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hyperkeratotic lichenified skin lesion of the gluteal region; senile gluteal dermatosis (sitter's sign)
Etiology:
- prolonged sitting
Epidemiology:
- elderly, thin, frail, relatively immobile men of Asian descent
Pathology:
- psoriasiform epidermal hyperplasia with elongation of the rete ridges
Clinical manifestations:
- plaques may become sore & uncomfortable
Management:
- pressure-relieving devices
- donut cushions
- air or water-filled cushions
- topical glucorticoids not helpfule
- topical urea not helpful
- topic salicylic acid not helpful
General
skin lesion
sign/symptom
References
- Liu H-N et al.
Senile gluteal dermatosis: A clinical study of 137 cases.
Int J Dermatol 2014 Jan; 53:51
PMID: 23675693