MEDizzy
MEDizzy
DR.MOHAMMED IRFAN SHEIKH
DR.MOHAMMED IRFAN SHEIKHabout 1 year ago
Acquired Reactive Perforating Collagenosis

Acquired Reactive Perforating Collagenosis

An 83-year-old woman with a history of type 2 diabetes mellitus presented to the dermatology clinic with a 4-month history of an itchy rash on her back. One year before presentation, her glycated hemoglobin value had been 8.5%. On physical examination, there was a linear array of crateriform lesions containing crusted material on an erythematous base on her mid-upper back (Panel A, inset), as well as several similar but smaller lesions on her lower back (Panel A). Routine serum laboratory tests were normal. A skin biopsy from a small lesion on the upper back revealed a cup-shaped ulceration with transepidermal elimination of basophilic collagen and with cellular debris (Panel B, hematoxylin and eosin stain). A diagnosis of acquired reactive perforating collagenosis was made. Acquired reactive perforating collagenosis is a perforating dermatosis โ€” a skin condition in which dermal connective tissue โ€œperforatesโ€ through the epidermis. Acquired reactive perforating collagenosis is associated with underlying systemic conditions (e.g., diabetes, as in this patient). Treatment involves addressing the underlying condition and reducing pruritus, which probably triggers the development and perpetuation of the skin disease. Treatment with topical glucocorticoids and keratolytic agents, plus systemic antihistamines, was initiated. Five weeks after the initial visit, the patient died from pneumococcal sepsis.

3
Other commentsSign in to post comments. You don't have an account? Sign up now!
Related posts
Neimann picks diseaseSymptoms of neimann pick diseaseThe 29th World Congress on Nutrition and Food Sciences, held on September 15-16, 2025, in Amsterdam, Netherlands, was a landmark event in the fields of nutrition and food sciences. This congress gathered leading experts, researchers, policymakers, and practitioners from across the globe, providing a vibrant platform for the exchange of ground breaking research, innovative ideas, and best practices in nutrition and food science. With a focus on tackling contemporary challenges in health and nutrition, the congress covered a wide range of topics, from the latest advancements in nutritional science to strategies for promoting sustainable food systems and preventing chronic diseases. Attendees engaged in thought-provoking discussions, participated in interactive workshops, and had ample opportunities to network with peers across diverse disciplines. Theme: Nutrition for a Resilient World: Advances, Challenges and OpportunitiesKolkata's Best Medicine Wholesalers Jaiswal Pharma At Jaiswal Pharma, we take pride in our unwavering commitment to quality. Our extensive range of products includes both prescription and over-the-counter medications, ensuring you receive only the finest pharmaceutical products. Our diverse inventory is designed to meet the needs of various healthcare professionals, pharmacies, and medical organizations. Whether you require medication for a common ailment or treatment for a rare condition, we have you covered. We understand the importance of affordability in healthcare. Jaiswal Pharma offers competitive prices, ensuring you get the best value for your money. For those in Kolkata seeking reliable pharmaceutical products, we are your top choice. ๐•๐ข๐ฌ๐ข๐ญ ๐จ๐ฎ๐ซ ๐œ๐จ๐ฆ๐ฉ๐š๐ง๐ฒ ๐ฐ๐ž๐›๐ฌ๐ข๐ญ๐ž ๐ญ๐จ ๐ค๐ง๐จ๐ฐ ๐ฆ๐จ๐ซ๐ž www.jaiswalpharma.comWhat is a cracked tooth?โ€Œ
Anatomy of pituitary gland20 aรฑosNerves of the HandNecrosis gangrene

Recent MCQs

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ
Show more MCQs

Recent flashcard sets

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ

โ€Œ
โ€Œ
Show more flashcards