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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Porokeratosis ptychotropica &#40;PP&#41; is a rare variant of porokeratosis&#44; which occurs in the genital and gluteal regions&#44; and is characterized by multiple cornoid lamellae on histology&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> We present a case of concurrent scrotal and perianal porokeratosis ptychotropica&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 46-year-old man&#44; of Italian origin&#44; had a 20-year history of recurrent&#44; nodular-verrucous lesions in the scrotum&#46; The lesions were associated with intense pruritus that was exacerbated by stress&#46; He did not suffer from any other cutaneous disease&#44; and there was no family history of similar lesions or other dermatological conditions&#46; The lesions were treated over several years with intralesional steroids and cryotherapy&#44; with partial improvement&#46; Shave excisions of some of the most pruritic plaques provided further relief&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">A few months prior to his most recent presentation&#44; he developed some verrucous plaques in the perianal and gluteal region&#44; which were also intensely pruritic&#46; On physical examination there were 3 well-defined erythematous hyperkeratotic plaques on the scrotum &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a&#41; and perianal regions &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41;&#44; measuring around 2<span class="elsevierStyleHsp" style=""></span>cm each&#46; Clinical examination did not find any similar lesions elsewhere on the body&#46; Shave biopsies of the perianal lesions showed psoriasiform epidermal hyperplasia with the presence of several columns of parakeratosis with hypogranulosis &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; There were no features to suggest malignancy&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Porokeratosis is a disease of abnormal keratinization&#46; Porokeratosis ptychotropica is a very rare variant with only about 30 reported cases&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Porokeratosis variants include disseminated superficial actinic porokeratosis&#44; disseminated superficial porokeratosis&#44; porokeratosis of Mibelli&#44; linear porokeratosis&#44; eruptive disseminated porokeratosis&#44; porokeratosis palmo-plantaris et disseminata&#44; porokeratosis punctata&#44; porokeratosis penoscrotal&#44; porokeratosis follicular and porokeratosis gluteo-genital &#40;with three subvariants&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> This particular variant our patient suffers&#44; PP&#44; is named for its ptychotropism&#44; or predilection for body folds&#44; most commonly the gluteal fold&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> Pitney et al&#46; have proposed that porokeratosis ptychotropica may actually represent the clinical end stage of proliferation of lesions of porokeratosis of Mibelli&#44; which have undergone modification by koebnerization&#44; lichenification and other local factors&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">PP initially presents as reddish-brown&#44; hyperkeratotic or verrucous&#44; papules and plaques&#46; Patients often complain of pruritus&#46; Unlike other porokeratotic lesions&#44; they lack the classic elevated peripheral ridges&#46; Satellite lesions grow over several years&#44; eventually fusing into a large&#44; symmetrical&#44; scaly plaque with a &#8220;butterfly-shaped&#8221; appearance&#46; This classic description mainly only applies to late presentations&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">A common histological finding seen in all variants of porokeratosis is a cornoid lamella&#59; a column of parakeratosis that correlates to the lesions&#8217; hyperkeratotic boundaries&#46; However&#44; PP is unique in that there are multiple cornoid lamellae found throughout the lesion&#44; not just at the borders&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">The pathogenesis of porokeratosis remains unclear&#44; but repeated trauma and immune dysregulation are implicated&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> Amyloid deposition is often seen on the histopathology of PP&#44; which supports a role for repeated friction in its aetiology&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> Immunosuppression may also predispose&#59; a few cases of porokeratosis have been reported in immunosuppressed patients&#44; including a patient with HIV&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> Certain medications have been implicated in the aetiology of other variants of porokeratosis&#44; though not in PP&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> Similar to our patient&#44; another case of porokeratosis was also reportedly aggravated by stress&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">The appearance of PP resembles other common disorders&#44; resulting in frequent misdiagnosis&#46; A slow-growing&#44; scaly&#44; annular plaque on the buttock suggests psoriasis or tinea&#46; Other likely differentials include atopic dermatitis&#44; lichen simplex chronicus and syphilis&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Treatment