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Dermatology · Dermatology: erythema ab igne
Sample itemAn elderly woman who sits by a charcoal brazier has a net-like, brown, telangiectatic pigmentation on the shins. What is the diagnosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Erythema ab igne
Erythema ab igne is a reticulate hyperpigmentation caused by chronic exposure to infrared heat, such as from a fire, heating pad or laptop, without actual burns. Removing the heat source usually allows fading. Long-standing lesions carry a small risk of squamous cell carcinoma.
Option by option
A. Erythema ab igne (correct)
Correct. Chronic infrared exposure causes erythema ab igne.
B. Stasis dermatitis
Stasis dermatitis occurs on the medial lower leg with oedema.
C. Livedo reticularis from vasculitis
Livedo reticularis is not related to heat and varies with temperature.
D. Poikiloderma of Civatte
Poikiloderma of Civatte affects the neck and sun-exposed chest.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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