Prurigo Pigmentosa: A Clinicopathological Report of Three Middle Eastern Patients

Table 1

Demographics, clinical features, and outcomes of 3 Jordanian patients with prurigo pigmentosa.

	Patient 1	Patient 2	Patient 3
Age (years)	32	16	45
Gender	Female	Female	Female
Symptoms	Recurrent itchy eruption	Itchy eruption	Itchy eruption
Distribution	Lateral and nape of the neck, mid and lower back, lateral chest wall	Upper and mid back, V-area of the chest	Nape of the neck and upper back
Duration of lesions	1 year, recurrent	3 weeks	1 month
Clinical examination	Reticulated erythematous papulovesicular lesions with focal erosions and crusting, prominent postinflammatory hyperpigmentation	Erythematous maculopapular lesions with faint postinflammatory hyperpigmentation	Erythematous urticarial reticulated papular lesions
Triggers	Ramadan fasting	Strict dieting	No reported association
Treatment	Spontaneous resolution	Doxycycline 100mg po bid for 1 month	Doxycycline 100mg po bid for 1 month
Follow-up	No recurrences during 10 month follow up period	Excellent response within 2 weeks, no recurrences after stopping strict diets	Excellent response, no recurrences after treatment