of PP is difficult&#44; with variable responses reported to keratolytics&#44; cryotherapy&#44; 5-fluorouracil&#44; imiquimod&#44; vitamin D analogues&#44; diclofenac&#44; corticosteroids&#44; topical antifungals&#44; and lasers&#46; Recurrence is common with all forms of treatment&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Symptomatic relief from pruritus was observed in two cases treated with photodynamic therapy&#44; however the treatment was not curative and only resulted in partial clearance of the plaques&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> Excision can be curative&#44; but rarely feasible given the size and location of lesions&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> Excision of a 6<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>8<span class="elsevierStyleHsp" style=""></span>cm lesion in a 7-year-old child with PP has been documented&#44; though two small foci of recurrence were seen three years later&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> Recent evidence suggests that many patients with porokeratosis have mutations in enzymes of the mevalonate biosynthetic pathway&#46; Future treatment options may include HMG-CoA reductase inhibitors or inhibitors of preceding steps in the mevalonate biosynthetic pathway&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">There is only one reported case of malignant transformation of PP&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> Though the risk of malignancy may be low&#44; early diagnosis is still important to avoid unnecessary and potentially invasive investigations&#44; and use of ineffective treatments&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">This unusual entity should be considered in pruritic&#44; long-standing perianal and scrotal cutaneous lesions&#44; especially in those not responding to therapy&#46; A biopsy will provide the definitive diagnosis&#46; The lesions of PP may significantly impact on patients&#8217; quality of life&#44; both due to pruritus and the large size of plaques in advanced PP&#46; Though individual cases have shown modest improvement with treatment&#44; currently available options are rarely curative&#46; Thus&#44; we highlight the need for increased research into therapeutics&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Porokeratosis ptychotropica&#58; a rare variant that is commonly misdiagnosed"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
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                            1 => "H&#46;E&#46; Harper"
                            2 => "A&#46; Jibbe"
                            3 => "S&#46;M&#46; Siscos"
                            4 => "A&#46;L&#46; Cargnel"
                            5 => "D&#46;L&#46; Kaplan"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Dermatol Online J"
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib0060"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Poroqueratosis&#46; Revisi&#243;n de su etiopatogenia&#44; manifestaciones cl&#237;nicas&#44; diagn&#243;stico y tratamiento"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "P&#46; Vargas-Mora"
                            1 => "D&#46; Morgado-Carrasco"
                            2 => "X&#46; Fust&#224;-Novell"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ad.2020.03.005"
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                        "tituloSerie" => "Actas Dermo-Sifiliogr&#225;ficas"
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                        "volumen" => "111"
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                        "paginaFinal" => "560"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/32401728"
                            "web" => "Medline"
                          ]
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                      ]
                    ]
                  ]
                ]
              ]
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              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transformation of porokeratosis ptychotropica into invasive squamous cell carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "D&#46;R&#46; Mazori"
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                            2 => "S&#46;A&#46; Meehan"
                            3 => "S&#46;L&#46; Tarsis"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/ijd.13575"
                      "Revista" => array:6 [
                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "2017"
                        "volumen" => "56"
                        "paginaInicial" => "679"
                        "paginaFinal" => "680"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28197991"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib0070"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Porokeratosis ptychotropica&#58; a rare variant with discrete lesions"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "L&#46; Pitney"
                            1 => "D&#46; Weedon"
                            2 => "M&#46; Pitney"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/ajd.12217"
                      "Revista" => array:6 [
                        "tituloSerie" => "Australas J Dermatol"
