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Related Experiment Videos

Monolateral Grover's Disease with Blaschkoid Distribution.

Nicola di Meo1, Bruno Ulessi, Sara Trevisini

  • 1Nicola di Meo, MD, Dermatology Department, University of Trieste, Ospedale Maggiore di Trieste, Piazza Ospedale 1, IV Piano Palazzina Infettivi, 34100 Trieste, Italy; nickdimeo@libero.it.

Acta Dermatovenerologica Croatica : ADC
|August 2, 2018
PubMed
Summary

Grover's disease, or transient acantholytic dermatosis, can present as a rare unilateral blaschkoid eruption, potentially triggered by occlusion from orthopedic bandages. This case highlights the importance of considering environmental factors in diagnosing this rare skin condition.

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Area of Science:

  • Dermatology
  • Pathology

Background:

  • Grover's disease (transient acantholytic dermatosis) is an idiopathic pruritic eruption typically affecting the central chest.
  • Its pathogenesis is not fully understood, but heat, sweating, and occlusion are suspected predisposing factors.

Observation:

  • A 53-year-old man developed a unilateral, pruritic papulovesicular eruption on his trunk along Blaschko lines.
  • The eruption appeared 14 days after the application of an orthopedic bandage for a shoulder injury.

Findings:

  • Histopathology revealed acantholytic dyskeratosis with suprabasal cleft, hyperkeratosis, and superficial perivascular lymphocytic infiltration.
  • The clinical presentation and patient history supported a diagnosis of unilateral Grover's disease, distinct from linear Darier's disease.

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Implications:

  • This case suggests orthopedic bandage-induced occlusion can trigger Grover's disease in a unilateral blaschkoid pattern.
  • It underscores the diagnostic challenge in differentiating rare acantholytic dermatoses and the importance of considering environmental triggers.