Int J Dermatol. PDL are abrupt transition lines from areas of deeper pigmentation to areas with less pigmentation. J Cosmet Dermatol. J Am Acad Dermatol 1984;11:438-40. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. Bonci A, Patrizi A. Pigmentary demarcation lines in pregnancy. [1] Five types (A-E) have been described. We also noted a non-determined hypo-pigmentation on the anterior aspect of her left thigh (Fig. Party Parliamentary Group on Skin, Self-examination of moles online Boils and folliculitis (including hid 11. Scalp Somani VK, Razvi F, Sita VN. Intertrigo (inflammation in body fold 17. .switcher .option::-webkit-scrollbar {width:5px;}
Molluscum contagiosum 19. 1a). James WD, Caster JM, Rodman OG. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. Protection Policy. Travel acquired / worldwide infections Macules (small flat lesions) / papules (small raised lesions) 1. 6. They are classified into eight types, from A to H, based on the site of occurrence. A histopathological examination was performed on the basal layers of hyper-pigmented and hypo-pigmented areas. Photosensitive rashes (rashes made wo 22. Eczema - hand (and foot) 14. Pigmentary demarcation lines are abrupt demarcation lines between the light and dark pigmentation areas that usually occur on the upper and lower limbs. version, Concise guidelines for common skin and health professionals, Up to 30% of GP consultations have some element of skin, but yet there is limited Ma HJ, Zhao G, Dang YP. Darker areas of skin Download, The It is important to differentiate normal nail pigmentation from malignant melanocytic proliferations and extraneous pigment deposition. Ma HJ, Zhao G, Dang YP. you can keep this webpage open when working for ease of access. .switcher a:hover img {opacity:1;}
Pityriasis rosea 23. Lability of pigment in the darker-skinned population causes dramatic changes in skin color after inflammatory processes of the skin. [5] The PDL and generalized cutaneous hyperemia in our patient could possibly be due to the progesterone therapy received during early pregnancy. ISSN (Print): 0378-6323ISSN (Online): 0973-3922, 15th National Conference of the IAOMFP, Chennai, 2006, Acne in India: Guidelines for management - IAA Consensus Document, Letter in Response to Previous Publication, Letter to the Editor - Letter in Response to Published Article, LETTER TO THE EDITOR - LETTERS IN RESPONSE TO PUBLISHED ARTICLES, Letter to the Editor - Observation Letter, Letter to the Editor: Articles in Response to Previously Published Articles, Letters in Response to Previous Publication, Letters to the Editor - Letter in Response to Previously Published Articles, Letters to the Editor: Letters in Response to Previously Published Articles, Lalit Kumar Gupta, CM Kuldeep, Asit Mittal, Vijay Paliwal, Himanshu Singhal, Kalpana Agarwal, Jaya Tantia, Department of Dermatology, Venereology and Leprology, RNT Medical College, Udaipur (Rajasthan), India, Copyright: (C)2005 Indian Journal of Dermatology, Venereology, and Leprology. Type B pigmentary demarcation lines in a Chinese amenorrheic woman. This div only appears when the trigger link is hovered over. She had a history of gestational diabetes, which was been treated with NPH insulin since the 26th week of pregnancy and was under control. Trunk (chest, abdomen, back) Please click Continue to continue the affiliation switch, otherwise click Cancel to cancel signing in. Pain / tenderness (sore to touch) 2002;138:127-8. Also, length of sessions about The exact cause of pigmentary demarcation lines is still an enigma. .switcher a {text-decoration:none;display:block;font-size:10pt;-webkit-box-sizing:content-box;-moz-box-sizing:content-box;box-sizing:content-box;}
Image Rights - The PCDS would like to thank Dermatoweb, DermQuest (Galderma), and others who have contributed images. You also have the option to opt-out of these cookies. (EN), An. (3). Her medical history and current medication were otherwise unremarkable. 2b). Arch Dermatol. These lines disappeared completely one month after parturition. Eczema - atopic (including facial ecz 12. Physical examination revealed demarcation lines from the perineum to the posteromedial portion of the thighs extending to the ankles through the popliteal fossae, bilaterally and symmetrically, in the interface between a hyperchromic lateral portion and a lighter medial portion (Figures 1 and 2). Este tipo de linha de demarcao pigmentar ocorre na face posterior dos membros inferiores estendendo-se do perneo ao tornozelo. 