                        "fecha" => "2015"
                        "volumen" => "56"
                        "paginaInicial" => "e28"
                        "paginaFinal" => "e29"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25688707"
                            "web" => "Medline"
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                ]
              ]
            ]
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              "identificador" => "bib0075"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pink verrucous plaque in a man with systemic mastocytosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "J&#46;R&#46; Terrell"
                            1 => "J&#46;R&#46; Urban"
                            2 => "M&#46;A&#46; Fung"
                            3 => "D&#46;M&#46; Tartar"
                            4 => "M&#46; Kiuru"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
                        "tituloSerie" => "Dermatol Online J"
                        "fecha" => "2019"
                        "volumen" => "25"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib0080"
              "etiqueta" => "6"
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                0 => array:2 [
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                    0 => array:2 [
                      "titulo" => "Genitogluteal porokeratosis involving the scrotum&#58; an unusual presentation of an uncommon disease"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
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                            1 => "R&#46;H&#46; Gormley"
                            2 => "D&#46;D&#46; Bennett"
                            3 => "C&#46;L&#46; Kovarik"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1600-0560.2011.01787.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "J Cutan Pathol"
                        "fecha" => "2012"
                        "volumen" => "39"
                        "paginaInicial" => "72"
                        "paginaFinal" => "74"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/21899589"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
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                    0 => array:2 [
                      "titulo" => "Genitogluteal porokeratosis in an HIV-positive man&#58; a case report and review of the literature on genital porokeratosis"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "O&#46; Bari"
                            1 => "A&#46; Vazirnia"
                            2 => "P&#46; Cohen"
                            3 => "L&#46; Romero"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:3 [
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                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib0090"
              "etiqueta" => "8"
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                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Eruptive pruritic papular porokeratosis&#58; a rare variant of porokeratosis"
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                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
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                            3 => "J&#46; John"
                            4 => "R&#46; Joshi"
                            5 => "S&#46; Shylaja"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
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                      "Revista" => array:5 [
                        "tituloSerie" => "Indian J Dermatol"
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                        "paginaInicial" => "212"
                        "paginaFinal" => "214"
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                    ]
                  ]
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                          "etal" => true
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                      "Revista" => array:5 [
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                        "paginaFinal" => "274"
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                    ]
                  ]
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                      "titulo" => "Clinical course of porokeratosis ptychotropica over 7 years in an otherwise healthy child"
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Case and Research Letter
Perianal and Scrotal Porokeratosis Ptychotropica. Case Report of an Unusual Condition, and Review of the Literature
Poroqueratosis ptychotropica perianal y escrotal. Presentación de un caso de esta rara entidad y revisión de la literatura
M. Tresa Thomasa,
Corresponding author
, M.M. Escuderoa, V. Howardb, M. Jones-Caballeroa,c
a Dermatology Department, Westmead Hospital, NSW, Australia
b Douglas Hanly Moir Pathology, Australia
c Sydney Medical School, The University of Sydney, NSW, Australia
