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2.1
Erythema ab Igne

Presentation

Herein, we report a rare case of EAI presenting on both sides of me neck due to the use of a modem home skincare device. [koreauniv.pure.elsevier.com]

A key feature that can distinguish erythema ab igne from other reticular rashes is its presentation in the setting of chronic heat exposure as levido reticularis and cutis marmorata are often present with exposure to cold and other rashes present without [ncbi.nlm.nih.gov]

Telangiectasias and hyperkeratosis may also be present. Rarely, EAI can present with bullous lesions. EAI typically occurs on the legs, lower back, and abdomen but may occur on any and all body surfaces. [dermatologyadvisor.com]

While these cases have offered diverse presentations, our case demonstrates another novel presentation of erythema ab igne. [scielo.br]

This case is presented to highlight the importance of cultural practices to identify different mode of presentation of a simple condition. References 1. Rudolph CM, Soyer HP, Wolf P, Kerl H. [mjdrdypu.org]

Entire Body System

  • Malnutrition

    Cirrhosis, malnutrition, hypothyroidism, internal malignancy, Hansen disease, and anemia are some of the medical conditions that have been associated with EAI. [scielo.conicyt.cl]

  • Hypothermia

    […] water bottles for warmth in winter or repeated hot compresses and in patients who strongly prefer warm environments.1 It is found more commonly on women's legs,1 but may also be seen on the buttocks and thighs.3 The possibility of hypothyroidism with hypothermia [scielo.br]

Skin

  • Lichenification

    Figure 1: Typical erythema ab igne lesions with reticulate erythema and brownish hyperpigmentation, with subsequent lichenification in regions repeatedly subjected to thermal injury by a kerosene stove placed between the legs in wintertime Click here [jpgmonline.com]

  • Koebner Phenomenon

    phenomenon, psoriasis, lichen planus and lupus may develop at the site of erythema ab igne.1 Treatment involves eliminating direct contact between the skin and the source of infrared radiation, photoprotection of the site in cases of sun exposure and [scielo.br]

Workup

Malignancy workup may be necessary if there is a high index of suspicion that the heating pad is being used to alleviate pain due to underlying primary malignancy, metastatic disease, or chronic pancreatitis [9]. [cureus.com]

Serum

  • Dyslipidemia

    Past medical history included a possible cardiac murmur, dyslipidemia, and carpal-tunnel syndrome. Medications included aspirin and simvastatin. The patient had retired from the police force approximately seven years ago. [escholarship.org]

Treatment

Erythema Ab Igne (Treatment) Erythema Ab Igne (Treatment) Erythema Ab Igne Treatment & Management: Medical Care, Surgical Care, Activity Edition: No Results No Results Please confirm that you would like to log out of Medscape. [tripdatabase.com]

Until today, there has been no effective treatment for erythema ab igne, and removing the heat source is the mainstay of the treatment. [jkslms.or.kr]

The eruption itself is mostly asymptomatic, and treatment is not usually required. [cmaj.ca]

Treatment consists of withdrawing the inciting heat source. [escholarship.org]

In chronic cases in which premalignant cutaneous dysplasia has resulted, additional treatments may be necessary including topical retinoids, 5-fluorouracil cream, and laser treatments. [ncbi.nlm.nih.gov]

Prognosis

Prognosis of EAI is good, with removal of the heat source resulting in complete remission. [ncbi.nlm.nih.gov]

Although there is generally a good prognosis when treating EAI, the risk of malignant transformation by various cells is well documented. 4, 5 Identifying and avoiding the offending exposure with continued monitoring of the affected area is important. [scielo.br]

Prognosis The prognosis is good, except those cases associated with internal disease or metastatic malignancy. Early changes, such as erythema and little or no hyperpigmentation, may resolve within several months. [emedicine.medscape.com]

Although erythema ab igne carries a good prognosis, it is not necessarily a self-limited diagnosis as patients are at long-term risk of developing subsequent cutaneous malignant conditions, which include squamous cell and merkel-cell carcinomas. [escholarship.org]

