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Erythromelanosis Follicularis Faciei et Colli - A Cross-sectional, Descriptive study

BACKGROUND: Erythromelanosis follicularis faciei et colli (EFFC) has always been reported as a rare disorder, and more data are needed to define its etiology and epidemiology. OBJECTIVES: To present a descriptive study of this disorder from Kashmir and present a review of literature on the same. MAT...

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Autores principales: Rather, Shagufta, Yaseen, Atiya, Mukhija, Mani
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4885184/
https://www.ncbi.nlm.nih.gov/pubmed/27293252
http://dx.doi.org/10.4103/0019-5154.182419
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author Rather, Shagufta
Yaseen, Atiya
Mukhija, Mani
author_facet Rather, Shagufta
Yaseen, Atiya
Mukhija, Mani
author_sort Rather, Shagufta
collection PubMed
description BACKGROUND: Erythromelanosis follicularis faciei et colli (EFFC) has always been reported as a rare disorder, and more data are needed to define its etiology and epidemiology. OBJECTIVES: To present a descriptive study of this disorder from Kashmir and present a review of literature on the same. MATERIALS AND METHODS: A cross-sectional, descriptive study was conducted on 14 patients with clinical lesions suggestive of EFFC, presenting to our dermatology outpatient clinic between May 2013 and April 2015. After obtaining informed consent from all patients, the demographic and clinical data were collected and punch biopsies were taken which after being fixed in formalin were stained for hematoxylin and eosin. The study was approved by Institutional Review Board. RESULTS: Age of the patients ranged from 12 to 35 years with a mean age of 24.8 years. Females outnumbered males in a ratio of 1.3:1. Family history was positive in one case, and one patient had unilateral presentation. The classical triad of erythema, pigmentation, and follicular papules were present in 100% patients. Telangiectasias were observed in 28.57% patients only. Classical sites described were involved in all the cases (100%). In addition, lesions were found to involve eyebrows (28.57%), forehead (28.57%), upper lips (14.28%), and pinna (21.42%). Keratosis pilaris was present in all patients (100%); most common sites affected were upper arms and thighs. Two (14.28%) had generalized distribution. Histopathology in all correlated well with clinical findings. CONCLUSION: EFFC has always been reported as a rare disorder, but we believe that it is not so. The reason could be either lack of awareness of the disease by the patient due to its generally asymptomatic nature or under-recognition by the physicians. Awareness about the disease on part of dermatologist and recognition of clinical presentation is important for correct diagnosis and to help find more effective therapeutic modalities.
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spelling pubmed-48851842016-06-10 Erythromelanosis Follicularis Faciei et Colli - A Cross-sectional, Descriptive study Rather, Shagufta Yaseen, Atiya Mukhija, Mani Indian J Dermatol Original Article BACKGROUND: Erythromelanosis follicularis faciei et colli (EFFC) has always been reported as a rare disorder, and more data are needed to define its etiology and epidemiology. OBJECTIVES: To present a descriptive study of this disorder from Kashmir and present a review of literature on the same. MATERIALS AND METHODS: A cross-sectional, descriptive study was conducted on 14 patients with clinical lesions suggestive of EFFC, presenting to our dermatology outpatient clinic between May 2013 and April 2015. After obtaining informed consent from all patients, the demographic and clinical data were collected and punch biopsies were taken which after being fixed in formalin were stained for hematoxylin and eosin. The study was approved by Institutional Review Board. RESULTS: Age of the patients ranged from 12 to 35 years with a mean age of 24.8 years. Females outnumbered males in a ratio of 1.3:1. Family history was positive in one case, and one patient had unilateral presentation. The classical triad of erythema, pigmentation, and follicular papules were present in 100% patients. Telangiectasias were observed in 28.57% patients only. Classical sites described were involved in all the cases (100%). In addition, lesions were found to involve eyebrows (28.57%), forehead (28.57%), upper lips (14.28%), and pinna (21.42%). Keratosis pilaris was present in all patients (100%); most common sites affected were upper arms and thighs. Two (14.28%) had generalized distribution. Histopathology in all correlated well with clinical findings. CONCLUSION: EFFC has always been reported as a rare disorder, but we believe that it is not so. The reason could be either lack of awareness of the disease by the patient due to its generally asymptomatic nature or under-recognition by the physicians. Awareness about the disease on part of dermatologist and recognition of clinical presentation is important for correct diagnosis and to help find more effective therapeutic modalities. Medknow Publications & Media Pvt Ltd 2016 /pmc/articles/PMC4885184/ /pubmed/27293252 http://dx.doi.org/10.4103/0019-5154.182419 Text en Copyright: © 2016 Indian Journal of Dermatology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open access article distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.
spellingShingle Original Article
Rather, Shagufta
Yaseen, Atiya
Mukhija, Mani
Erythromelanosis Follicularis Faciei et Colli - A Cross-sectional, Descriptive study
title Erythromelanosis Follicularis Faciei et Colli - A Cross-sectional, Descriptive study
title_full Erythromelanosis Follicularis Faciei et Colli - A Cross-sectional, Descriptive study
title_fullStr Erythromelanosis Follicularis Faciei et Colli - A Cross-sectional, Descriptive study
title_full_unstemmed Erythromelanosis Follicularis Faciei et Colli - A Cross-sectional, Descriptive study
title_short Erythromelanosis Follicularis Faciei et Colli - A Cross-sectional, Descriptive study
title_sort erythromelanosis follicularis faciei et colli - a cross-sectional, descriptive study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4885184/
https://www.ncbi.nlm.nih.gov/pubmed/27293252
http://dx.doi.org/10.4103/0019-5154.182419
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AT mukhijamani erythromelanosisfollicularisfacieietcolliacrosssectionaldescriptivestudy