Vitiligo and Segmental Anhidrosis as a Wolf's Isotopic Phenomenon Secondary to Herpes Zoster without Eruption
Vitiligo, Anhidrosis
Abstract
Wolf isotopic response (WIR) refers to the appearance of a new skin disease at the exact site of an unrelated skin disease that had previously been cured. Several skin lesions have been described after herpes zoster, the definition of cured skin diseases that trigger an isotopic response includes scars, pigmentation changes, color changes, the presence of localized anhidrosis as structural damage or other minimal changes caused by the first disease. Many skin lesions at the site of the healed HPZ have been described as WIR; therefore, HPZ is the most common primary disease to induce WIR, and several authors have suggested a new term, “postherpetic Wolf isotopic response.”
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References
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