Granular parakeratosis in children

Authors

  • Wilson Galvis
  • Felipe Jaramillo-Ayerbe
  • Clara Ivonne Soto

Keywords:

granular parakeratosis, children, profilaggrin, Colombia

Abstract

Granular parakeratosis is a benign skin disease of unclear etiology which is considered an acquired disorder of keratinization with profilaggrin granules persisting in the stratum corneum. Clinically, it manifests with hyperkeratotic erythematous or brown or brownish papules which may coalesce into plaques with variable hyperpigmentation, located unilaterally or bilaterally in intertriginous areas with chronic irritation (axillary, inframammary, inguinal) or abdominal and lumbosacral areas mainly in areas with folds or occlusion. Itching is variable. Histologically, papillomatosis and acanthosis are found with a thickened parakeratotic stratum corneum and a large number of basophilic granules in the corneocytes. Most reports worldwide have been cases in adults and few cases in children, so we present a case of aranular parakeratosis in a child from Colombia, and a review of the literature.

Author Biographies

Wilson Galvis

Médico, residente de Dermatología, Universidad de Caldas, Manizales, Colombia

Felipe Jaramillo-Ayerbe

Médico dermatólogo, médico dermatopatólogo; director del posgrado de Dermatología, Universidad de Caldas, Manizales, Colombia

Clara Ivonne Soto

Médica dermatóloga, Universidad de Caldas, Manizales, Colombia

References

1. Northcutt AD, Nelson DM, Tschen JA. Axillary granular parakeratosis. J Am Acad Dermatol. 1991;24:541-4.
2. Rodríguez G. Paraqueratosis granulosa de la axila. Biomédica. 2002;22:519-23.
3. Mehregan DA, Thomas JE, Mehregan DR. Intertriginous granular parakeratosis. J Am Acad Dermatol. 1998;39:495-6.
4. Pimentel DR, Michalany N, Morgado MA, Petlik B, Mota de Avelar Alchorne M. Granular parakeratosis in children: Case report and review of the literature. Pediatr Dermatol. 2003;20:215-20.
5. Trowers AB, Assaf R, Jaworsky C. Granular parakeratosis in a child. Pediatr Dermatol. 2002;19:146-7.
6. Patrizi A, Neri I, Misciali C, Fanti PA. Granular parakeratosis: Four pediatric cases. Br J Dermatol. 2002;147:1003-6.
7. Chang MW, Kaufmann JM, Orlow SJ, Cohen DE, Mobini N, Kamino H. Infantil granular parakeratosis: Recognition of two clinical patterns. J Am Acad Dermatol. 2004;50(Suppl.):S93-6.
8. Wallace CA, Pichardo RO, Yosipovitch G, Hancox J, Sangueza OP. Granular parakeratosis: A case report and literature review. J Cutan Pathol. 2003;30:332-5.
9. Martorell A, Sanmartín O, Hueso-Gabriel L, Guillén C. Granular parakeratosis, disease or reactive response? Actas Dermosifiliogr. 2011;102:72-4.
10. Chamberlain AJ, Tam MM. Intertriginous granular parakeratosis responsive to potent topical corticosteroids. Clin Exp Dermatol. 2003;28:50-2.

How to Cite

1.
Galvis W, Jaramillo-Ayerbe F, Ivonne Soto C. Granular parakeratosis in children. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Feb. 18 [cited 2024 Jul. 3];20(2):192-5. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/228

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Published

2019-02-18

How to Cite

1.
Galvis W, Jaramillo-Ayerbe F, Ivonne Soto C. Granular parakeratosis in children. rev. asoc. colomb. dermatol. cir. dematol. [Internet]. 2019 Feb. 18 [cited 2024 Jul. 3];20(2):192-5. Available from: https://revista.asocolderma.org.co/index.php/asocolderma/article/view/228

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