Bonci A, Patrizi A. Pigmentary demarcation lines in pregnancy. It was her second pregnancy, and she denied similar alterations in the previous one. James WD, Carter JM, Rodman OG. Arms and legs Trunk (chest, abdomen, back) Hyperchromic axillae and prominent linea alba were also seen. There is no Brazilian case reported in the indexed literature. Psychological In one study, 79% of African American women and 75% of African American men had at least one pigmentary demarcation line. 2011; 21: 787-8. (3). Gravidez; Hiperpigmentao; Transtornos da pigmentao. A 30-year-old second gravida who was 8 month spregnant presented at the skin outpatient department with asymptomatic, broad, band-like pigmentation over the posterior aspect of both legs and thighs [Figure - 1], extending from the heel to the gluteal crease, that was present since 4 months. 1987;16:584-90. Pigmentary demarcation lines: a population survey. Effective treatment of Futcher's lines with Q-switched Alexandrite laser. James WD, Carter JM, Rodman OG. Arch Dermatol. Mouth Palmar and Plantar Hyperpigmented Macules, Punctate Keratoses of the Palms and Soles, COMMON SKIN DISORDERS SEEN PREDOMINANTLY IN DARKER SKIN, Chest from midthird of clavicle to periareolar skin, Straight or curved convex line on the face. PO Box 789, Rickmansworth, WD3 0NU. conditions. Zhang R, Zhu W. Coexistence of pigmentary demarcation lines types C and E in one subject. solar keratosis), Fordyce 2a). These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. A logical approach to the management of skin conditions including Analytical cookies are used to understand how visitors interact with the website. (English), Resumo Lips and health professionals, Up to 30% of GP consultations have some element of skin, but yet there is limited Notice and credit must be given to the PCDS or other named contributors. This case was also remarkable since the patient reported to have had similar but temporary pigmentation in her previous pregnancy. This div only appears when the trigger link is hovered over. J Am Acad Dermatol. link for the society's contact details. By clicking Accept, you consent to the use of ALL the cookies. But opting out of some of these cookies may affect your browsing experience. Arch Dermatol. Pigmentary demarcation lines are abrupt demarcation lines between the light and dark pigmentation areas that usually occur on the upper and lower limbs. 1987;16:584-90. In a review by Nakama et al. If you simply Fetoplacental hormone production or alterations in clearance may increase the plasma availability of hormones, such as estrogens and progesterone, inducing pigmentary changes in pregnancy (Gupta et al., 2005). Keloidal scarring is common in patients with skin of color. She had also received progesterone injections for 3 months. I shall book again and already shared with colleagues 2002;138:127-8. Pustules (small pus-filled lesions) / boils Bukhari IA. Ozawa et al. .switcher .option {position:relative;z-index:9998;border-left:1px solid #ccc;border-right:1px solid #ccc;border-bottom:1px solid #ccc;background-color:#eee;display:none;width:161px;max-height:198px;-webkit-box-sizing:content-box;-moz-box-sizing:content-box;box-sizing:content-box;overflow-y:auto;overflow-x:hidden;}
Nodules (larger palpable lesions) Statement Policy, Data J Am Acad Dermatol 1984;11:438-40. The patient was diagnosed with type B; PDL based on her medical history, physical examination and histopathological findings. Pruritis ani 25.
Type E, periareolar hypopigmented macules. Arch Dermatol. Notice
Urticaria and angioedema 30. version, Concise guidelines for common skin Party Parliamentary Group on Skin, Self-examination of moles online Type B pigmentary demarcation lines in a Chinese amenorrheic woman. Please use the attached consent form when obtaining images, and download and Fungal infections (tinea) 15. use, THE CUNLIFFE (TP) SKIN LESION DIAGNOSTIC TABLE, Trunk (chest, abdomen, back) / buttocks / axillae / groin, Leg & Other Sua fisiopatogenia incerta. This chapter, which provides a brief overview of PDL, is set out as follows: Please refer to notes on image rights at bottom of the page with regards to individual image Pityriasis rosea 23. So mais comuns em africanos e japoneses, mas raras em brancos. Macules (small flat lesions) / papules (small raised lesions) Drug (or chemical) related Its pathogenesis remains unknown. 2002;138:127-8. dermatol. The patient underwent tightening of the os uteri during the first trimester for a patulous os and had a threatened abortion. Perioral dermatitis 21. Translate this page into:
These lesions fall into pigmentary and nonpigmentary categories.2, Pigmentary demarcation lines are normal boundaries of the skin that represent a transition between darker and lighter melanin pigment distribution corresponding to dermatomal innervation by spinal nerves. British Association of Dermatologists, The Royal Therefore, when evaluating pigmentation, it is important to understand and recognize normal variants.1 Knowledge of normal variations in skin is crucial in the evaluation and management of patients with skin of color because there are a number of skin lesions that represent physiologic variants. Travel acquired / worldwide infections Bonci A, Patrizi A. Pigmentary demarcation lines in pregnancy. Type A lines, also termed Voigt (Futcher) lines, are sharply demarcated, frequently bilateral lines of pigmentation found at the anterolateral junction of the upper arms [Figure 21-1]. Eur J Dermatol. [5] Genetic and hormonal influences have also been suggested. If you would like to donate, please use this There are eight types of pigmentary demarcation lines. Hyperchromia in the axillae and groin, which had appeared earlier in the pregnancy, were concurrent complaints. Psoriasis 26. Eczema - atopic (including facial ecz 12. She did not report similar pigmentation or hyperemia in her previous pregnancy. Pigmentary demarcation lines: a population survey. Dressings. , 3. There is smooth lightening of the hyperchromia as it reaches the anterior aspect of the legs. Boils and folliculitis (including hid 11. training in dermatology. Skin lesion algorithm - common benign 4. Pigmentary demarcation lines over the face.
