Cangiano M, Chisti Mohammod J, Pietroni Mark A C, Smith Jonathan H
University of Vermont College of Medicine, Burlington, VT 05405, USA.
J Health Popul Nutr. 2011 Jun;29(3):290-1. doi: 10.3329/jhpn.v29i3.7877.
A 60-year-old Muslim man was admitted to the Dhaka Hospital of ICDDR,B with an exacerbation of his chronic obstructive pulmonary disease. Incidental hyperpigmented skin lesions were noticed overlying the dorsum of his ankles, knees, and elbows. Such asymptomatic areas of thickened, lichenified and hyperpigmented skin are called 'prayer marks' and are well-imprinted on the knees, ankles, and forehead. These are secondary to prolonged periods of pressure over bony prominences during prayer. The patient's wife stated that the appearance of the elbow marks had coincided with an increase in his breathlessness and subsequent use of his elbows to rise from daily prayers. Prayer marks extending to the elbows could be a sign of worsening chronic disease.
一名60岁的穆斯林男子因慢性阻塞性肺疾病加重入住达卡国际腹泻病研究中心孟加拉国医院。在他的脚踝、膝盖和肘部背面发现了偶然出现的色素沉着皮肤病变。这种增厚、苔藓化和色素沉着的无症状皮肤区域被称为“祈祷印记”，在膝盖、脚踝和前额上印记明显。这些是祈祷时在骨隆突上长时间受压的结果。患者的妻子表示，肘部印记的出现与他呼吸急促加剧以及随后在日常祈祷起身时使用肘部有关。延伸至肘部的祈祷印记可能是慢性病恶化的迹象。
