|
KMID : 0032220210330020186
|
|
Annals of Dermatology
2021 Volume.33 No. 2 p.186 ~ p.189
|
|
|
A Case of Herpes Zoster Granulomatous Dermatitis: Report of Wolf's Isotopic Response
|
|
Yoon Ji-Ha
Jang Ye-Ji
Park Eun-Joo
Kim Kwang-Joong
Kim Kwang-Ho
|
|
|
Abstract
|
|
|
|
Wolf's isotopic response refers to the occurrence of a novel skin disease at the site of a preceding treated or untreated skin disease. Although the most common preceding skin disease was found to be herpes zoster (HZ), HZ-related dermatological phenomena are not well known in the literature. We report a case of HZ granulomatous dermatitis in a 77-year-old female with a previous history of hypertension, diabetes mellitus, chronic kidney disease, and HZ. She presented with a 3-month history of a pruritic skin lesion on her right thigh. The location of the lesion was consistent with a previous HZ site. Histopathological examination revealed lympho- histiocytic infiltration in the superficial dermis, forming a granulomatous structure. Based on clinical and histopathological findings, we made a diagnosis of granulomatous dermatitis at a previous HZ site. We assumed that the lesion arose from an isotopic response of Wolf. The patient was treated with topical steroids for 3 months and showed clearance of the lesion and symptom. We suggest that treatment should be based on the individual disease, which in our case was topical steroid.
|
|
|
KEYWORD
|
|
|
Dermatitis, Herpesvirus 3, Human
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|