Disclaimer: These citations have been automatically generated based on the information we have and it may not be 100% accurate. However, due to miscegenation, it is probable that PDLs are common in Brazil, but that they are underdiagnosed. 4. .switcher .option::-webkit-scrollbar-track{-webkit-box-shadow:inset 0 0 3px rgba(0,0,0,0.3);border-radius:5px;background-color:#f5f5f5;}
Itch (pruritus) 18. Erythema dyschromicum perstans is seen more often in people with skin of color. Unwell with eg fever / malaise We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. 66. 2011; 21: 787-8. Eczema - discoid eczema 11. Another topic of discussion is the very early onset of PDL in this case before the 18th week which is commonly reported as the beginning time of lesions during pregnancy. Arch Dermatol. Child abuse / domestic violence Int J Dermatol. 2011; 21: 787-8. Dermatological emergencies 9. 2002;138:127-8. Zhang R, Zhu W. Coexistence of pigmentary demarcation lines types C and E in one subject. The overlapping of these lines with Voigt's lines, which define the distribution of peripheral nerves, has led some authors to believe that the cause of this pattern is a result of the neurogenic inflammation produced in the late stage of pregnancy. Type B, which appear during pregnancy on the lower limbs and regress after delivery. Some cases were accompanied or preceded by an overlapped erythematous component, and the fact that the erythema and pigmentation disappeared soon after delivery supports this hypothesis.33. Bonci A, Patrizi A. Pigmentary demarcation lines in pregnancy. The one described here, type B, is restricted to women and is associated with pregnancy in non-black patients. .switcher .option::-webkit-scrollbar-thumb {border-radius:5px;-webkit-box-shadow: inset 0 0 3px rgba(0,0,0,.3);background-color:#888;}. [3] We report a pregnant woman, who presented with type B pigmentary demarcation lines and generalized cutaneous hyperemia. Also, length of sessions about link, declaration of Web Design - Mode Ten Designs. 1a). There is a female sex predilection and PDL are more common in pregnancy. .switcher .option a {color:#000;padding:3px 5px;}
Arunachalam M, Bruscino N, Bassi A, Difonzo E. Type A and B pigmentary demarcation lines in a white, pregnant woman - a rare observation? Ma HJ, Zhao G, Dang YP. Its distribution is bilateral and symmetrical and separates the more deeply pigmented skin of the outer surfaces from the lighter inner surfaces.