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">Porokeratosis ptychotropica &#40;PP&#41; is a rare variant of porokeratosis&#44; which occurs in the genital and gluteal regions&#44; and is characterized by multiple cornoid lamellae on histology&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> We present a case of concurrent scrotal and perianal porokeratosis ptychotropica&#46;</p><p id="par0010" class="elsevierStylePara elsevierViewall">A 46-year-old man&#44; of Italian origin&#44; had a 20-year history of recurrent&#44; nodular-verrucous lesions in the scrotum&#46; The lesions were associated with intense pruritus that was exacerbated by stress&#46; He did not suffer from any other cutaneous disease&#44; and there was no family history of similar lesions or other dermatological conditions&#46; The lesions were treated over several years with intralesional steroids and cryotherapy&#44; with partial improvement&#46; Shave excisions of some of the most pruritic plaques provided further relief&#46;</p><p id="par0015" class="elsevierStylePara elsevierViewall">A few months prior to his most recent presentation&#44; he developed some verrucous plaques in the perianal and gluteal region&#44; which were also intensely pruritic&#46; On physical examination there were 3 well-defined erythematous hyperkeratotic plaques on the scrotum &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>a&#41; and perianal regions &#40;<a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a>b&#41;&#44; measuring around 2<span class="elsevierStyleHsp" style=""></span>cm each&#46; Clinical examination did not find any similar lesions elsewhere on the body&#46; Shave biopsies of the perianal lesions showed psoriasiform epidermal hyperplasia with the presence of several columns of parakeratosis with hypogranulosis &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46; There were no features to suggest malignancy&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0020" class="elsevierStylePara elsevierViewall">Porokeratosis is a disease of abnormal keratinization&#46; Porokeratosis ptychotropica is a very rare variant with only about 30 reported cases&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Porokeratosis variants include disseminated superficial actinic porokeratosis&#44; disseminated superficial porokeratosis&#44; porokeratosis of Mibelli&#44; linear porokeratosis&#44; eruptive disseminated porokeratosis&#44; porokeratosis palmo-plantaris et disseminata&#44; porokeratosis punctata&#44; porokeratosis penoscrotal&#44; porokeratosis follicular and porokeratosis gluteo-genital &#40;with three subvariants&#41;&#46;<a class="elsevierStyleCrossRef" href="#bib0060"><span class="elsevierStyleSup">2</span></a> This particular variant our patient suffers&#44; PP&#44; is named for its ptychotropism&#44; or predilection for body folds&#44; most commonly the gluteal fold&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> Pitney et al&#46; have proposed that porokeratosis ptychotropica may actually represent the clinical end stage of proliferation of lesions of porokeratosis of Mibelli&#44; which have undergone modification by koebnerization&#44; lichenification and other local factors&#46;<a class="elsevierStyleCrossRef" href="#bib0070"><span class="elsevierStyleSup">4</span></a></p><p id="par0025" class="elsevierStylePara elsevierViewall">PP initially presents as reddish-brown&#44; hyperkeratotic or verrucous&#44; papules and plaques&#46; Patients often complain of pruritus&#46; Unlike other porokeratotic lesions&#44; they lack the classic elevated peripheral ridges&#46; Satellite lesions grow over several years&#44; eventually fusing into a large&#44; symmetrical&#44; scaly plaque with a &#8220;butterfly-shaped&#8221; appearance&#46; This classic description mainly only applies to late presentations&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a></p><p id="par0030" class="elsevierStylePara elsevierViewall">A common histological finding seen in all variants of porokeratosis is a cornoid lamella&#59; a column of parakeratosis that correlates to the lesions&#8217; hyperkeratotic boundaries&#46; However&#44; PP is unique in that there are multiple cornoid lamellae found throughout the lesion&#44; not just at the borders&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a></p><p id="par0035" class="elsevierStylePara elsevierViewall">The pathogenesis of porokeratosis remains unclear&#44; but repeated trauma and immune dysregulation are implicated&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> Amyloid deposition is often seen on the histopathology of PP&#44; which supports a role for repeated friction in its aetiology&#46;<a class="elsevierStyleCrossRef" href="#bib0080"><span class="elsevierStyleSup">6</span></a> Immunosuppression may also predispose&#59; a few cases of porokeratosis have been reported in immunosuppressed patients&#44; including a patient with HIV&#46;<a class="elsevierStyleCrossRef" href="#bib0085"><span class="elsevierStyleSup">7</span></a> Certain medications have been implicated in the aetiology of other variants of porokeratosis&#44; though not in PP&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> Similar to our patient&#44; another case of porokeratosis was also reportedly aggravated by stress&#46;<a class="elsevierStyleCrossRef" href="#bib0090"><span class="elsevierStyleSup">8</span></a></p><p id="par0040" class="elsevierStylePara elsevierViewall">The appearance of PP resembles other common disorders&#44; resulting in frequent misdiagnosis&#46; A slow-growing&#44; scaly&#44; annular plaque on the buttock suggests psoriasis or