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Arsenical Keratosis
Arsenical Keratoses

Presentation

Here we report a rare case of arsenical keratosis presented with multiple polymorphic eruptions combined with chloracne. [tandfonline.com]

On the palms and soles, numerous, yellow, firm, hyperkeratotic papules and plaques with surrounding collarettes of scale were present. [escholarship.org]

Clinical Presentation: Lorem ipsum dolor sit amet, consectetur adipiscing elit. Mauris non arcu. Morbi mi. Donec nibh. Nullam convallis sodales lorem. Quisque dui. [dermpedia.org]

Arsenicism is a systemic disease that can present with cutaneous, neurologic, and/or gastrointestinal symptoms. Acute arsenic toxicity most commonly presents with gastrointestinal symptoms with nausea, vomiting, and diarrhea. [dermatologyadvisor.com]

Entire Body System

  • Inflammation

    […] keratinocytes at upper spinous and granular layers with coarse keratohyalin granules Hyperkeratotic: with cutaneous horn Pagetoid: Pigmented: resembles solar lentigo, which lacks atypia and has downward projections Case reports 54 year old man with inflammation [pathologyoutlines.com]

    Acral skin with marked hyperkeratosis and chronic lichenoid inflammation with subepithelial sclerosis. [doi.org]

    […] distribution (sensory peripheral neuropathy) A headache, drowsiness, confusion The distal weakness of small muscles of the. hands and feet Blood and urine Haemolytic anaemia (moderate) leukopenia (low white cell count) Proteinuria (protein in the urine) Other Inflammation [dermnetnz.org]

    this inflammation not differing essentiallyfrom that produced by other toxic agents; the process consisting primarilyof inflammatory changes about the vessels. [diarrhea.medicclub.info]

  • Malnutrition

    Multiple risk factors associated with arsenic-induced skin cancer: effects of chronic liver disease and malnutritional status. Br J Cancer. 1995 Jan. 71(1):109-14. [QxMD MEDLINE Link]. [emedicine.medscape.com]

    However, the prevalence of skin lesions among men and children in the small population studied was similar to that reported with corresponding arsenic drinking water concentrations in both Taiwan and West Bengal, India--populations in which extensive malnutrition [dermatologyadvisor.com]

Musculoskeletal

  • Foot Disease

    An erythematous halo and thickening around the keratosis suggests the progression of arsenic keratosis to an in situ SCC (Bowenoid keratosis).[20] Acral changes Acrodermatitis and thromboangiitis like changes (black foot disease) can develop as late sequelae [jsstd.org]

Skin

  • Hyperkeratosis

    Case Overview arsenical keratosis Member Rated 0 Patient case no. 2022 Date added 18 May 2003 Patient details Age --Undetermined-- Localisation Upper limbs / hands / palms Description Primary Lesions Papule / hyperpigmented Hyperkeratosis Pathophysiology [dermquest.com]

    Oral retinoids may be helpful in reducing hyperkeratosis secondary to chronic arsenicism. [escholarship.org]

    Deficiencies of vitamin E, [4] vitamin A, and B complex vitamins have been implicated in causing the condition. [5] By other specific site [ edit ] Plantar hyperkeratosis is hyperkeratosis of the sole of the foot. [en.wikipedia.org]

    Microscopic (histologic) description Thick, compact hyperkeratosis and parakeratosis, resembling hypertrophic actinic keratoses (eMedicine: Arsenical Keratosis [Accessed 24 August 2018]) Numerous vacuolated keratinocytes without solar elastosis are suggestive [pathologyoutlines.com]

  • Skin Lesion

    The arsenic -induced skin lesions may be associated with increased risks of skin, bladder and lung cancers, 4–6 although increased cancer risks may result even without skin lesions being present. 7 Prior studies of skin lesions have been cross-sectional [journals.lww.com]

    The skin signs and symptoms of Arsenical Keratosis may include: Initial formation of yellow skin lesions (verrucous papules) mostly on the hands and feet The size of the lesions may vary from 4 to 10 mm; multiple skin lesions are usually observed The [dovemed.com]

  • Palmoplantar Keratosis

    PUVA can be used for eczematized palmoplantar keratosis treatment. Suggestions Surgery and CO2 laser can treat local severe palmoplantar keratosis [waitall.com]

    Herein, we report a suspected case of palmoplantar arsenical keratosis in a patient from Newfoundland, Canada. [doi.org]

  • Plantar Hyperkeratosis

    Deficiencies of vitamin E, [4] vitamin A, and B complex vitamins have been implicated in causing the condition. [5] By other specific site [ edit ] Plantar hyperkeratosis is hyperkeratosis of the sole of the foot. [en.wikipedia.org]

    Bei störenden, exogen bedingten .Palmoplantar hyperkeratotic psoriasis can be challenging to treat since However, severe hyperkeratosis persisted on the palms (Figure 1) and soles, which .Plantar keratoderma is a rare skin finding She previously had been [ijehisynomidyq.j.pl]

  • Palmar Keratosis

    Keratotic nodular size will be measured of each patient to draw a conclusion about the effect of antimicrobials in patients with palmar arsenical keratosis. [clinicaltrials.gov]

