Asteatotic Eczema in Hypoesthetic Skin

Cassler, Nicole M.; Burris, Ashley; Nguyen, Josephine

doi:10.1001/jamadermatol.2014.394

Cited by 14 publications

(8 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…The asteatotic eczema that developed on both the grafted and the donor site also involves disturbances of skin barrier function and dysregulated immune response. There seems to be an association to hypoesthetic skin (Cassler, Burris, & Nguyen, 2014 (Piccolo et al, 2016).…”

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Eczema of recipient and donor skin graft sites: Another example of “Ruocco's immunocompromised district”

Verma¹,

Wollina

Ruocco

et al. 2019

Dermatologic Therapy

View full text Add to dashboard Cite

A 47‐year‐old male suffered soft tissue injuries 8 years ago that had been covered by meshed split thickness skin graft. During the last 2 years, he developed a chronic eczema (atopic dermatitis) on both recipient and donor sites on the lower extremities. Eczema on skin graft sites has been described rarely. However, this case is unique since both donor and recipient site were involved. We consider our observation as another example of Ruocco's immunocompromised districts of skin.

show abstract

Section: Discussionmentioning

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Eczema of recipient and donor skin graft sites: Another example of “Ruocco's immunocompromised district”

Verma¹,

Wollina

Ruocco

et al. 2019

Dermatologic Therapy

View full text Add to dashboard Cite

show abstract

“…Defects in releasing ceramide from the lamellar bodies result in improper water barrier formation. The scar tissue formed post-surgery may impact the role of the granular layer, which is protective and lubrication of keratin and the cutaneous ability to transport substances [ 19 ]. This explanation is in line with that provided by Webster et al who also proposed that postoperative venous stasis following trauma might constitute a risk factor for localized venous congestion and may also result in cutaneous oedema, pigmented purpura resembling inflammatory dermatitis and non-immune bullous eruption [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Arriving at SKINTED (Surgery of the Knee, Injury to the Infrapatellar Branch of the Saphenous Nerve, Traumatic Eczematous Dermatitis): A Case Report

R M,

Sekar

2024

Cureus

View full text Add to dashboard Cite

Surgery of the knee, injury to the infrapatellar branch of the saphenous nerve, traumatic eczematous dermatitis (SKINTED) is a postsurgical localized dermatitis specifically linked to total knee arthroplasty (TKA). It is due to autonomic denervation following surgically inflicted nerve injury. It develops several months to years following a surgical trauma. It is being referred to by various names in the literature. Locoregional immune dysfunction due to lymphatic injury after surgery is the currently accepted theory. It must be distinguished from atopic dermatitis, allergic contact dermatitis/sensitization induced by topical medications or implanted metal hypersensitivity dermatitis, and post-traumatic eczema/dermatitis. We present a case of an elderly female patient in her 50s with dry eczematous lesions over the lateral aspect of the surgical incision over both knees developed three months following bilateral total knee replacement (TKR) done in view of osteoarthritis. The patient responded well to topical corticosteroid and emollient treatment. We have also reviewed the literature to provide an overview of potential concepts of etiopathogenesis described in the literature and to clear up any ambiguity surrounding various labels given to this entity.

show abstract

“…The cutaneous autonomic nervous system plays a crucial part in regulating sweat gland function, vasomotor activity, and skin blood flow, which in turn maintain the normal skin barrier. Acetylcholine and catecholamines released from autonomic nerve endings also play an important role in keratinocyte functioning [18,19]. Madke et al [12] in 2017 suggested the term ADD for the trophic changes in the skin after denervation of various autonomic organs of the skin.…”

Section: Discussionmentioning

confidence: 99%

SKINTED: A Rare Complication After Total Knee Arthroplasty

et al. 2020

View full text Add to dashboard Cite

Background: Surgery of the knee, injury to the infrapatellar branch of the saphenous nerve, traumatic eczematous dermatitis is a neuropathic dermatitis specific to total knee arthroplasty (TKA), occurring around the healed surgical scar area. Very few case reports exist in orthopaedic literature regarding this rare skin complication after TKA. We report a series of cases and estimated the incidence of this condition in our institute. Methods: During the 1-year period from January 2018 to December 2018, patients who have undergone TKA and later presented with skin lesions adjacent to the operated site were identified. Detailed history was taken, and full clinical examination was performed for all the reported cases. Results: A total of 9 lesions in 8 patients were identified out of a total of 203 consecutive TKAs operated during the study period, with an estimated incidence of 4.4%. The mean age was 64 years (range, 58-78 years). The mean time from surgery to diagnosis was 4 months (range, 3-6 months). Conclusions: This group of dermatitis caused due to surgical transection of the infrapatellar branch of the saphenous nerve during TKA is a rare cutaneous complication, with an estimated incidence of 4.4% from this study. Lesions typically appear lateral to the operative scar within an area of hypoesthesia. Lesions in all patients improved after topical steroid therapy with no recurrences at further follow-up. Arthroplasty surgeons should have awareness of this benign complication, thereby avoiding unwarranted additional workup and alleviating unnecessary psychological stress to the patient.

show abstract

Asteatotic Eczema in Hypoesthetic Skin

Abstract: Asteatotic eczema developing on skin with altered sensation is an underreported condition. Prompt recognition and treatment may lead to a more efficient patient encounter and alleviate unnecessary patient stress.

Cited by 14 publications

References 12 publications

Eczema of recipient and donor skin graft sites: Another example of “Ruocco's immunocompromised district”

Eczema of recipient and donor skin graft sites: Another example of “Ruocco's immunocompromised district”

Arriving at SKINTED (Surgery of the Knee, Injury to the Infrapatellar Branch of the Saphenous Nerve, Traumatic Eczematous Dermatitis): A Case Report

SKINTED: A Rare Complication After Total Knee Arthroplasty

Contact Info

Product

Resources

About