A Case of Herpes Zoster Granulomatous Dermatitis:Report of Wolf’s Isotopic Response
Annals of Dermatology
;
: 186-189, 2021.
Article
in English
| WPRIM
| ID: wpr-874095
ABSTRACT
Wolf’s isotopic response refers to the occurrence of a novel skin disease at the site of a preceding treated or untreated skin disease. Although the most common preceding skin disease was found to be herpes zoster (HZ), HZ-related dermatological phenomena are not well known in the literature. We report a case of HZ granulomatous dermatitis in a 77-year-old female with a previous history of hypertension, diabetes mellitus, chronic kidney disease, and HZ. She presented with a 3-month history of a pruritic skin lesion on her right thigh. The location of the lesion was consistent with a previous HZ site. Histopathological examination revealed lympho-histiocytic infiltration in the superficial dermis, forming a granulomatous structure. Based on clinical and histopathological findings, we made a diagnosis of granulomatous dermatitis at a previous HZ site. We assumed that the lesion arose from an isotopic response of Wolf. The patient was treated with topical steroids for 3 months and showed clearance of the lesion and symptom. We suggest that treatment should be based on the individual disease, which in our case was topical steroid.
Full text:
Available
Index:
WPRIM (Western Pacific)
Language:
English
Journal:
Annals of Dermatology
Year:
2021
Type:
Article
Similar
MEDLINE
...
LILACS
LIS