title: Poikilodermatous changes on the forearms of a woman practicing aroma-therapy: extracervical poikiloderma of Civatte?
abstract: We report the case of a 48-year-old, Caucasian female who presented with slowly progressing asymptomatic poikilodermatous changes of the extensor aspects of the forearms. She also had typical Poikiloderma of Civatte on the V of the neck and erythemato-telangiectatic rosacea of the central face. The patient had been practicing aroma-therapy for many years. Histologic examination revealed findings consistent with PC. Patch-testing revealed positive reactions to Fragrance mix and Nickel sulphate. Based on clinical and histological findings, a diagnosis of extracervical PC was suggested. PC with extra-cervical or extra-facial involvement is rare. In addition, this case supports the theory that contact sensitization to fragrances may contribute to the development of PC.
authors: "Attikon" General University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
authors: Alexandros
authors: A
authors: Katoulis
authors: "Attikon" General University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
authors: Michalis
authors: M
authors: Makris
authors: "Attikon" General University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
authors: Stamatis
authors: S
authors: Gregoriou
authors: "Attikon" General University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
authors: Eustathios
authors: E
authors: Rallis
authors: "Attikon" General University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
authors: Antonis
authors: A
authors: Kanelleas
authors: "Attikon" General University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
authors: Nicolaos
authors: N
authors: Stavrianeas
authors: "Attikon" General University Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
authors: Dimitris
authors: D
authors: Rigopoulos
mesh_terms: D019341:Aromatherapy / Q000009:adverse effects*; D003877:Dermatitis, Contact / Q000209:etiology / Q000473:pathology*; D003937:Diagnosis, Differential; D005260:Female; D005542:Forearm; D006801:Humans; D008875:Middle Aged; D009333:Neck; D009822:Oils, Volatile / Q000009:adverse effects; D010328:Patch Tests; D010859:Pigmentation Disorders / Q000209:etiology / Q000473:pathology*; D013684:Telangiectasis / Q000473:pathology
chemical_list: D009822:Oils, Volatile