Turkderm-Turk Arch Dermatol Venereol. 2020; 54(1): 22-24 | DOI: 10.4274/turkderm.galenos.2019.14892

A case of reactive perforating collagenosis accompanied by scabies and diabetes

Gizem Yaðcýoðlu¹, Ekin Þavk², Meltem Uslu², Neslihan Þendur², Canten Tataroðlu^3
1Acýbadem Kozyataðý Hospital, Clinic of Dermatology, Ýstanbul, Turkey
²Adnan Menderes University Faculty of Medicine, Department of Dermatology, Aydýn, Turkey
³Adnan Menderes University Faculty of Medicine, Department of Pathology, Aydýn, Turkey

Reactive perforating collagenosis (RPC) is characterized by hyperkeratotic papules and histopathologically transepidermal elimination of structural altered collagen fibers. It is often associated with diabetes mellitus and renal failure. Superficial skin trauma is thought to play a role in triggering the disease. In this article, we present a rare case of a 59-year-old woman with complaint of itching and scabs for 2 months. The patient diagnosed with scabies and RPC treated with 5% permethrin. After scabies treatment, the symptoms and clinical findings of RPC were successfully checked.

Keywords: Reaktif perforan kollagenozis, skabies, dermoskopi, diabetes mellitus

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Diyabet ve skabiese eþlik eden bir reaktif perforan kollagenozis olgusu

Gizem Yaðcýoðlu¹, Ekin Þavk², Meltem Uslu², Neslihan Þendur², Canten Tataroðlu^3
1Maltepe Devlet Hastanesi, Deri ve Zührevi Hastalýklar Ana Bilim Dalý, Ýstanbul
²Adnan Menderes Üniversitesi Týp Fakültesi, Deri ve Zührevi Hastalýklar Ana Bilim Dalý, Aydýn
³Adnan Menderes Üniversitesi Týp Fakültesi, Patoloji Ana Bilim Dalý, Aydýn

Reaktif perforan kollagenozis (RPK) hiperkeratotik papüller ve histopatolojik olarak yapýsal deðiþikliðe uðramýþ kollajen liflerinin transepidermal eliminasyonu ile karakterizedir. Sýklýkla diabetes mellitus ve renal yetmezlik ile iliþkili bir hastalýktýr. Yüzeyel deri travmasýnýn hastalýðý tetikleyici rol oynadýðý düþünülmektedir. Bu makalede, 59 yaþýnda kadýn, iki aydýr kaþýntý ve kabuklu yara þikayetleri olan nadir bir olguyu sunduk. Skabies ve RPK tanýsý konan hasta %5 permetrin ile tedavi edildi. Skabies tedavisi sonrasýnda RPK’nýn semptom ve klinik bulgularý baþarýlý bir þekilde kontrol edildi.

Anahtar Kelimeler: Reactive perforating collagenosis, scabies, dermoscopy, diabetes mellitus

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