Gartmann and ascending leather 1975
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Pomade crustR23.81
HistoryThis section has been translated automatically.
DefinitionThis section has been translated automatically.
Care-related parakeratotic and orthokeratotic thickening of the horny layer, especially in infants in the diaper area, but also in adults with reduced care. The extent to which the"granular parakeratosis" described above all in the intertrigines is identical with the pomade crust has not been conclusively clarified.
EtiopathogenesisThis section has been translated automatically.
Excessive use of oily skin care products which are superimposed on the skin together with parakeratotic skin lamellae in layers.
LocalizationThis section has been translated automatically.
Inguinal, gluteal, axillary; but also face and capillitium.
Clinical featuresThis section has been translated automatically.
Grey-brownish to yellow-brownish, paved, initially difficult or impossible to remove, dry but also macerated, then with pronounced foetor.
HistologyThis section has been translated automatically.
Parakeratotic thickening of the horny layer, detection of ointment residues.
TherapyThis section has been translated automatically.
Initially, under occluding ointment dressings, short-term intensified keratolytic therapy with oils or fatty ointments (e.g. Vaseline).
Permanently: change in care methods: discontinuation of ointments. Only use of oils or (when the skin is back to normal) powder. Powders should be regularly reabsorbed with a mild vegetable oil.
Note(s)This section has been translated automatically.
Analogous "reactive" skin deposits are also found in terra firma-like dermatosis. However, this disease mainly affects adults.
LiteratureThis section has been translated automatically.
- Bechara FG, Altmeyer P, Thomas J (2002) A case of facial pomade crust. J Dermatol 29: 820-821
- Jansen T et al (1991) Pomade crust of the scalp under the image of a cornu cutaneum. dermatologist 42: 642-644
- Landes E (1981) Facial pomade crust. Dermatologist 32: 432-433
- Vakilzadeh F, Kalveram KJ (1979) Pomade crusts. dermatologist 30: 321-322