Presentation
History A 78-year-old man presented with thickened, heavily lined skin on his posterior neck that had been present for an indeterminate period of time. [clinicaladvisor.com]
The skin on the patient’s neck presented deep wrinkles and leathery texture (Figure 2 B). The treatment consisted of surgical excision of the lip ulceration and extraction of bilateral comedones. [termedia.pl]
Slideshow Slide Case Study: Explanation: An 85-year-old man presents with bilateral ankle swelling and redness that has been diagnosed as stasis dermatitis. [empr.com]
This characteristically presents as the sagging skin of the anterior neck in many older patients.[1] [medscape.com]
Entire Body System
- Asymptomatic
Although the striking skin changes were asymptomatic, they were concerning to his relatives who insisted that he be seen by a dermatology provider. [clinicaladvisor.com]
The patient was unaware of these findings as they are asymptomatic. He has worked as a farmer his entire life. [empr.com]
- Fishing
The patient had spent nearly his whole life in the sun, farming, ranching, fishing, and tending to his property in rural Oklahoma. He denied a history of skin cancer and claimed to be in good health. [clinicaladvisor.com]
- Outdoor Worker
The disorder typically is seen in older persons, in those who live in sunny climates, and in outdoor workers. Persons with fair skin are more commonly and most severely affected, but it can occur even in those with darkly pigmented skin. [patientcareonline.com]
Skin
- Skin Disease
Cited by Coexistence of Favre-Racouchot disease, cutis rhomboidalis nuchae and skin neoplasms. Krajewski PK, Chlebicka I, Stefaniak AA, Szepietowski JC. Krajewski PK, et al. [pubmed.ncbi.nlm.nih.gov]
[…] up the skin macule, macula - a patch of skin that is discolored but not usually elevated; caused by various diseases freckle, lentigo - a small brownish spot (of the pigment melanin) on the skin liver spot - a type of skin disease that causes brown spots [thefreedictionary.com]
Interestingly, cutis rhomboidalis nuchae may protect the affected skin from actinic keratoses and non-melanoma skin cancers.5 References Lehmann P. Sun exposed skin disease. Clin Dermatol. 2011:29(2):180-188. [empr.com]
- Keratosis
[…] sun exposure is able to determine both acute andchronic skin damage, mostly linked to the effects of the ultraviolet (UV) radiation on epidermal and dermal structures.We report a case of sailor with cutis rhomboidalis nuchae, solar elastosis, actinic keratosis [escholarship.org]
Keywords: erythrosis interfollicularis colli, cutis rhomboidalis nuchae, dermoscopy, chronic sun exposure, extrinsic aging, basal cell carcinoma, actinic keratosis Get Full Access Gale offers a variety of resources for education, lifelong learning, and [go.gale.com]
[…] superficial actinic porokeratosis (DSAP) L56.8 Other specified acute skin changes due to ultraviolet radiation L56.9 Acute skin change due to ultraviolet radiation, unspecified L57 Skin changes due to chronic exposure to nonionizing radiation L57.0 Actinic keratosis [icd10data.com]
- Dermatitis
[berloque dermatitis] L56.3 Solar urticaria L56.4 Polymorphous light eruption L56.5 Disseminated superficial actinic porokeratosis (DSAP) L56.8 Other specified acute skin changes due to ultraviolet radiation L56.9 Acute skin change due to ultraviolet [icd10data.com]
Slideshow Slide Case Study: Explanation: An 85-year-old man presents with bilateral ankle swelling and redness that has been diagnosed as stasis dermatitis. [empr.com]
- Darkly Pigmented Skin
Persons with fair skin are more commonly and most severely affected, but it can occur even in those with darkly pigmented skin. The diffusely thickened and yellowish skin can arise in any area of the body that is chronically exposed to sunlight. [patientcareonline.com]
- Eruptions
[…] effective 10/1/2022): No change Cutis - see also condition rhomboidalis nuchae L57.2 ICD-10-CM Codes Adjacent To L57.2 L56.1 Drug photoallergic response L56.2 Photocontact dermatitis [berloque dermatitis] L56.3 Solar urticaria L56.4 Polymorphous light eruption [icd10data.com]
Neurologic
- Confusion
Punch biopsy would resolve any confusion. CRN puts this patient at higher risk for the development of skin cancers caused by sun exposure, such as basal cell carcinoma, squamous cell carcinoma, melanoma, and others. [clinicaladvisor.com]
Treatment
Treatments Your Physician May Prescribe No treatment is needed for cutis rhomboidalis nuchae. Trusted Links MedlinePlus: Sun ExposureClinical Information and Differential Diagnosis of Cutis Rhomboidalis Nuchae References Bolognia, Jean L., ed. [skinsight.com]
Here are a few tips to keep in mind: If there are specific types of treatments you want to learn, make sure your prospective school offers courses covering these treatments. Not all programs are the same. [nlimedspa.com]
A 70-year-old Caucasian man was admitted to our department for the treatment of squamous cell carcinoma (SCC). [termedia.pl]
Some treatments available for photodamaged skin are cosmetic and only available in a dermatology or plastic surgery office setting. [medscape.com]
Epidemiology
[…] cutis rhomboidalis Grade 1: Indicated furrow formation, no skin discoloration, no skin thickening Grade 2: Moderate furrow formation, moderate skin thickening Grade 3: deep furrow formation, pronounced skin thickening, yellowish discoloration Occurrence/Epidemiology [altmeyers.org]
Prevention
Consistent light protection with sunscreens, avoidance of direct sunlight and textile sun protection are indicated to prevent the progression of the disease. Blande skin care e.g. with Ungt. emulsif. aq., s.a. Elastosis actinica. [altmeyers.org]
Self-Care Guidelines For prevention of cutis rhomboidalis nuchae and other signs of sun damage, sun exposure should be avoided midday (10:00 AM to 3:00 PM), sun-protective clothing should be worn (tightly woven clothes and hats), and sunscreen should [skinsight.com]
Basal cell carcinomas were seen in only one patient on the borders of cutis rhomboidalis nuchae, whereas erythrosis interfollicularis colli did not prevent development of basal cell carcinomas. [go.gale.com]
Application of sunscreen to his neck would prevent worsening of his CRN. Reference Bolognia JL, Jorizzo JL, Rapini RP. Dermatology. 1st ed. New York: Mosby, 2003;1380-1381. From the May 01, 2019 Issue of Clinical Advisor [clinicaladvisor.com]