2011;50:863-5. Its distribution follows the Voigt's lines, which define the distribution of peripheral nerves. Pigmentary Demarcation Lines (PDL), also known as Futchers or voigt lines, are abrupt physiological transition lines between the areas of darker pigmentation and the areas of lighter, normal pigmentation particularly seen in females and people with darker skin types (Kalasapura et al., 2014; Cho et al., 2012). Hands Pigmentary demarcation lines: a population study. Feet Ears Indian J Dermatol Venereol Leprol 2004;70:336-41. The lesions persisted for a year after delivery. Browser Support. Statement Policy, Data [4] PDL seen in our patient typically correspond to type B lines. Delmonte et al. 1987;16:584-90. The unusual presence of a non-determined hypo-pigmentation on the anterior flexor aspect of the left thigh in this case indicated that this could possibly be a new subtype of type B PDL since the patient denied the occurrence of any following post-inflammatory hypopigmentation. O tratamento expectante com relato de bom resultado com Q-switchedAlexandrite laser. Nails Some cases were accompanied or preceded by an overlapped erythematous component, and the fact that the erythema and pigmentation disappeared soon after delivery supports this hypothesis.33. Facial PDL have a persistent course, and can be recalcitrant to treatment, thus posing cosmetic concern for the patient. .switcher .selected a.open:after {-webkit-transform: rotate(-180deg);transform:rotate(-180deg);}
Patches / plaques (larger flat or flat-topped lesions) We also use third-party cookies that help us analyze and understand how you use this website. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. By clicking Accept, you consent to the use of ALL the cookies. Furthermore, the cause of PDL during pregnancy is also unknown. .switcher .selected a:hover {background:#fff}
Other common types of PDL are; type A that mostly occurs in the lateral aspect of the upper anterior portion of the arms across the pectoral area and type C that consists of a vertical hypo pigmented line in the presternal and parasternal areas (Peck and Cusack, 2013; Gupta et al., 2005; Somani et al., 2004). Type A (Futchers / Voigts lines), the most common lines, seen over the dorso-ventral aspect of the arms. Bonci A, Patrizi A. Pigmentary demarcation lines in pregnancy. Type B pigmentary demarcation lines in a Chinese amenorrheic woman. All rights reserved. [2] Subsequently, a few more patterns of pigmentary demarcation lines on the face, types F, G and H have also been described in Indian subjects. 2005;4:27-8. Although type B PDL are transitory, they may persist in some patients as seen in our case. They are rare examples of streaks of melanocytes, otherwise inapparent. Hormonal disorders had been previously discarded by an endocrinologist. Pigmentary demarcation lines are physiologically abrupt transition lines from areas of deeper pigmentation to less pigmented areas. Other related theories include; increased vascularity during pregnancy or a local trigger factor coupled with high levels of estrogen, progesterone and melanocyte-stimulating hormone (Peck and Cusack, 2013). Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. [3] The PDL were seen with a much higher frequency in women (9%) than in men (0.75%). Yashar S, Haley J, Robinson-Bostom L, Reid N. Yashar S, & Haley J, & Robinson-Bostom L, & Reid N. Kelly A, & Taylor S.C., & Lim H.W., & Serrano A(Eds. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. Work conducted at a Private Clinic - Curitiba (PR), Brazil. This website uses cookies to improve your experience while you navigate through the website. Sharona Yashar; Jennifer Haley; Leslie Robinson-Bostom; Nianda Reid. (Portuguese), Text
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Arch Dermatol. Bukhari IA. Hyperchromia in the axillae and groin, which had appeared earlier in the pregnancy, were concurrent complaints. link, declaration of Otherwise it is hidden from view. readers, especially in skin of colour: Copyright 1994 - 2021 The Primary Care Dermatology Society. 1987;16:584-90. Scaly / rough / peeling .switcher .selected {background:#fff linear-gradient(180deg, #efefef 0%, #fff 70%);position:relative;z-index:9999;}
Ma HJ, Zhao G, Dang YP. Type B pigmentary demarcation lines in a Chinese amenorrheic woman. Eczema - discoid eczema 11. Rash arises periodically lasting days-weeks Pigmentary demarcation lines associated with pregnancy. The skin can provide diagnostic evidence of either local or systemic disease. She also had similar pigmentary abnormalities in her previous pregnancy. British Association of Dermatologists, The Royal It is important for the PCDS to build its own image bank, as such we welcome original images from our Acne vulgaris 5. Federal do Paran, HC-UFPR) Curitiba (PR), Brazil, Endocrinologist Curitibas Diabetes Center Hospital Nossa Senhora das Graas (HNSG) Curitiba (PR), Brazil, Physician Residency in Internal Medicine at Hospital Municipal So Jos (HMSJ) Joinville (SC), Brazil, Text They are most often seen in African and Japanese individuals and rarely observed in Caucasians. email the declaration of consent form with the images to pcds@pcds.org.uk. There is smooth lightening of the hyperchromia as it reaches the anterior aspect of the legs.
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