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A report of disseminated actinic granuloma: An unusually extensive presentation

In this report, a case of disseminated actinic granuloma in a 50-year-old female with type 2 diabetes mellitus is described. This case is unique due to the unusually extensive cutaneous involvement of the face, neck, trunk, and extremities at initial presentation. The lesions were in a striking phot...

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Autores principales: Ahlers, Carolyn, Parker, Eva Rawlings
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10467196/
https://www.ncbi.nlm.nih.gov/pubmed/37654549
http://dx.doi.org/10.1177/2050313X231195487
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author Ahlers, Carolyn
Parker, Eva Rawlings
author_facet Ahlers, Carolyn
Parker, Eva Rawlings
author_sort Ahlers, Carolyn
collection PubMed
description In this report, a case of disseminated actinic granuloma in a 50-year-old female with type 2 diabetes mellitus is described. This case is unique due to the unusually extensive cutaneous involvement of the face, neck, trunk, and extremities at initial presentation. The lesions were in a striking photo-distribution, highlighting ultraviolet light as an important environmental trigger for this process. Interestingly, the patient refused the recommended systemic therapy with hydroxychloroquine, despite her significant burden of skin disease. This refusal stems from an unexpected reluctance on the part of the patient to take this medication due to the publicity and media coverage of side effects associated with inappropriate prescribing of this drug during the COVID-19 pandemic, presenting a new and surprising treatment barrier that clinicians may need to overcome.
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spelling pubmed-104671962023-08-31 A report of disseminated actinic granuloma: An unusually extensive presentation Ahlers, Carolyn Parker, Eva Rawlings SAGE Open Med Case Rep JCMS Case Report In this report, a case of disseminated actinic granuloma in a 50-year-old female with type 2 diabetes mellitus is described. This case is unique due to the unusually extensive cutaneous involvement of the face, neck, trunk, and extremities at initial presentation. The lesions were in a striking photo-distribution, highlighting ultraviolet light as an important environmental trigger for this process. Interestingly, the patient refused the recommended systemic therapy with hydroxychloroquine, despite her significant burden of skin disease. This refusal stems from an unexpected reluctance on the part of the patient to take this medication due to the publicity and media coverage of side effects associated with inappropriate prescribing of this drug during the COVID-19 pandemic, presenting a new and surprising treatment barrier that clinicians may need to overcome. SAGE Publications 2023-08-25 /pmc/articles/PMC10467196/ /pubmed/37654549 http://dx.doi.org/10.1177/2050313X231195487 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle JCMS Case Report
Ahlers, Carolyn
Parker, Eva Rawlings
A report of disseminated actinic granuloma: An unusually extensive presentation
title A report of disseminated actinic granuloma: An unusually extensive presentation
title_full A report of disseminated actinic granuloma: An unusually extensive presentation
title_fullStr A report of disseminated actinic granuloma: An unusually extensive presentation
title_full_unstemmed A report of disseminated actinic granuloma: An unusually extensive presentation
title_short A report of disseminated actinic granuloma: An unusually extensive presentation
title_sort report of disseminated actinic granuloma: an unusually extensive presentation
topic JCMS Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10467196/
https://www.ncbi.nlm.nih.gov/pubmed/37654549
http://dx.doi.org/10.1177/2050313X231195487
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