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-therapy for many years.Histologic examination revealed findings consistent with PC.Patch-testing revealed positive reactions to Fragrance mix and Nickel sulphate.
Based on clinical and histological findings, a diagnosis of extracervical PC was suggested.PC with extra-cervical or extra-facial involvement is rare.In addition, this Anal Toys-premium case supports the theory that contact sensitization to fragrances may contribute to the development of PC.