Chronic pruritic papular dermatitis in adult men

A variant of prurigo

Sung Nam Chang, SooChan Kim, Yoon Sun Chun, Kyun Tae Kim, Sung Ku Ahn, Wook Hwa Park

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Chronic recurrent pruritic papular eruptions in which a specific diagnosis cannot be established becomes a baffling experience to the dermatologist. We have met adult male patients with chronic recurrent pruritic papular eruptions, but their clinicopathological features are not described in English language textbooks. Our purpose was to study the clinical and histological features of this entity and review the various existing taxonomy. We conducted a study of 20 patients over a six year period by taking histories, performing skin biopsies, screening patch tests, and doing immunofluorescence studies. The eruptions occurred exclusively in male adults and had a predilection for the trunk and proximal extremities. The lesions were characterized by severely pruritic, nonfollicular, monomorphic, erythematous urticarial papules. There was no evidence of atopic diathesis or history of insect bite. Most patients had normal levels of serum eosinophils and IgE. The predominant histopathologic finding was a presence of perivascular infiltration of mononuclear cells with eosinophils. The patients followed a chronic course of at least six months with waxing and waning; systemic corticosteroids were the only effective treatment. Finally, all other pruritic erythematous papular dermatoses were ruled out. These cases comprise a distinct entity that has previously been mentioned in a few reports. Clear definition of this entity with an appropriate designation is in order to avoid confusion among dermatologists, and we propose the disease name 'chronic papular dermatitis in adult men' as a variant of prurigo.

Original languageEnglish
Pages (from-to)442-447
Number of pages6
JournalJournal of Dermatology
Volume26
Issue number7
DOIs
Publication statusPublished - 1999 Jan 1

Fingerprint

Prurigo
Dermatitis
Eosinophils
Insect Bites and Stings
Confusion
Patch Tests
Textbooks
Disease Susceptibility
Skin Diseases
Immunoglobulin E
Names
Fluorescent Antibody Technique
Adrenal Cortex Hormones
Chronic Disease
Language
Extremities
Biopsy
Skin
Serum
Dermatologists

All Science Journal Classification (ASJC) codes

  • Dermatology

Cite this

Chang, Sung Nam ; Kim, SooChan ; Chun, Yoon Sun ; Kim, Kyun Tae ; Ahn, Sung Ku ; Park, Wook Hwa. / Chronic pruritic papular dermatitis in adult men : A variant of prurigo. In: Journal of Dermatology. 1999 ; Vol. 26, No. 7. pp. 442-447.
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Chronic pruritic papular dermatitis in adult men : A variant of prurigo. / Chang, Sung Nam; Kim, SooChan; Chun, Yoon Sun; Kim, Kyun Tae; Ahn, Sung Ku; Park, Wook Hwa.

In: Journal of Dermatology, Vol. 26, No. 7, 01.01.1999, p. 442-447.

Research output: Contribution to journalArticle

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