Poikilodermatous changes on the forearms of a woman practicing aroma-therapy: extracervical poikiloderma of Civatte?

Poikilodermatous changes on the forearms of a woman practicing aroma-therapy: extracervical poikiloderma of Civatte?

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We report the case of a rjr-00001 48-year-old, Caucasian female who presented with slowly progressing asymptomatic poikilodermatous changes of the extensor aspects of the forearms.She also had typical Poikiloderma of Civatte on the V of the neck and erythemato-telangiectatic rosacea of the central face.The patient had been practicing aroma-therapy for many years.Histologic examination revealed findings consistent with PC.

Patch-testing revealed positive reactions to Fragrance mix and Nickel sulphate.Based on clinical and histological findings, a diagnosis of extracervical PC was suggested.PC with extra-cervical or extra-facial involvement is rare.In addition, this case supports the theory that contact sensitization to fragrances may contribute to bolia outlet gent the development of PC.