Lewandowsky-Lutz dysplasia

March 13, 2007

A rare skin condition:

(via KipEsquire)

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{ 8 comments }

1 Val Jones, MD March 13, 2007 at 8:47 am: Oh, Kevin… what a visual! Eek. Thanks for sharing this fascinoma, though. I’ve posted it on my blog and asked a few dermatology colleagues to weigh in. If we’re lucky we may even get Stephen Stone, President of the AAD to add a comment. No harm in asking…
2 RJS March 13, 2007 at 9:10 am: Is it bad that my first thought was “Looks like KFC…?”
3 Anonymous March 13, 2007 at 11:46 am: oh god. I am so disturbed. There should have been a warning. Not all readers are doctors on here. I have a particular aversion to skin problems. sigh…the image will be plastered in my head now for months. On the plus side, at least I won’t be eating any fried chicken for a while.
4 Anonymous March 14, 2007 at 8:45 pm: Can someone please explain how keratin can just grow out of the skin like that?

Doesn’t it grow out of certain specialized locations, like hair follicles or that crescent-moon of specialized cells on your fingers?
5 Al Kline DPM March 20, 2007 at 4:04 pm: Any chance of you writing this one up and publishing it on our internet journal?

I’ve never heard of this dysplasia. Very dramatic. I saw the foot picture on Unbounded Medicine. Looks almost as bad as Unna Thost (PPK).
6 Al Kline DPM March 20, 2007 at 4:05 pm: Sorry, our journal is the PIJ, just go to:

http://www.podiatry.wordpress.com

Regards
7 Al Kline DPM March 20, 2007 at 4:37 pm: Sorry , I’m a little embarrassed , I noticed you pulled this off another site. Anways, this condition looks more like a PPK or hyperkeratosis, which is an autosomal-dominant disease. These are not macules or papules, so I’m not really sure this would be considered Lew-Lutz, which is viral. Many times, these conditions have fungal and viral infections superimposed over a genetic hyperkeratosis. It may be more in line with Unna Thost disease. Have cultures or biopsies been done, etc.?
8 Anonymous July 24, 2007 at 1:29 am: This is called:

“Epidermodysplasia verruciformis” or “Lewandowsky-Lutz dysplasia”