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The "Louse Blouse" as a Cause of Erythroderma
Eddie Irizarry, MD;
Isaac Brownell, MD, PhD;
Miriam Keltz Pomeranz, MD
Ronald O. Perelman Department of Dermatology, New York University School of Medicine, New York, NY
Arch Dermatol. 2007;143(5):682.
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The diagnosis of pediculosis corporis is often straightforward; however, rare presentations may cause a diagnostic dilemma. We have seen cases in which body lice infestation results in an erythrodermic eruption. Notably, affected skin was limited to areas covered by clothing, and the face and hands were spared. Erythematous, lichenified, scaly plaques and linear excoriations were noted over the entire trunk, upper extremities, and lower extremities with sharp demarcation and transition to normal skin at the wrists and neck (Figures 1, 2, and 3). Body lice were diagnosed by visualization.
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The eruption's distribution recapitulates clothing and has led us to use the term louse blouse to describe the physical finding. Crusted scabies, but not body lice, have previously been implicated as a rare cause of erythroderma secondary to infestation. It . . . [Full Text of this Article]
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