Chloracne
- PMID: 29083575
- Bookshelf ID: NBK459189
Chloracne
Excerpt
Chloracne is an acneiform eruption caused by exposure to halogenated aromatic compounds. Dioxin is recognized as the most significant environmental chloracnegen, but several are known as endocrine-disrupting compounds (EDCs), such as polychlorinated biphenyls (PCBs). Agent Orange is an infamous defoliant employed in the Vietnam War known to include traces of dioxin. Typical lesions include cysts, nodules, pustules, and open and closed comedones. The malar cheeks, postauricular skin, axillae, and groin are classically affected areas. Severity follows a typical dose-response relationship curve; there may be multisystem impairment of the eyes, liver, endocrine, and nervous systems with high-level exposure. Chloracne is also known as metabolizing acquired dioxin-induced skin hamartomas (MADISH).
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- Histopathology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Deterrence and Patient Education
- Pearls and Other Issues
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Tindall JP. Chloracne and chloracnegens. J Am Acad Dermatol. 1985 Oct;13(4):539-58. - PubMed
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- Saurat JH, Sorg O. Chloracne, a misnomer and its implications. Dermatology. 2010 Aug;221(1):23-6. - PubMed
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- Alchorne Ade O, Alchorne MM, Silva MM. Occupational dermatosis. An Bras Dermatol. 2010 Mar-Apr;85(2):137-45; quiz 146-7. - PubMed
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