A Case of Facial Pomade Crust

Bechara, Falk G.; Altmeyer, Peter; Jansen, Thomas

doi:10.1111/j.1346-8138.2002.tb00232.x

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…Pomade crust is very rare on the face or scalp [4][5][6][7][8] and may be a simulator of other skin diseases like cutaneous horn, squamous cell carcinoma, 5 basal cell carcinoma, 7 or dyskeratosis follicularis as in the present case. Gross morphology, color, and localization of the lesion were in favor of dyskeratosis follicularis but histology and course…”

Section: Discussionmentioning

confidence: 98%

“…2 But the disease may also be induced by highly purified products by their excessive use. [3][4][5][6][7][8] Based on infrared spectroscopy of scraping material, Vakilzadeh and Kalveram demonstrated that the crust is composed of squamous material from the skin but not from mineral oils or other fatty compounds. 4 An endogenous factor seems to contribute to the development of pomade crusts but excessive use of topical skin care products without appropriate cleansing of the skin has been incriminated as well.…”

Section: Discussionmentioning

confidence: 99%

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Glabellar pomade crust mimicking dyskeratosis follicularis

Wollina

Hansel

Köstler

et al. 2006

J of Cosmetic Dermatology

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A 79-year-old female patient presented with a slowly developing crusting, itching verrucous lesion of the forehead of 3 months' duration. She had no personal or family history of skin disease. On examination she presented with a hyperpigmented plaque of the glabellar region that resembled dyskeratosis follicularis Darier. A detailed medical history was taken and a skin biopsy was performed. Epidermal acanthosis and enlargement of follicle ostia with foreign material were found. The patient reported use of an ointment twice daily. She had a single cosmetic treatment where powder of unspecified composition had been used. The diagnosis of pomade crust was confirmed. Follicular material was enucleated mechanically and the area was treated with a metronidazole cream. The lesions completely disappeared.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Glabellar pomade crust mimicking dyskeratosis follicularis

Wollina

Hansel

Köstler

et al. 2006

J of Cosmetic Dermatology

View full text Add to dashboard Cite

show abstract

“…The name ‘Akatsuki disease’ is derived from the Japanese words ‘aka’ meaning exfoliation and ‘tsuki’ meaning to accumulate. Pomade crust is considered to be a similar disease 1 2. Akatsuki disease is not responsive to topical corticosteroids, but the scaly crusts can easily be removed by brushing, and that is the diagnostic treatment.…”

Section: Descriptionmentioning

confidence: 99%