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Nekam's disease.

Chintaginjala Aruna¹, D V S B Ramamurthy¹, T Neelima²

¹Department of DVL, Katuri Medical College, Guntur, Andhra Pradesh, India.

Indian Dermatology Online Journal

|December 20, 2016

Summary

This summary is machine-generated.

Keratosis lichenoides chronica, a rare mucocutaneous disorder, presents as asymptomatic papules. This case report details a 40-year-old male diagnosed with Nekam's disease, highlighting its rarity and varied clinical presentation.

Keywords:

Interface dermatitis Keratosis lichenoids chronica Nekam's disease

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Area of Science:

Dermatology
Rare Diseases
Mucocutaneous Disorders

Background:

Keratosis lichenoides chronica (KLC), or Nekam's disease, is an exceptionally rare mucocutaneous disorder.
Characterized by asymptomatic violaceous keratotic papules in linear or reticular patterns on the trunk and extremities.
Histological findings include interface dermatitis, distinguishing it from other conditions.

Observation:

A 40-year-old male patient presented with a complex set of symptoms.
The patient exhibited features overlapping with lichen planus, seborrheic dermatitis, and aphthous ulcers.
These diverse clinical manifestations prompted a thorough diagnostic workup.

Findings:

The diagnostic workup confirmed the patient's condition as Nekam's disease.
This case contributes to the limited global literature on KLC, particularly from India.
The patient's presentation underscores the varied clinical spectrum of this rare disorder.

Implications:

This case highlights the diagnostic challenges posed by rare diseases like KLC.
Increased awareness of KLC's varied presentations is crucial for timely diagnosis.
Further case reports are needed to better understand the epidemiology and clinical course of Nekam's disease.