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Retention hyperkeratosis over surgical scar: case report and review of literature

BACKGROUND: Retention hyperkeratosis (RHK) is benign and commonly seen skin condition in dermatology clinics. Hyperkeratosis refers to the increased thickness of the outermost layer of skin stratum corneum. RHK occurs when there is abnormality of routine desquamation that can be associated with poor...

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Autores principales: Alkhayal, Fares A., Alyousef, Loujain A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AME Publishing Company 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10628393/
https://www.ncbi.nlm.nih.gov/pubmed/37942048
http://dx.doi.org/10.21037/acr-23-28
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author Alkhayal, Fares A.
Alyousef, Loujain A.
author_facet Alkhayal, Fares A.
Alyousef, Loujain A.
author_sort Alkhayal, Fares A.
collection PubMed
description BACKGROUND: Retention hyperkeratosis (RHK) is benign and commonly seen skin condition in dermatology clinics. Hyperkeratosis refers to the increased thickness of the outermost layer of skin stratum corneum. RHK occurs when there is abnormality of routine desquamation that can be associated with poor hygiene. There are various types of hyperkeratosis, and could be divided according to their etiology. Although RHK is commonly recognized by dermatologists it is rarely reported. To the best of our knowledge, this is the first reported case of RHK over surgical scar. CASE DESCRIPTION: A 63-year-old male presented to our dermatology clinic with severe RHK over a midline sternotomy scar post-coronary artery bypass grafting (post-CABG) in which he developed over the past 8 years. Our patient’s history was significant in avoiding touching the surgical area as he feared disturbing the healing process of his surgical wound We discussed in details as further examination and investigations took a place on clinic-base during his management. CONCLUSIONS: Since RHK is associated with poor hygiene as we have seen in our patient’s case, it could be prevented by providing the patient instructions regarding his wound care and general hygiene postoperatively and management of hyperkeratosis differs depending on type, severity, and chronicity. Our case represents a rare extreme manifestation related to the fear of our patient cleaning surgical wounds.
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spelling pubmed-106283932023-11-08 Retention hyperkeratosis over surgical scar: case report and review of literature Alkhayal, Fares A. Alyousef, Loujain A. AME Case Rep Case Report BACKGROUND: Retention hyperkeratosis (RHK) is benign and commonly seen skin condition in dermatology clinics. Hyperkeratosis refers to the increased thickness of the outermost layer of skin stratum corneum. RHK occurs when there is abnormality of routine desquamation that can be associated with poor hygiene. There are various types of hyperkeratosis, and could be divided according to their etiology. Although RHK is commonly recognized by dermatologists it is rarely reported. To the best of our knowledge, this is the first reported case of RHK over surgical scar. CASE DESCRIPTION: A 63-year-old male presented to our dermatology clinic with severe RHK over a midline sternotomy scar post-coronary artery bypass grafting (post-CABG) in which he developed over the past 8 years. Our patient’s history was significant in avoiding touching the surgical area as he feared disturbing the healing process of his surgical wound We discussed in details as further examination and investigations took a place on clinic-base during his management. CONCLUSIONS: Since RHK is associated with poor hygiene as we have seen in our patient’s case, it could be prevented by providing the patient instructions regarding his wound care and general hygiene postoperatively and management of hyperkeratosis differs depending on type, severity, and chronicity. Our case represents a rare extreme manifestation related to the fear of our patient cleaning surgical wounds. AME Publishing Company 2023-08-10 /pmc/articles/PMC10628393/ /pubmed/37942048 http://dx.doi.org/10.21037/acr-23-28 Text en 2023 AME Case Reports. All rights reserved. https://creativecommons.org/licenses/by-nc-nd/4.0/Open Access Statement: This is an Open Access article distributed in accordance with the Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International License (CC BY-NC-ND 4.0), which permits the non-commercial replication and distribution of the article with the strict proviso that no changes or edits are made and the original work is properly cited (including links to both the formal publication through the relevant DOI and the license). See: https://creativecommons.org/licenses/by-nc-nd/4.0 (https://creativecommons.org/licenses/by-nc-nd/4.0/) .
spellingShingle Case Report
Alkhayal, Fares A.
Alyousef, Loujain A.
Retention hyperkeratosis over surgical scar: case report and review of literature
title Retention hyperkeratosis over surgical scar: case report and review of literature
title_full Retention hyperkeratosis over surgical scar: case report and review of literature
title_fullStr Retention hyperkeratosis over surgical scar: case report and review of literature
title_full_unstemmed Retention hyperkeratosis over surgical scar: case report and review of literature
title_short Retention hyperkeratosis over surgical scar: case report and review of literature
title_sort retention hyperkeratosis over surgical scar: case report and review of literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10628393/
https://www.ncbi.nlm.nih.gov/pubmed/37942048
http://dx.doi.org/10.21037/acr-23-28
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