History A 78-year-old man presented with thickened, heavily lined skin on his posterior neck that had been present for an indeterminate period of time. [clinicaladvisor.com]

Slideshow Slide Case Study: Explanation: An 85-year-old man presents with bilateral ankle swelling and redness that has been diagnosed as stasis dermatitis. [empr.com]

This characteristically presents as the sagging skin of the anterior neck in many older patients.[1] [medscape.com]

A patient presents today to discuss the results of her skin biopsy. Alice came in today for a followup visit. [aapc.com]

• Outdoor Worker

  The disorder typically is seen in older persons, in those who live in sunny climates, and in outdoor workers. Persons with fair skin are more commonly and most severely affected, but it can occur even in those with darkly pigmented skin. [patientcareonline.com]

• Pain

  The coding community uses MEAT to better apply and understand an ICD1... [ Read More ] I need clarification from someone in the pain management world. [aapc.com]

• Skin Disease

  Another group of skin diseases which has solar exposure as a determining factor is the group of actinic keratoses, the non-melanoma malignant epithelial tumors {basal cell carcinoma (CBC) and squamous cell carcinoma (CEC)} [2]. [pubmed.ncbi.nlm.nih.gov]

  Interestingly, cutis rhomboidalis nuchae may protect the affected skin from actinic keratoses and non-melanoma skin cancers.5 References Lehmann P. Sun exposed skin disease. Clin Dermatol. 2011:29(2):180-188. [empr.com]

• Dermatitis

  [berloque dermatitis] L56.3 Solar urticaria L56.4 Polymorphous light eruption L56.5 Disseminated superficial actinic porokeratosis (DSAP) L56.8 Other specified acute skin changes due to ultraviolet radiation L56.9 Acute skin change due to ultraviolet [icd10data.com]

  Slideshow Slide Case Study: Explanation: An 85-year-old man presents with bilateral ankle swelling and redness that has been diagnosed as stasis dermatitis. [empr.com]

• Keratosis

  […] sun exposure is able to determine both acute andchronic skin damage, mostly linked to the effects of the ultraviolet (UV) radiation on epidermal and dermal structures.We report a case of sailor with cutis rhomboidalis nuchae, solar elastosis, actinic keratosis [escholarship.org]

  […] superficial actinic porokeratosis (DSAP) L56.8 Other specified acute skin changes due to ultraviolet radiation L56.9 Acute skin change due to ultraviolet radiation, unspecified L57 Skin changes due to chronic exposure to nonionizing radiation L57.0 Actinic keratosis [icd10data.com]

• Darkly Pigmented Skin

  Persons with fair skin are more commonly and most severely affected, but it can occur even in those with darkly pigmented skin. The diffusely thickened and yellowish skin can arise in any area of the body that is chronically exposed to sunlight. [patientcareonline.com]

• Eruptions

  […] effective 10/1/2020): No change Cutis - see also condition rhomboidalis nuchae L57.2 ICD-10-CM Codes Adjacent To L57.2 L56.1 Drug photoallergic response L56.2 Photocontact dermatitis [berloque dermatitis] L56.3 Solar urticaria L56.4 Polymorphous light eruption [icd10data.com]

• Suggestibility

  We suggest that cutis rhomboidalis protects skin from malignant epithelial tumors in nuchae. Copyright © 2014 Elsevier Ltd. All rights reserved. Similar articles Erythrosis interfollicularis colli and cutis rhomboidalis nuchae: two sides of a coin. [pubmed.ncbi.nlm.nih.gov]

Treatments Your Physician May Prescribe No treatment is needed for cutis rhomboidalis nuchae. Trusted Links MedlinePlus: Sun ExposureClinical Information and Differential Diagnosis of Cutis Rhomboidalis Nuchae References Bolognia, Jean L., ed. [skinsight.com]

Some treatments available for photodamaged skin are cosmetic and only available in a dermatology or plastic surgery office setting. [medscape.com]

MEAT is an acronym for Monitoring Evaluating AddressingAssessing and Treatment. The coding community uses MEAT to better apply and understand an ICD1... [ Read More ] I need clarification from someone in the pain management world. [aapc.com]

[…] alterations in elastin and collagen fibers within sites of frequent flexion of the skin.4 Comedones may be present as well as trichostasis spinulosa, a condition characterized by a bundle of hair protruding from a single follicle.2 There is no ideal treatment [empr.com]

Although this condition is clear evidence of chronic overexposure to the sun, CRN has no malignant potential, and treatment is neither required nor does it exist. [clinicaladvisor.com]

[…] cutis rhomboidalis Grade 1: Indicated furrow formation, no skin discoloration, no skin thickening Grade 2: Moderate furrow formation, moderate skin thickening Grade 3: deep furrow formation, pronounced skin thickening, yellowish discoloration Occurrence/Epidemiology [altmeyers.org]

Self-Care Guidelines For prevention of cutis rhomboidalis nuchae and other signs of sun damage, sun exposure should be avoided midday (10:00 AM to 3:00 PM), sun-protective clothing should be worn (tightly woven clothes and hats), and sunscreen should [skinsight.com]

Consistent light protection with sunscreens, avoidance of direct sunlight and textile sun protection are indicated to prevent the progression of the disease. Blande skin care e.g. with Ungt. emulsif. aq., s.a. Elastosis actinica. [altmeyers.org]

However, there are many treatments that improve sun-damaged skin as well as prevent progression to skin cancer formation; these tools are available in the primary care physician's office. [medscape.com]

Application of sunscreen to his neck would prevent worsening of his CRN. Reference Bolognia JL, Jorizzo JL, Rapini RP. Dermatology. 1st ed. New York: Mosby, 2003;1380-1381. From the May 01, 2019 Issue of Clinical Advisor [clinicaladvisor.com]

Application of sunscreen to his neck would prevent worsening of his CRN. Follow @DermAdvisor Reference Bolognia JL, Jorizzo JL, Rapini RP. Dermatology. 1st ed. New York: Mosby, 2003;1380-1381. This article originally appeared on Clinical Advisor [dermatologyadvisor.com]