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ISSN: 2376-0427

Dermatology and Dermatologic Diseases
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Previously: Journal of Pigmentary Disorders

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Case Report

An Unusual Presentation of Actinic Reticuloid: A Pigmented and Depigmented Puzzle

Michelle B Tarbox*
Assistant Professor, Dermatology, Texas Tech University Health Sciences Center, Lubbock, TX, USA
Corresponding Author : Michelle B Tarbox
Assistant Professor, Dermatology
Texas Tech University Health Sciences Center, Lubbock, TX, USA
Tel: 806.743.1842
E-mail: [email protected]
Received May 19, 2014; Accepted March 23, 2015; Published March 30, 2015
Citation: Tarbox MB (2015) An Unusual Presentation of Actinic Reticuloid: A Pigmented and Depigmented Puzzle. Pigmentary Disorders 2:171. doi:10.4172/2376-0427.1000171
Copyright: © 2015 Tarbox MB. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Actinic Reticuloid (AR) is idiopathic photosensitivity dermatitis. AR presents with eczematous scaly plaques in a sun-exposed distribution, typically on the head and neck. AR is most commonly seen in older males with a significant history of sun exposure. Observation: A 64 year-old Hispanic male with a long-standing history of widespread vitiligo, presented with a two-week history of a pruritic, erythematous eruption of his head, neck, and hands. Sun-exposed skin which had been previously depigmented by vitiligo was involved, while normally pigmented sun-exposed areas were spared. Skin biopsy from scaly plaques on his vitiliginous skin was consistent with a diagnosis of AR. Treatment with topical and oral corticosteroids, in combination with sun protection, lead to marked improvement of symptoms. Conclusion: This case demonstrates an unusual presentation of actinic reticuloid with an unusual predilection for skin which had been previously depigmented due to vitiligo.

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