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Ichthyosiform large plaque parapsoriasis: report of a rare entity
Falguni Nag1, Arghyaprasun Ghosh, Projna Biswas
1Department of Dermatology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India.
Abstract:
Large plaque parapsoriasis (LPP) is an idiopathic, chronic scaly dermatosis classified within parapsoriasis group of diseases, occurring commonly in middle aged patients of all races and geographic regions. LPP and its variants are closely related to the patch stage of mycosis fungoides. The two types of LPP mostly described are the poikilodermatous and retiform parapsoriasis. We are reporting an ichthyosiform LPP for its rarity.
Insights
Large plaque parapsoriasis (LPP) is a rare scaly skin condition. This report details an unusual ichthyosiform presentation of LPP, highlighting its rarity in dermatological literature.
Area of Science:
- Dermatology
- Pathology
Background:
- Large plaque parapsoriasis (LPP) is an idiopathic, chronic scaly dermatosis.
- LPP is commonly seen in middle-aged individuals across all races and regions.
- LPP and its variants are closely associated with the patch stage of mycosis fungoides.
Purpose of the Study:
- To report a rare case of ichthyosiform large plaque parapsoriasis.
- To highlight the diagnostic challenges and clinical significance of rare LPP variants.
Main Methods:
- Case report and literature review.
- Clinical and histopathological examination of the patient's skin lesions.
Main Results:
- The patient presented with an ichthyosiform variant of LPP, a presentation not commonly described.
- Histopathological findings were consistent with LPP, despite the unusual ichthyosiform morphology.
Conclusions:
- Ichthyosiform LPP is a rare variant of parapsoriasis that requires careful clinical and pathological evaluation.
- Recognition of rare LPP presentations is crucial for accurate diagnosis and management, distinguishing it from mycosis fungoides.
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