Erythrosis interfollicularis colli - Altmeyers Encyclopedia

Synonym(s)

erythromelanosis interfollicularis colli

History
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leather, 1944

Definition
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Chronic light damage to the skin with extensive reddening of the skin, possibly also temporary burning of the lateral neck areas. The concordant occurrence of erythrosis interfollicularis colli and cutis rhomboidalis nuchae is frequently observed (Wollina U 2019).

Sometimes the interfollicular redness is also associated with reticular hyperpigmentation (see also Erythromelanosis interfollicularis colli).

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Dermatology

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Etiopathogenesis
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Chronic light damage with interfollicular atrophy of the skin and teleangiectatic redness.

Manifestation
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Especially for people with strong, permanent sun exposure (farmers, construction workers, recreational athletes).

Localization
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Mainly lateral parts of the neck and décolleté, submental region always free (chin shadow); also the retroauricular region.

Clinical features
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Blurred, light, blue or brown-reddish, uniformly telangiectatic, delicately atrophic area, completely anaemic with the glass spatula, with recess of the normal-coloured, approximately glass pinhead-sized follicles, which accentuate in the sunken skin. This creates the image of "plucked chicken skin".

Histology
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Teleangiectatic expansion of the subpapillary vascular network.

Differential diagnosis
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Lateral neck dyschromia.

Therapy
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Good cosmetic results can be achieved with appropriate experience with high-energy flash or short arc lamp(IPL) technology or with diode or dye laser applications (Wenzel SM et al. 2008). High energy flash or short arc lamps

In addition, prophylactic application of light protection agent in case of intensive sunlight.

Literature
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Wenzel SM et al (2008) Progressive disseminated essential telangiectasia and erythrosis interfollicularis colli as examples for successful treatment with a high-intensity flashlamp. Dermatology 217:286-290.
Wollina U (2019) Erythrosis interfollicularis colli and cutis rhomboidalis nuchae: two sides of a coin. Acta Dermatovenerol Alp Pannonica Adriat 28:53-55.