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Clinicians and dermatologist must be aware of this unusual association of PP and AOSD as the diagnosis of AOSDan be made in the absence of the typical still’s rash but in the presence of oth atypical cutaneous manifestations including PP.

KEY WORDS: Prurigo pigmentosa, Adult Onset Still’s Women Disease, Still’s rash.

Abbreviations: Adult onset still’s disease (AOSD). Prurigo Pigmentosa (PP).

Pak J Med Sci    October - December 2007 (Part-I)    Vol. 23 No. 5    792-797


1. Tarek Abdel Hamed Mostafa Dowod,
Specialist, Dept. of Medicine,
2. Mohammed El-Sayed Hanafy Khalel,
Specialist, Dept. of Dermatology,
3. Magdy Abas Ali Mohammed,
Registrar, Dept. of Medicine,
4. Maha Abdel Wahab Mohamed El Sharawy,
Lecture of Pathology, Dept. of Pathology,
Ain Shames University, EGYPT.
5. Sara Jassim Al-Ghabandi,
Trainee, Dept. of Medicine,
6. Anwaar Yahya Al-Sumait
Trainee, Dept. of Medicine,
1-3,5,6: Al-Adan Hospital, Kuwait.

Correspondence

Dr. Tarek Abdel Hamed Mostafa Dowod,
Al-Adan Hospital, Ministry of Health,
Fahaheel, P.O Box: 47854, Kuwait.
E-mail: doriya70@hotmail.com

* Received for Publication: August 9, 2007
* Accepted: September 15, 2007


INTRODUCTION

Both prurigo pigmentosa (PP) and adult onset still’s disease (AOSD) independently are uncommon diseases. Expectedly the association of PP and AOSD is extremely rare.

PP is a rare dermatosis with unknown etiology.1 It is seen most commonly among young adult Japanese females.2 Clinically, it presents itself as pruritic urticarial papules, papulo-vesicular and vesicles arranged in a reticulate pattern and distributed symmetrically on the face, neck, back, chest and extremities.3 Lesions involute in a matter of days leaving behind net like pigmentation. Exacerbations and recurrences are the rule.4

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