Pomade crust R23.81

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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History
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Gartmann and ascending leather 1975

Definition
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Care-related parakeratotic and orthokeratotic thickening of the horny layer, especially in infants in the diaper area, but also in adults with reduced care. To what extent the " granular parakeratosis" described above all in the Intertrigines is identical with the pomade crust is not conclusively clarified.

Etiopathogenesis
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Excessive use of oily skin care products which are superimposed on the skin together with parakeratotic skin lamellae in layers.

Localization
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Inguinal, gluteal, axillary; but also face and capillitium.

Clinical features
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Grey-brownish to yellow-brownish, paved, initially difficult or impossible to remove, dry but also macerated, then with pronounced foetor.

Histology
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Parakeratotic thickening of the horny layer, detection of ointment residues.

Therapy
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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)
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Analogous "reactive" skin deposits are also found in terra firma-like dermatosis. However, this disease mainly affects adults.

Literature
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  1. Bechara FG, Altmeyer P, Thomas J (2002) A case of facial pomade crust. J Dermatol 29: 820-821
  2. Jansen T et al (1991) Pomade crust of the scalp under the image of a cornu cutaneum. dermatologist 42: 642-644
  3. Landes E (1981) Facial pomade crust. Dermatologist 32: 432-433
  4. Vakilzadeh F, Kalveram KJ (1979) Pomade crusts. dermatologist 30: 321-322

Incoming links (1)

Parakeratosis, granular;

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Last updated on: 29.10.2020