Christmas Tree Pattern Dermatology, Figure 1 From Long Lasting Christmas Tree Rash In An Adolescent Isotopic Response Of Indeterminate Cell Histiocytosis In Pityriasis Rosea Semantic Scholar
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1department of dermatology and allergy ludwig maximilian university frauenlobstrasse 9 11 d 80337 munich germany.
Christmas lights multi color. Classically it begins with a single red and slightly scaly area known as a herald patch. Wollenbergatlrzuni muenchende pattern analysis of skin lesions is an art and a key competence of every dermatologist. This is then followed days to weeks later by a rash of many similar but smaller round or oval lesions mainly on the trunk and upper limbs.
A dermatologist may remove a little bit of skin or order blood tests to narrow down what the problem is. In many cases it is a dermatologist who diagnoses the christmas tree rash. Skin diseases following a christmas tree pattern andreas wollenberg md tatiana eames md department of dermatology and allergy ludwig maximilian university frauenlobstrasse 9 11 d 80337 munich germany abstract pattern analysis of skin lesions is an art and a key competence of every dermatologist.
About 20 of cases show atypical deviations from this pattern. Crissey 1924 2009 while at the university of buffalo in new york. Wollenberg a1 eames t.
Head zones represent skin areas innervated from the same sensory neuronal segment or spinal nerve zone. 23 crissey later became a professor of dermatology at the university of southern california los angeles. The first mention we could find of the christmas tree pattern was in a 1956 article written by john t.
Here we review clinical aspects of pityriasis rosea mycosis fungoides stage 2 syphilis exanthematic kaposi sarcoma exanthematic psoriasis leser trelat syndrome and other primary skin diseases with a christmas tree pattern. It usually lasts less than three months and goes away. In the christmas tree effect the spine serves as the trees trunk with the skin lesions outlining its branches as.
Pattern analysis of skin lesions is an art and a key competence of every dermatologist. Christmas tree rash or pityriasis rosea is an oval shaped skin patch that can appear on different parts of your body. Langer lines show the direction of the lowest naturally occurring skin tension and its thoracodorsal manifestation is the christmas tree pattern.
One patient with a long lasting christmas tree rash diagnosed by histology and immunohistology as indeterminate cell histiocytosis has been reported 12 the size and distribution of the round to oval lesions in a christmas tree pattern indicated pityriasis rosea as the primary skin disease as did the patients history of the diseases time course and the presence of a herald plaque. Heres how to identify it and what to do if you have it.
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