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Related Concept Videos

Skin Diseases and Disorders01:23

Skin Diseases and Disorders

Skin is the first line of defense and encounters a variety of microbes. Some pathogenic strains are often the cause of a broad range of infections of the skin and other body systems. These conditions can affect people of all ages and may have different causes, including genetic factors, infections, autoimmune reactions, environmental factors, and lifestyle choices.
Gram-positive Staphylococcus spp. and Streptococcus spp. are responsible for many of the most common skin infections. However, many...
Skin Cancer01:30

Skin Cancer

Skin cancer is a type of cancer that occurs when there is an abnormal growth of skin cells, usually triggered by damage to the DNA within the skin cells. It is primarily caused by exposure to ultraviolet (UV) radiation from the sun or artificial sources like tanning beds. Skin cancer is the most common type of cancer worldwide, and its incidence continues to rise.
Basal Cell Carcinoma (BCC): BCC is the most common type of skin cancer, accounting for about 80% of cases. It typically develops in...
Endocarditis II: Clinical Features of Infective Endocarditis01:25

Endocarditis II: Clinical Features of Infective Endocarditis

Endocarditis can present various clinical features depending on the causative organism and the patient's underlying health conditions. Initially, the clinical features of infective endocarditis develop gradually, presenting with nonspecific symptoms that can be easily mistaken for other illnesses.General SymptomsEarly symptoms of infective endocarditis are fever, chills, weakness, malaise, fatigue, and weight loss. These symptoms reflect the systemic nature of the infection and the body's...
Papillary Dermis01:11

Papillary Dermis

Dermis
The dermis might be considered the "core" of the integumentary system, as distinct from the epidermis and hypodermis. It contains blood and lymph vessels, nerves, and other structures, such as hair follicles and sweat glands. The dermis is made of two layers of connective tissue that comprise an interconnected mesh of elastin and collagenous fibers, produced by fibroblasts.
Papillary Layer
The papillary layer is made of loose, areolar connective tissue, which means the collagen and...
Reticular Dermis01:15

Reticular Dermis

The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
Reticular Layer
Underlying the papillary layer is the much thicker reticular layer, composed of dense, irregular connective...
Changes in Skin Color: Clinical Perspectives01:14

Changes in Skin Color: Clinical Perspectives

The first thing a clinician sees is the skin, so the examination of the skin should be part of any thorough physical examination. Most skin disorders are relatively benign, but a few, including melanomas, can be fatal if untreated. A couple of the more noticeable disorders, albinism and vitiligo, affect the appearance of the skin and its accessory organs.
Albinism
Albinism is a genetic disorder that affects (completely or partially) the coloring of skin, hair, and eyes. The defect is primarily...

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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus
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Dermoscopy Aids in the Diagnosis of Discoid Lupus Erythematosus

Published on: May 16, 2025

Skin diseases following a Christmas tree pattern.

Andreas Wollenberg1, Tatiana Eames

  • 1Department of Dermatology and Allergy, Ludwig-Maximilian-University, Frauenlobstrasse 9-11, D-80337 Munich, Germany. wollenberg@lrz.uni-muenchen.de

Clinics in Dermatology
|March 15, 2011
PubMed
Summary

Dermatologists analyze skin lesion patterns, including Head zones, Blaschko lines, and Langer lines. This review focuses on skin diseases exhibiting the "Christmas tree" pattern, often seen along Langer lines.

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Area of Science:

  • Dermatology
  • Clinical Medicine
  • Genetics

Background:

  • Skin lesion pattern analysis is crucial for dermatologists.
  • Three main patterns exist: Head zones (innervation), Blaschko lines (genetic mosaicism), and Langer lines (skin tension).
  • The thoracodorsal manifestation of Langer lines is the "Christmas tree" pattern.

Purpose of the Study:

  • To review primary and secondary skin diseases presenting with the "Christmas tree" pattern.
  • To highlight the clinical significance of pattern analysis in dermatology.

Main Methods:

  • Literature review of primary skin diseases with a "Christmas tree" pattern.
  • Inclusion of secondary skin diseases following this pattern via the Wolf isotopic response.

Main Results:

  • Pityriasis rosea, mycosis fungoides, secondary syphilis, exanthematic Kaposi sarcoma, exanthematic psoriasis, and Leser-Trelat syndrome exhibit the "Christmas tree" pattern.
  • Herpes zoster and indeterminate cell histiocytosis can also follow this pattern under specific conditions.

Conclusions:

  • Understanding these patterns aids in diagnosing various dermatological conditions.
  • The "Christmas tree" pattern, linked to Langer lines, is a significant diagnostic clue for several skin diseases.