Comparision of Negroes with Japanese. Delmonte et al. spots (syn. Privacy Policy
H 8 tipos, sendo a aqui descrita, tipo B, restrita a mulheres e relacionada a gestao em no negras. Pityriasis versicolor 24. The lesions had developed around the 8th week of her pregnancy and gradually became more noticeable. These cookies will be stored in your browser only with your consent. Statement Policy J Am Acad Dermatol. (1997) found that some authors believed that these lesions are not always associated with pregnancy and they occur due to the distribution of cutaneous peripheral nerves that cause pigmentary differences due to neurogenic inflammation. 2. (1993) suggested that pigmentary abnormality was caused by the compression of the peripheral nerves at S1 and S2 by an enlarged uterus during pregnancy. Linhas de demarcao pigmentar so linhas fisiolgicas que correspondem a transies abruptas entre reas mais escuras e mais claras. They are considered to be associated with the distribution of cutaneous peripheral nerves and pigmentary differences due to neurogenic inflammation. Caused/aggravated by sunlight Ears UK Tel: 0333 939 0126 Email: pcds@pcds.org.uk, Website Privacy Eczema - atopic (including facial ecz 16. Photosensitive rashes (rashes made wo Peeling skin To the best of our knowledge, our case is unusual due to the unique distribution of type B PDL which involved not only the posterior portion of the lower extremities but also the anterior thigh and it is the second case that has so far been reported in the literature (Cho et al., 2012). You also have the option to opt-out of these cookies. Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. Rare variants are type D that is commonly seen in the posteromedial area of the spine and type E that occurs in the bilateral aspect of the chest from the mid third of the clavicle to periareolar skin. Type D, rare, postero-median lines along the spine. Itch email the declaration of consent form with the images to pcds@pcds.org.uk. 1. Este tipo de linha de demarcao pigmentar ocorre na face posterior dos membros inferiores estendendo-se do perneo ao tornozelo. (a) Bilateral, symmetrical, well-demarcated, hypo and hyper-pigmented patches spreading from the inner aspects of the thighs down to the popliteal fossae and distal medial portion of the calves and (b) A non-determined hypo-pigmentation on the anterior aspect of the left thigh, (a) Dilation of small vessels and perivascular lymphocytic infiltration in the papillary dermis. Int J Dermatol. 88 Expectant treatment is used, and good results have been reported with the use of Q-switched Alexandrite laser. The recurrence, persistence and the unique distribution pattern of pigmentary demarcation lines including not only the posterior but also the anterior portion of her lower extremity were the remarkable aspects of this case. consent form, Website Privacy Bonci A, Patrizi A. Pigmentary demarcation lines in pregnancy. This site uses cookies to provide, maintain and improve your experience. The medial borders of the pigmented areas were sharply demarcated while the lateral borders merged imperceptibly into the normal skin. Herein we report a rare case of type B PDL in a white pregnant female, presenting with persistent lesions that occurred during the first trimester of pregnancy and continued even after 1-year postpartum. .switcher .selected a:hover {background:#fff}
Pigmentary demarcation lines are physiologically abrupt transition lines from areas of deeper pigmentation to less pigmented areas. Skin changes with distinct pattern A histopathological examination was performed on the basal layers of hyper-pigmented and hypo-pigmented areas. They can be seen on the limbs, face, and sometimes the trunk. Type A (Futchers / Voigts lines), the most common lines, seen over the dorso-ventral aspect of the arms. Patches / plaques (larger flat or flat-topped lesions) Furthermore, the cause of PDL during pregnancy is also unknown. If your institution subscribes to this resource, and you don't have a MyAccess Profile, please contact your library's reference desk for information on how to gain access to this resource from off-campus. 2011;50:863-5. 2005;4:27-8. Eczema - hand (and foot) 14. 2. Comments on: Nonsegmental vitiligo follows, Nonsegmental vitiligo follows Blaschko's lines and, Pigmented linear discoid lupus erythematosus following the. Warts, Consent Forms: The PCDS always needs good - 2005;4:27-8. Type B PDL occurs as a well demarcated line in the posterior aspect of the legs extending from the perineum to the ankles. This category only includes cookies that ensures basic functionalities and security features of the website. Molluscum contagiosum 19. Int J Dermatol. This website uses cookies to improve your experience while you navigate through the website. J Am Acad Dermatol 1987;16:584-90. These lesions are mostly seen during the third trimester of pregnancy and most frequent in Black and Japanese populations and rare in Caucasians (Bonci and Patrizi, 2002). These are most often observed in darker races and are considered to be normal variants of pigmentation. Hyperpigmentation; Pigmentation disorders; Pregnancy. Darker areas of skin Vascular ownership. .l_name {float: none !important;margin: 0;}
Taylor and Kelly's Dermatology for Skin of Color, 2e.
Nails Successful use of Q-switched Alexandrite 755nm has been reported. 5. She also had similar pigmentary abnormalities in her previous pregnancy. Int J Dermatol. Bonci A, Patrizi A. Pigmentary demarcation lines in pregnancy. They have been considered as an atavistic remnant, where the dorsal skin is pigmented more than the ventral, providing better protection from the sun. step-by-step treatment advice. described groups F, G, and H of PDL on the face in Indians, Group F - represents an inverted cone shaped area of hyperpigmentation over the lateral aspect of the face extending from the lateral orbital rim inferiorly or inferolaterally, Group G - occurs at a site similar to Group F, but with two inverted cones with a normal patch of skin in between, Group H - occurs on the lower face as a linear hyperpigmented band extending from the angle of mouth to the lateral aspect of the chin, PDL in pregnancy may regress spontaneously after delivery.
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