Etiology

They review other reported etiologies and highlight scenarios in which military medical providers may encounter erythema ab igne. Manufacturer: Breakaway Media, LLC [jsomonline.org]

Some patients use a heat source (eg, heating pad, hot water bottle, heated recliner, heated blanket) to relieve chronic pain. [5] In these patients, determine the etiology of the pain. [emedicine.medscape.com]

Gov't (...) 2013 04 24 United States J Gen Intern Med 8605834 0884-8734 IM Adult Erythema diagnosis etiology Hot Temperature adverse effects Humans Male Marijuana Abuse complications diagnosis Vomiting diagnosis etiology 2012 12 01 2013 03 25 2013 02 [tripdatabase.com]

Etiology Pathophysiology Although the pathophysiology of EAI is not entirely understood, repeated heat exposure is thought to cause epidermal dysplasia. [dermatologyadvisor.com]

Etiology Historically, this rash has correlated with heating sources emitting infrared radiation such as fires, wood burning stoves, and kerosene lamps; however, with the advent of central heating sources, it is seen less commonly. [ncbi.nlm.nih.gov]

Epidemiology

The epidemiology may be different too, with younger patients than previously 2017 International Journal of Dermatology 7. [tripdatabase.com]

The epidemiology may be different too, with younger patients than previously seen. Localized EAI over an area of pain in the abdomen or lower back can be a sign of an underlying disorder, including cancer. [ncbi.nlm.nih.gov]

Epidemiology of erythema ab igne at a moderately cold weather station. J Pak Med Assoc 2007;57:146-8. [ PUBMED ] 3. Kokturk A, Kaya TI, Baz K, Yazici AC, Apa DD, Ikizoglu G. Bullous erythema ab igne. Dermatol Online J 2003;9:18 4. Roth D, London M. [e-ijd.org]

The section on EAI briefly discusses epidemiology, pathogenesis, clinical and histologic features, and differential diagnosis. The author highlights treatment of EAI, specifically removal of the heat source and 5-FU.) [dermatologyadvisor.com]

Pathophysiology

The pathophysiology of the condition is not fully understood; however, the hypothesis is that the repeated heat exposure damages superficial blood vessels leading to hemosiderin deposition and subsequent hyperpigmentation. [ncbi.nlm.nih.gov]

Erythema Ab Igne (Overview) Erythema Ab Igne (Overview) Erythema Ab Igne : Background, Pathophysiology, Epidemiology Edition: No Results No Results Please confirm that you would like to log out of Medscape. [tripdatabase.com]

Etiology Pathophysiology Although the pathophysiology of EAI is not entirely understood, repeated heat exposure is thought to cause epidermal dysplasia. [dermatologyadvisor.com]

Pathophysiology Erythema ab igne (EAI) is a reticulate hypermelanosis with erythema resulting from repeated heat exposure that induces injury to the epidermis and superficial vascular plexus. [emedicine.medscape.com]

Pathophysiologically, erythema ab igne is a reticulate hypermelanosis with erythema resulting from repeated heat exposure that induces injury to the epidermis and superficial vascular plexus. [mjdrdypu.org]

Prevention

Erythema ab igne is a preventable skin dermatosis, and the importance of patient education is critical in preventing disease progression. The majority of these patients will present to the primary care provider or nurse practitioner. [ncbi.nlm.nih.gov]

[…] minus' sign Virchow -triad Use Parentheses water AND (cup OR glass) Add an asterisk (*) at end of a word to include word stems Neuro* will search for Neurology, Neuroscientist, Neurological, and so on Use quotes to search for an exact phrase "primary prevention [read.qxmd.com]

Removal of heat exposure can only prevent the progression of disease, but if not removed, pigmentation abnormalities may persist and progress to the severe chronic advanced stage which can develop cutaneous atrophy or malignancy. [jkslms.or.kr]

Erythema ab igne Erythema ab igne Erythema ab igne Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy [tripdatabase.com]

She avoided the contact with the abdomen to prevent a stimulation of the digestion. Therefore the EAI was located predominantly on the medial thighs. [thieme-connect.com]

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