tinea&#46; Other likely differentials include atopic dermatitis&#44; lichen simplex chronicus and syphilis&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a></p><p id="par0045" class="elsevierStylePara elsevierViewall">Treatment of PP is difficult&#44; with variable responses reported to keratolytics&#44; cryotherapy&#44; 5-fluorouracil&#44; imiquimod&#44; vitamin D analogues&#44; diclofenac&#44; corticosteroids&#44; topical antifungals&#44; and lasers&#46; Recurrence is common with all forms of treatment&#46;<a class="elsevierStyleCrossRef" href="#bib0055"><span class="elsevierStyleSup">1</span></a> Symptomatic relief from pruritus was observed in two cases treated with photodynamic therapy&#44; however the treatment was not curative and only resulted in partial clearance of the plaques&#46;<a class="elsevierStyleCrossRef" href="#bib0095"><span class="elsevierStyleSup">9</span></a> Excision can be curative&#44; but rarely feasible given the size and location of lesions&#46;<a class="elsevierStyleCrossRef" href="#bib0075"><span class="elsevierStyleSup">5</span></a> Excision of a 6<span class="elsevierStyleHsp" style=""></span>cm<span class="elsevierStyleHsp" style=""></span>&#215;<span class="elsevierStyleHsp" style=""></span>8<span class="elsevierStyleHsp" style=""></span>cm lesion in a 7-year-old child with PP has been documented&#44; though two small foci of recurrence were seen three years later&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a> Recent evidence suggests that many patients with porokeratosis have mutations in enzymes of the mevalonate biosynthetic pathway&#46; Future treatment options may include HMG-CoA reductase inhibitors or inhibitors of preceding steps in the mevalonate biosynthetic pathway&#46;<a class="elsevierStyleCrossRef" href="#bib0100"><span class="elsevierStyleSup">10</span></a></p><p id="par0050" class="elsevierStylePara elsevierViewall">There is only one reported case of malignant transformation of PP&#46;<a class="elsevierStyleCrossRef" href="#bib0065"><span class="elsevierStyleSup">3</span></a> Though the risk of malignancy may be low&#44; early diagnosis is still important to avoid unnecessary and potentially invasive investigations&#44; and use of ineffective treatments&#46;</p><p id="par0055" class="elsevierStylePara elsevierViewall">This unusual entity should be considered in pruritic&#44; long-standing perianal and scrotal cutaneous lesions&#44; especially in those not responding to therapy&#46; A biopsy will provide the definitive diagnosis&#46; The lesions of PP may significantly impact on patients&#8217; quality of life&#44; both due to pruritus and the large size of plaques in advanced PP&#46; Though individual cases have shown modest improvement with treatment&#44; currently available options are rarely curative&#46; Thus&#44; we highlight the need for increased research into therapeutics&#46;</p><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Conflict of interests</span><p id="par0060" class="elsevierStylePara elsevierViewall">The authors have no conflicts of interest to declare&#46;</p></span></span>"
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                          "autores" => array:6 [
                            0 => "N&#46; Hoang"
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                            2 => "A&#46; Jibbe"
                            3 => "S&#46;M&#46; Siscos"
                            4 => "A&#46;L&#46; Cargnel"
                            5 => "D&#46;L&#46; Kaplan"
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              "identificador" => "bib0060"
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                        "tituloSerie" => "Int J Dermatol"
                        "fecha" => "2017"
                        "volumen" => "56"
                        "paginaInicial" => "679"
                        "paginaFinal" => "680"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/28197991"
                            "web" => "Medline"
                          ]
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              "identificador" => "bib0070"
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                0 => array:2 [
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                        "tituloSerie" => "Australas J Dermatol"
                        "fecha" => "2015"
                        "volumen" => "56"
                        "paginaInicial" => "e28"
                        "paginaFinal" => "e29"
                        "link" => array:1 [
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                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/25688707"
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              "referencia" => array:1 [
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                            3 => "D&#46;M&#46; Tartar"
                            4 => "M&#46; Kiuru"
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                    ]
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                      "doi" => "10.1111/j.1600-0560.2011.01787.x"
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Article information
ISSN: 00017310
Original language: English
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