Harris Kalynne, Pho Lana N, Bowen Anneli R
University of Utah, Utah, USA.
Dermatol Online J. 2010 Oct 15;16(10):8.
A 50-year-old woman presented for asymptomatic yellow hyperkeratotic plaques limited to her face. The plaques reportedly arose over the six months prior to her clinic visit. She was healthy prior to the diagnosis of Susac syndrome (retinocochleocerebral vasculopathy) two years before. A punch biopsy was performed and revealed retention hyperkeratosis. Retention hyperkeratosis is a benign and commonly seen skin condition in primary care and dermatology. Retention hyperkeratosis occurs when there is abnormality of routine desquamation that can be associated with poor hygeine. It can be associated with acne or ichthyosis. Our case of retention hyperkeratosis is unique because of the profound presentation in a setting of an untreated psychiatric condition. Treatment consisted of daily topical exfoliative care. We also encouraged her family members to help her to seek medical attention for Susac syndrome.
一名50岁女性因面部出现无症状黄色角化过度斑块前来就诊。据报道，这些斑块在她就诊前六个月出现。两年前她被诊断为Susac综合征（视网膜耳蜗脑血管病）之前身体健康。进行了打孔活检，结果显示为潴留性角化过度。潴留性角化过度是基层医疗和皮肤科常见的一种良性皮肤状况。当常规脱屑出现异常且可能与卫生状况差有关时，就会发生潴留性角化过度。它可能与痤疮或鱼鳞病有关。我们这个潴留性角化过度病例很独特，因为它出现在未治疗的精神疾病背景下且表现严重。治疗包括每日进行局部剥脱护理。我们还鼓励她的家人帮助她寻求对Susac综合征的医疗关注。