Workup

Workup may include: CBC with differential, liver function tests, renal function tests, blood and urine arsenic levels. Arsenic levels in tissue, hair and nails can be performed, but may be normal if only distant exposure. [wiydx.com]

A thorough history and physical examination should be performed and further imaging and workup should be based on these findings. [dermatologyadvisor.com]

Treatment

Read more about this topic: Arsenical Keratosis Other articles related to " treatment, treatments ": Sleep Disorder - General Principles of Treatment ... [liquisearch.com]

There is no such study where effects of antimicrobials have been evaluated as the treatment of arsenical keratosis. [clinicaltrials.gov]

The recommended dosing regime is several treatment pulses, which are separated by several 4-day periods without treatment. PUVA can be used for eczematized palmoplantar keratosis treatment. [waitall.com]

Side effects associated with these treatments are inflammation, oozing, ulceration, crusting, pain, hypo/hyperpigmentation, and treatment failure. Surgical excision can be performed for arsenical keratoses. [dermatologyadvisor.com]

Prognosis

The prognosis of Arsenical Keratosis is generally excellent with suitable early treatment Who gets Arsenical Keratosis? (Age and Sex Distribution) Arsenical Keratosis usually forms over many decades (20-30 years). [dovemed.com]

Pregnancy and breast-feeding: arsenic is probably transferred to the baby via the placenta and breast milk. [ 2 ] Prognosis [ 2 ] The prognosis varies with the amount and rate of arsenic ingestion. [patient.info]

Prognosis and Clinical Course ArKs and arsenical-induced BD tend to persist for many years, and progression to invasive SCC is believed to be relatively rare. [dermaamin.com]

Léčba this psoriázy arrow-down Epidemiology Pustcular a rozsáhlá ložisková psoriáza Visual třetí arrow-down Presentation arrow-down Differential diagnosis arrow-down Psoriázy arrow-down Complications arrow-down Prognosis arrow-down Palmoplantar pustulosis [omycoricy.ga]

Epithelioma of the back of the hand is usually responsive to proper measures, but the prognosis is not so favorable as with the ordinary face cases, and axillary gland involve ment sometimes presents early. [doctortreatments.com]

Etiology

Bowen's precancerous dermatosis and multiple benign superficial epithelioma; evidence of arsenic as an etiological agent Anderson, Anderson Arsenical epitheliomas of medicinal origin Arhelger, Arhelger; Kremen, Kremen Radio‐autographic studies of the [deepdyve.com]

(This article gives a thorough review of the literature regarding the etiology, epidemiology, and most common clinical presentations of chronic arsenic exposure. [dermatologyadvisor.com]

(Etiology) Arsenical Keratosis is caused when skin cells (the keratinocytes that form the epidermis) are damaged from prolonged and frequently severe exposure to arsenic or arsenic-based compounds, over many decades Study research indicate that chronic [dovemed.com]

The rapid cell-growth requires increased 1 In a paper in which the possible etiologic factors are gone over, and carefully considered, Hartzell (“Etiology and Pathology of Malignant Diseases of the Skin Affecting Epithelial Tissue,” Jour. Cutan. [doctortreatments.com]

Epidemiology

No global epidemiologic studies have been performed, and no direct predilection has been found among persons of different races. [emedicine.medscape.com]

[…] mechanisms of one of the most toxic minerals in the world • Helps readers understand potential health effects of arsenic, using population studies, mammalian and invertebrate models, and pharmacokinetic and toxicokinetic models • Discusses outcomes, epidemiology [books.google.com]

Pathophysiology

Case Overview arsenical keratosis Member Rated 0 Patient case no. 2022 Date added 18 May 2003 Patient details Age --Undetermined-- Localisation Upper limbs / hands / palms Description Primary Lesions Papule / hyperpigmented Hyperkeratosis Pathophysiology [dermquest.com]

Pathophysiology[edit] Arsenite impairs nucleotide excision repair,[6] and it may also affect gene expression by increasing or decreasing DNA methylation. [en.wikipedia.org]

Pathophysiology The exact mechanism for chromosomal damage has yet to be fully elucidated. [dermatologyadvisor.com]

Pathophysiology The carcinogenic mechanism of arsenic is not well understood. Arsenic compounds have shown no mutagenicity in standard bacterial and mammalian test systems; however, they can increase the mutagenicity of other DNA-damaging agents. [emedicine.medscape.com]

Prevention

OBJECTIVE: For early detection and prevention of the arsenic-induced malignancies, the authors analyzed the clinical characteristics of arsenic-induced skin diseases. [koreamed.org]

Systemic Implications and Complications It’s important to treat squamous cell carcinomas early on to prevent the risk of metastasis. [dermatologyadvisor.com]

The article reports treatment and preventative measures based on a review of the literature.) [clinicaladvisor.com]

Medical treatment of PCOS is tailored to the patient's goals ... insulin levels Restoration of fertility Treatment of hirsutism or acne Restoration of regular menstruation, and prevention of endometrial hyperplasia and ... reasons for this is the lack [liquisearch.com]

Commencing early treatment can help prevent a progressive deterioration of Arsenical Keratosis and avoid complications. Several management measures are available and these include: Use of topical ointments, lotions, and creams. [dovemed.com]

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