Presentation
Parental consanguinity was present in one. Histopathological study was performed in all patients. The eruptions appeared mainly during infancy or early childhood as papules showing a central plug, which subsided within 10 weeks. [ncbi.nlm.nih.gov]
Here, we present two cases of inherited form of RPC in siblings aged 4 and 7 years presented with a history of itchy raised lesions of 9 months and 3 years duration, respectively. [ijpd.in]
The familial variant of RPC is rare, affects one or more family members, presents at an early age and is usually triggered by simple trauma. [3] Three sisters aged 8, 11 and 13 years presented to us with multiple, shallow, well defined facial scars that [ijdvl.com]
A 30-year-old woman presented to the out-patient department with minimally itchy papules over the extremities since childhood. History of spontaneous remission and exacerbation was present. There was no history of oozing, vesiculation, or crusting. [e-ijd.org]
A 4 year old boy presented with history of itchy raised lesions on body of 2 years duration. Though parental consanguinity was not present, his elder brother had similar complaints. [pubfacts.com]
Entire Body System
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Dentist
This system helps physicians, medical students, dentists, nurses, pharmacists, and allied health professionals identify education deficits and learn new concepts. [knowledge.statpearls.com]
Skin
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Gouty Tophus
Tophus Pathology of Pseudoxanthoma Elasticum #dermatopathology Pathology of Elastosis Perforans Serpiginosa - 10 Important Facts Pathology of Gouty Tophus Pathology of Basaloid Follicular Hamartoma #dermatopathology Pathology of Papillary Eccrine Adenoma [pinterest.co.kr]
Face, Head & Neck
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Facial Scar
In addition, the brother of a girl with RPC who claimed to be free of the dermatosis, had facial scars suggestive of RPC in the past. [ncbi.nlm.nih.gov]
The familial variant of RPC is rare, affects one or more family members, presents at an early age and is usually triggered by simple trauma. [3] Three sisters aged 8, 11 and 13 years presented to us with multiple, shallow, well defined facial scars that [ijdvl.com]
Treatment
[…] have been reported, including topical and systemic corticosteroids, retinoids, doxycycline, phototherapy and allopurinol. 4 There is little evidence supporting these treatments, and no controlled studies or treatment guidelines are available. [cmaj.ca]
The recurrent nature of lesions in familialRPC poses a treatment dilemma; a safe andeffective maintenance therapy is needed. [docslide.net]
No randomized controlled trials have evaluated the treatments for reactive perforating collagenosis, and all treatment suggestions are the result of case reports. [knowledge.statpearls.com]
Treatment was stopped because of difficulty with mobilityand attending the treatment centre. Because the patient wasgreatly distressed by the pruritus, acitretin 25 mg/day, orally,was started. [dokument.tips]
What treatment is available? Lesions are usually self-healing without any treatment but often recur. [dermnetnz.org]
Prognosis
In case of severe Reactive Perforating Collagenosis, the treatment may include the use of topical creams and moisturizers, phototherapy, and antihistamines for itching The prognosis of Reactive Perforating Collagenosis is frequently excellent, with or [dovemed.com]
In a series of 22 patients with acquired reactive perforating collagenosis, the mean patient age at presentation was 56 years. [2] Prognosis The lesions of reactive perforating collagenosis are intensely itchy, leaving some scarring after resolution. [emedicine.medscape.com]
Treatment of the underlying associated disease improves the lesion and prognosis becomes better. [japi.org]
Etiology
The etiology of reactive perforating collagenosis is unknown. ... Found on reactive perforating collagenosis (RPC) a rare, usually familial type of acquired perforating dermatosis in which collagen fibers are extruded through the epidermis. [encyclo.co.uk]
[2] Overview Reactive perforating collagenosis is a rare, familial, nonpuritic skin disorder characterized by papules that grow in a diameter of 4 to 6mm and develop a central area of umbilication to which keratinous material is lodged. [1] [2] The etiology [wikidoc.org]
The etiology of reactive perforating collagenosis is unknown. Source: Wikipedia MS-DRG Mapping DRG Group #606-607 - Minor skin disorders with MCC. DRG Group #606-607 - Minor skin disorders without MCC. [icd.codes]
Classification of these conditions often presents many nosological challenges, since underlying etiologies and pathogenetics are often not known. [howlingpixel.com]
McKee's Pathology of the Skin is the most complete, in-depth resource on dermatopathology, covering etiology, pathogenesis, disease mechanisms, and recent genetic, molecular, and basic science data. Drs. J. [books.google.com]
Epidemiology
[…] collagenosis, as follows [2] : Elimination of necrotic basophilic collagen bundles into a cup-shaped epidermal depression as seen in biopsy specimens Umbilicated papules or nodules with a central, adherent keratotic plug Onset of lesions after age 18 years Epidemiology [emedicine.medscape.com]
Epidemiology Reactive perforating collagenosis is a very rare inherited disease. Fewer than 50 cases have been reported in the literature since it was first described in 1967. [knowledge.statpearls.com]
Pathophysiology
Pathophysiology The major abnormality in reactive perforating collagenosis is focal damage to collagen and the elimination of the disrupted collagen through the epidermis. [1] A frequent association with pruritus, the tendency to the Koebner phenomenon [emedicine.medscape.com]
Pathophysiology There has been no specific genetic defect found. It has been reported that overexpression of TGF-beta3 and extracellular matrix proteins may be seen in patients with the acquired form of reactive perforating collagenosis. [knowledge.statpearls.com]
The common pathophysiological principle in these disorders is transepidermal elimination of dermal substances. [japi.org]
Prevention
Your skinHolds body fluids in, preventing dehydrationKeeps harmful microbes out, preventing infectionsHelps you feel things like heat, cold, and painKeeps your body temperature evenMakes vitamin D when the sun shines on itAnything ... [codelay.com]
Currently, there are no specific methods or guidelines to prevent Reactive Perforating Collagenosis However, proper treatment and control of diabetes and other associated disorders can be ensured to help lower one’s risk for RPC If there is a family history [dovemed.com]
In our patient the t rauma was scratching secondary to pruritus, and the majority of the skin lesions healed when the patient was prevented from scratching and his diabetes mellitus was controlled. [docslide.com.br]
Three of the four patients (patients 2, 3and 4) had a significant improvement at 24 months withreduction in pruritus, prevention of new lesions developingand clearance of existing lesions. [myslide.es]