A Case of Prurigo Pigmentosa Associated with Ketosis.
- Author:
Jeung LEE
1
;
Young Keun KIM
;
Joo Heung REE
;
Duck Hwan WON
;
Gwang Seong CHOI
;
Sang Wahn KOO
Author Information
1. Department of Dermatology, Inha University College of Medicine, Incheon, Korea.
- Publication Type:Case Report
- Keywords:
Prurigo pigmentosa;
Ketosis
- MeSH:
Blood Glucose;
Clothing;
Diabetes Mellitus;
Diet;
Fasting;
Friction;
Humans;
Hyperpigmentation;
Insulin;
Ketosis*;
Pregnancy;
Prurigo*;
Skin Diseases
- From:Korean Journal of Dermatology
1999;37(10):1525-1527
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Prurigo pigmentosa is a distinct type of inflammatory dermatosis characterized by recurrent pruritic erythematous papules that resolve, leaving a peculiar, reticulate hyperpigmentation. Although the cause of prurigo pigmentosa is unknown, exogenous factors, such as friction from clothing, have been suggested as possible triggers in some cases. In other cases, however, systemic conditions such as diabetes mellitus, pregnancy, fasting, and dieting were associated with prurigo pigmentosa, suggesting involvement of endogenous factors in the pathogenesis. There have been reported cases of prurigo pigmentosa associated with ketosis. Because ketosis is commonly observed in association with fasting, dieting, and insulin dependent diabetes melitus, it may be involved in the pathogenesis of prurigo pigmentosa. Here, we describe a patient with prurigo pigmentosa associated with diabetes mellitus and ketosis. In this case, the prurigo pigmentosa improved with the disappearance of the ketosis, but the blood sugar levels did not correlate with the improvement.
