Ashy dermatosis

Synonym(s)

Ashy dermatosis of Ramirez; erythema dys-chromicum perstans; dermatosis cenicienta; erythema chronicum figuratum melanodermicum; lichen pigmentosus

Definition

Eruption of gray-blue macules over the trunk; closely linked to lichen planus

Pathogenesis

Unknown

Clinical manifestation

Asymptomatic, gray-blue patches of variable shape and size, distributed symmetrically on the face, trunk, and upper extremities; elevated, erythematous border in the early stages; oral cavity and genitals spared

Differential diagnosis

Lichen planus; lichenoid drug eruption; tuberculoid leprosy; pinta; hemochromato-sis

Asteatotic eczema 6T

Therapy

Clofazimine 100 mg PO every other day if under 40 kg in weight; clofazimine 100 mg every day if greater than 40 kg in weight; ultraviolet exposure; ultraviolet avoidance; antibiotics; antihistamines; psychotherapy

References

Osswald SS, Proffer LH, Sartori CR (2001) Erythema dyschromicum perstans: a case report and review. Cutis 68(i):25-28

Therapy

Decreased bathing; use of soap substitutes such as bath gels; application of emollients at least twice daily during the winter months; antihistamines, first generation, for nighttime sedation

References

Beacham BE (1993) Common dermatoses in the elderly. American Family Physician 47(6^1445-

1450

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How To Deal With Rosacea and Eczema

Rosacea and Eczema are two skin conditions that are fairly commonly found throughout the world. Each of them is characterized by different features, and can be both discomfiting as well as result in undesirable appearance features. In a nutshell, theyre problems that many would want to deal with.

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