Incidental acantholysis is a rare histologic findings. And reported in basal cell carcionma, keratoacanthoma, psoriasis, tinea corporis, etc.
We describe a case of contact dermatitis in a 64-year-old female who suffered from recurrent itchy, erythematous patches on face, neck, and shoulder. She presented with recently aggravated itchy skin lesions after using perfume and Tiger balm.
Patch
test showed strong positive reaction to balsam of Peru, fragrance mix, and Thiger balm. A biopsy specimen showed lichenoid dermatitis and incidental focal acantholysis which was not previously reported in literatures.
(Kor J Dermatol 1996;34(3) : 422~425)
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