Eczema-Like Psoriasiform Dermatitis due to Hair Straighteners: Trichoscopic Findings and Clinical Experience in Its Management

IF 1.4 Q3 DERMATOLOGY
Yonatan Armendariz-Barragan, Daniel Jimenez-Zaragoza, Luis Enrique Sánchez-Dueñas
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Abstract

Introduction: Eczema-like psoriasiform dermatitis has been described as a complication after Brazilian keratin treatment, with the presence of perifollicular scale resembling the outer skin of an onion bulb reported as a characteristic trichoscopic feature. To date, no treatment for this condition has been communicated. Methods: A retrospective study was conducted on patients diagnosed with eczema-like psoriasiform dermatitis. Clinical and trichoscopic images were analyzed, and the improvement in the scale and the vascular component of patients treated with oral isotretinoin was described. Results: A total of 132 patients were included. The most frequent trichoscopic findings were perifollicular scale, peripilar desquamation, and interfollicular scale. Most of the 7 patients treated with oral isotretinoin showed a partial improvement in the scale and the vascular component. Conclusion: The peripilar scale resembling the outer skin of an onion bulb could be used as a marker for this disease. We observed partial response to oral isotretinoin, probably due to the chronic character of this condition secondary to continuous release of formaldehyde, suboptimal doses, or a short treatment time.
直发器引起的湿疹样银屑病样皮炎:毛发镜检查结果及其治疗的临床经验
& lt; b> & lt; i>简介:& lt; / i> & lt; / b>湿疹样牛皮癣样皮炎被描述为巴西角蛋白治疗后的并发症,据报道,毛囊周围鳞片类似洋葱球茎外皮,是一种特征性的滴管镜特征。到目前为止,还没有针对这种情况的治疗方法。& lt; b> & lt; i>方法:& lt; / i> & lt; / b>对诊断为湿疹样牛皮癣样皮炎的患者进行回顾性研究。分析临床和trichoscopy图像,并描述口服异维甲酸治疗患者的尺度和血管成分的改善。& lt; b> & lt; i>结果:& lt; / i> & lt; / b>共纳入132例患者。最常见的毛细镜检查结果是滤泡周围鳞片、滤泡周围脱屑和滤泡间鳞片。经口服异维甲酸治疗的7例患者中,大部分患者的鳞片和血管成分均有部分改善。& lt; b> & lt; i>结论:& lt; / i> & lt; / b>类似洋葱鳞茎外皮的柱周鳞片可以作为这种疾病的标志。我们观察到口服异维甲酸的部分反应,可能是由于这种情况的慢性特征,继发于甲醛的持续释放,次优剂量或治疗时间短。
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来源期刊
CiteScore
2.00
自引率
10.00%
发文量
69
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