosis' as a distinct clinical entity.
  • Underscores the efficacy of treating the underlying tuberculosis for dermatological improvement.