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A Case of Herpes Zoster Granulomatous Dermatitis: Report of Wolf's Isotopic Response
- Source :
- Annals of Dermatology
- Publication Year :
- 2021
- Publisher :
- The Korean Dermatological Association; The Korean Society for Investigative Dermatology, 2021.
-
Abstract
- Wolf's isotopic response refers to the occurrence of a novel skin disease at the site of a preceding treated or untreated skin disease. Although the most common preceding skin disease was found to be herpes zoster (HZ), HZ-related dermatological phenomena are not well known in the literature. We report a case of HZ granulomatous dermatitis in a 77-year-old female with a previous history of hypertension, diabetes mellitus, chronic kidney disease, and HZ. She presented with a 3-month history of a pruritic skin lesion on her right thigh. The location of the lesion was consistent with a previous HZ site. Histopathological examination revealed lympho- histiocytic infiltration in the superficial dermis, forming a granulomatous structure. Based on clinical and histopathological findings, we made a diagnosis of granulomatous dermatitis at a previous HZ site. We assumed that the lesion arose from an isotopic response of Wolf. The patient was treated with topical steroids for 3 months and showed clearance of the lesion and symptom. We suggest that treatment should be based on the individual disease, which in our case was topical steroid.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Case Report
Dermatitis
Dermatology
Disease
Lesion
030207 dermatology & venereal diseases
03 medical and health sciences
0302 clinical medicine
Dermis
Diabetes mellitus
medicine
Histiocyte
business.industry
Herpesvirus 3
medicine.disease
medicine.anatomical_structure
030220 oncology & carcinogenesis
medicine.symptom
business
Granulomatous Dermatitis
Kidney disease
Topical steroid
Human
Subjects
Details
- Language :
- English
- ISSN :
- 20053894 and 10139087
- Volume :
- 33
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Annals of Dermatology
- Accession number :
- edsair.doi.dedup.....eeff8be8320b2aa9ffe1d04302639821