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Adult-onset Still disease (AOSD) is a rare autoinflammatory condition. The presence of an evanescent, salmon-pink, nonpruritic rash is one of the major diagnostic criteria for the disease. The rash occurs with fever and subsides with defervescence. The presence of dyskeratotic keratinocytes in the upper one-third layer of the epidermis is a distinctive histopathological feature of persistent pruritic lesions associated with AOSD. Here, we report 2 cases of AOSD characterized by persistent pruritic lesions resembling those observed in dermatomyositis. Identifying the clinical and histopathological manifestation of the cutaneous lesions is essential for the early diagnosis of AOSD and for differentiating this condition from those presenting with dyskeratotic cells in the epidermis.
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http://dx.doi.org/10.1097/DAD.0000000000001447 | DOI Listing |
Cureus
July 2025
Dermatology, Hokkaido University Hospital, Sapporo, JPN.
Acquired reactive perforating collagenosis (ARPC) is a rare dermatosis associated with diabetes mellitus, characterized by transepidermal elimination of collagen and intense pruritus. We report the case of a 77-year-old Japanese woman with poorly controlled diabetes who developed multiple pruritic, keratotic nodules on her chest, back, and limbs. Histopathological examination revealed full-thickness epidermal defects with prominent transepidermal elimination of thickened collagen fibers, along with dense lymphocytic and neutrophilic infiltrates in the dermis, findings consistent with ARPC.
View Article and Find Full Text PDFCureus
July 2025
Dermatology, Northeast Regional Medical Center, Kirksville, USA.
Grover's disease (GD) is a pruritic skin condition characterized by erythematous, scaly papules on the trunk, often resolving spontaneously but sometimes becoming persistent and difficult to manage. In this case study, we discuss a 73-year-old male with treatment-resistant GD who experienced significant improvement with dupilumab injections. Within two weeks, the patient reported noticeable improvement in pruritus and rash, with complete resolution achieved after five months of continued treatment and no notable adverse effects.
View Article and Find Full Text PDFKimura disease, though rare in adolescents, should be considered in cases of persistent itchy nodules. Histopathology confirms diagnosis. Surgical excision is effective for localized lesions, with favorable outcomes.
View Article and Find Full Text PDFAm J Clin Dermatol
August 2025
Dr. Phillip Frost Department of Dermatology and Cutaneous Surgery and Miami Itch Center, University of Miami Miller School of Medicine, 1600 NW 10th Ave RMSB 2023A, Miami, FL, 33136, USA.
Lichen simplex chronicus (LSC), also known as neurodermatitis, is a common chronic pruritic dermatosis defined by lichenified plaques resulting from persistent scratching. Though often secondary to underlying dermatologic, systemic, or psychological triggers, LSC represents a distinct clinical entity with significant morbidity. The hallmark itch-scratch cycle contributes not only to visible skin changes but also to substantial sleep disruption, emotional distress, and functional impairment.
View Article and Find Full Text PDFJ Am Acad Dermatol
August 2025
Department of Dermatology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou. Electronic address: