Facial Prurigo Pigmentosa After Bariatric Surgery

Abstract

Prurigo pigmentosa (PP) is a rare, inflammatory, idiopathic skin disorder, which typically presents as symmetrically scattered pruritic erythematous reticulated papules with occasional vesicles. PP has been primarily a disease of the trunk and the neck, and, to the authors' knowledge, there has been only two reported cases of PP where the forehead/facial areas were involved worldwide. Interestingly, there have not been any reported cases of after bariatric surgery PP with facial involvement. Herein, we present a case of PP after laparoscopic sleeve gastrectomy with involvement of the face, chest, and back.

Post bariatric surgery prurigo pigmentosa in an adolescent

“…Prurigo pigmentosa following bariatric surgery has previously been reported in Middle Eastern adults (Table 1). 5,14,15,19,20 However, the present report documents the emergence of this condition in a 15-year-old male patient during the second week after undergoing sleeve gastrectomy and successfully treated with doxycycline 100 mg once daily for 4 weeks and food intake encouragement. To the author's knowledge, this represents the first instance of post-bariatric surgery prurigo pigmentosa occurring in an adolescent.…”

Use of minocycline for the treatment of prurigo pigmentosa with intraepidermal vesiculation: a case report

“…11 PP has been demonstrated to be associated with several systemic diseases, including adult Still's disease, 19 atopic dermatitis, 20 Helicobacter pylori infection 21,22 and Sj€ ogren's syndrome. 23 PP has also been reported in patients with less food intake because of fasting and diet, 24,25 anorexia, 26 type 2 diabetes, 27 bariatric surgery, 28,29 gastric surgery 30 and early pregnancy. 31 Researchers 29,32 have speculated that dietary factors lead to the involvement of ketone-induced neutrophilmediated inflammation in the occurrence of PP and confirmed increased ketone levels in the urine and/or blood in some patients.…”

Remission of Prurigo Pigmentosa after Breaking Ketogenic Diet and Resuming Regular Diet

“…Bariatric surgeries have been linked to PP in some recent studies. [ 12 15 ] It is conceivable that underestimation or underdiagnosis in bariatric surgery could explain the low numbers of cases of PP. Since such procedures are becoming increasingly popular, physicians should be informed about this complication.…”