Peau d'orange

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A facial eosinophilic granuloma demonstrating "peau d'orange" Facial eosinophilic granuloma.jpg
A facial eosinophilic granuloma demonstrating "peau d'orange"

Peau d'orange (French for "orange peel skin" or, more literally, "skin of an orange") describes a phenomenon in which hair follicles become buried in edema, giving the skin an orange peel appearance. Peau d'orange can be caused by cutaneous lymphatic edema, which causes swelling. Parts of the edematous skin are tethered by hair follicles and sweat glands such that pinpoint pitting occurs within areas of swelling, leading to the characteristic appearance. Causes of peau d'orange include chronic processes such as cellulite, infection, pseudoxanthoma elasticum, inflammatory breast cancer, and Graves' dermopathy.

Peau d'orange on the breast should raise concerns of possible underlying inflammatory breast cancer, a rare and aggressive form of breast cancer. [1]

Other examples of peau d'orange occur in the eye due to breaks in Bruch's Membrane called angioid streaks, which are common in pseudoxanthoma elasticum, or in elephantiasis caused by thread-like, microscopic parasitic worms (filariasis). Peau d'orange can also be used to describe the dermopathy seen in the pretibial myxedema of Graves' disease, in which the ankles and shins become swollen and red along with the characteristic orange peel texture. [2]

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<span class="mw-page-title-main">Edema</span> Accumulation of excess fluid in body tissue

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Prepubertal hypertrichosis, also known as childhood hypertrichosis, is a cutaneous condition characterized by increased hair growth, found in otherwise healthy infants and children. Prepubertal hypertrichosis is a cosmetic condition and does not affect any other health aspect. Individuals with this condition may suffer with low self esteem and mental health issues due to societal perceptions of what a "normal" appearance should be. The mechanism of prepubertal hypertrichosis is unclear, but causes may include genetics, systemic illnesses, or medications.

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Favus or tinea favosa is the severe form of tinea capitis, a skin infectious disease caused by the dermatophyte fungus Trichophyton schoenleinii. Typically the species affects the scalp, but occasionally occurs as onychomycosis, tinea barbae, or tinea corporis.

References

  1. Robertson, Fredika M.; Bondy, Melissa; Yang, Wei; Yamauchi, Hideko; Wiggins, Shannon; Kamrudin, Samira; Krishnamurthy, Savitri; Le-Petross, Huong; Bidaut, Luc; Player, Audrey N.; Barsky, Sanford H. (2010-11-01). "Inflammatory Breast Cancer: The Disease, the Biology, the Treatment". CA: A Cancer Journal for Clinicians. 60 (6): 351–375. doi: 10.3322/caac.20082 . PMID   20959401. S2CID   27458203.
  2. Montoya, Silvana (18 December 2018). "What to know about peau d'orange". Medical News Today.