Dermatology and Dermatologic Diseases

ISSN: 2376-0427

Open Access

An Unusual Presentation of Actinic Reticuloid: A Pigmented and Depigmented Puzzle


Michelle B Tarbox

Background: Actinic Reticuloid (AR) is idiopathic photosensitivity dermatitis. AR presents with eczematous scaly plaques in a sun-exposed distribution, typically on the head and neck. AR is most commonly seen in older males with a significant history of sun exposure. Observation: A 64 year-old Hispanic male with a long-standing history of widespread vitiligo, presented with a two-week history of a pruritic, erythematous eruption of his head, neck, and hands. Sun-exposed skin which had been previously depigmented by vitiligo was involved, while normally pigmented sun-exposed areas were spared. Skin biopsy from scaly plaques on his vitiliginous skin was consistent with a diagnosis of AR. Treatment with topical and oral corticosteroids, in combination with sun protection, lead to marked improvement of symptoms. Conclusion: This case demonstrates an unusual presentation of actinic reticuloid with an unusual predilection for skin which had been previously depigmented due to vitiligo.


Share this article

Recommended Conferences

Trauma, Emergency Medicine & Critical Care

Rome, Italy

Wound Care, Cell & Tissue Congress 2020

San Francisco, USA
arrow_upward arrow_upward