Axillary granular parakeratosis

Jospeh C English, Amalie S Derdeyn, Wendy M Wilson, James W Patterson
Journal of Cutaneous Medicine and Surgery 2003, 7 (4): 330-2

BACKGROUND: Granular parakeratosis is a hyperkeratotic eruption of unknown etiology that occurs in the axilla and other intertriginous areas. The histologic features are unique for the retention of keratohyalin granules in the stratum corneum.

OBJECTIVE: The aim of the article is to review the clinical manifestations and treatment of granular parakeratosis.

METHODS: A case report and literature review are presented.

RESULTS: Twenty-six cases of granular parakeratosis now have been reported and reviewed.

CONCLUSION: Granular parakeratosis occurs predominantly in middle age women and most frequently in the axilla. A number of treatments have been applied to the 26 cases reported to date, without consistent responses. No evidence-based therapy can be suggested at present.

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