Poikilodermatous changes on the forearms of a woman practicing aroma-therapy: extracervical poikiloderma of Civatte?

We report the case of a 48-year-old, Caucasian female who presented with Bowl Cleaners slowly progressing asymptomatic poikilodermatous changes of the extensor aspects of the forearms.She also had typical Poikiloderma of Civatte on the V of the neck and erythemato-telangiectatic rosacea of the central face.The patient had been practicing aroma-ther

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