Erythema Ab Igne and Its Relation to Spinal Pathology

Abstract

Erythema ab igne is a skin condition usually caused by abnormal exposure to heat in a variety of forms. While common in the past, its incidence has declined significantly to become a rare occurrence today. Today, we still see an odd case once in a while, although they have become a rarity. We describe a case of a young man who presented with erythema ab igne with a unique cause.

Erythema Ab Igne: A Rare Presentation of Toasted Skin Syndrome With the Use of a Space Heater

“…Erythema ab igne is a reticular, hyperpigmented rash that is acquired from moderate heat and infrared exposure, with temperature often ranging from 43 to 47°C [2]. In literature, it has been given many terms, including "toasted skin syndrome" and "fire stains."…”

“…Erythema ab igne is a reticular, hyperpigmented rash that is acquired from moderate heat and infrared exposure, with temperature often ranging from 43 to 47°C [ 2 ]. In literature, it has been given many terms, including “toasted skin syndrome” and “fire stains.” Historically, this condition was found to be more common among people with close, long-term exposure to heat sources such as fireplaces and bakeries.…”

“…In addition, topical bioflavonoids, topical 5-fluorouracil reducing keratinocyte dysplasia, and oral mesoglycan with their antithrombotic and profibrinolytic action have been effective for further management. Refractory cases have been treated with photothermolysis using a neodymium-doped yttrium aluminum garnet, ruby, or alexandrite laser therapy [ 2 , 13 ].…”

“…Toasted skin syndrome is a rare hyperpigmented dermatosis that can occur at any site with recurrent exposure to heat or an infrared source. This condition is known to be more prevalent in women than men and patients with chronic pain [1][2][3]. The pathophysiology does not seem to be fully understood and multiple mechanisms have been proposed, including the repeated heat exposure damaging superficial blood vessels leading to hemosiderin deposition and subsequent hyperpigmentation.…”