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Case Report
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| Coexistence of porokeratosis of Mibelli with nail dystrophy to disseminated superficial porokeratosis | ||||||
| Ouédraogo Nomtondo Amina1, Ouédraogo Sidnoma Muriel2, Tapsoba Gilbert Patrice3, Andonaba Jean Baptiste4, Niamba Pascal5, Traoré Adama6 | ||||||
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1MD, Assistant in Dermatology, University Ouaga I Professor Joseph Ki-Zerbo, Raoul Follereau Dermatology Center, Ouagadougou, Burkina Faso.
2MD, Assistant in Dermatology, University Ouaga I Professor Joseph Ki-Zerbo Department of Dermatology, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso. 3MD, Assistant in Dermatology, University Ouaga I Professor Joseph Ki-Zerbo Department of Dermatology, Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso. 4MD, Professor in Dermatology, Higher Institut of Health Sciences, Department of Dermatology Souro Sanou University Hospital, Bobo-Dioulasso, Burkina Faso. 5MD Full Professor in Dermatology, University Ouaga I Professor Joseph Ki-Zerbo, Department of Dermatology Yalgado Ouédraogo University Hospital, Ouagadougou, Burkina Faso. 6MD Full Professor, Dermatology Chair Holder University of Ouaga I Professor Joseph Ki-Zerbo, Department of Dermatology Yalgado Ouedraogo University Hospital, Ouagadougou, Burkina Faso. | ||||||
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| Ouédraogo NA, Ouédraogo SM, Tapsoba GP, Andonaba JB, Niamba P, Traoré A. Coexistence of porokeratosis of Mibelli with nail dystrophy to disseminated superficial porokeratosis. Int J Case Rep Images 2016;7(12):787–790. |
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Abstract
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Introduction:
Porokeratosis is a group of rare hereditary or acquired disorders of epidermal keratinization characterized by keratotic lesions with an atrophic center and a prominent peripheral ridge, the histological hallmark of which is the cornoid lamella. Many clinical variants have been identified. Although different types of porokeratosis have been previously reported to coexist in a single individual, such combinations are rare. We report coexistence of porokeratosis of Mibelli with nail dystrophy to disseminated superficial porokeratosis in a black African male.
Case Report: A 40-year-old male, living in Ouagadougou consulted for lesions showing hyperkeratosis evolving since his childhood. His fater had also similar lesions. Lesions started on his feet with a progressive extension to the rest of the body. Cutaneous examination revealed hyperpigmented plaques of 1–10 cm of diameter with central atrophy and distinct keratotic ridge. Keratotic lesions were located on feet, legs, thighs, hypogastria, buttock, and external genital organs. Lesions showing hyperkeratosis in the trunk were more superficial and less hyperkeratosis. Pachyonychia was seen on the two big toes. Histopathology showed parakeratotic column or cornoid lamella surrounding vacuolized keratinocytes with a granulous layer absent. Based on the clinical manifestations and histological features, diagnosis of porokeratosis of Mibelli associated with superficial disseminated porokeratosis was made. A treatment based on electrocoagulation, local keratolytic was given with improvement of keratotic lesions of buttocks. Conclusion: The originality of our case resides in the coexistence of porokeratosis of Mibelli with nail dystrophy and disseminated superficial porokeratosis in a black African male. | |
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Keywords:
Black African man, Cornoid lamella, Nail dystrophy, Porokeratosis
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Author Contributions
Ouédraogo Nomtondo Amina – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Ouédraogo Sidnoma Muriel – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Tapsoba Gilbert Patrice – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Andonaba Jean Baptiste – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Niamba Pascal – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Traoré Adama – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Ouédraogo Nomtondo Amina et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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