Lewandowski-Lutz Disease

Lewandowsky-Lutz or leishiochomycotic angular skin reaction, manifests itself in the form of a local blistering rash with a characteristic arrangement of elements. Currently, it is of increased interest to the community of dermatovenerologists, as it is consonant with diphtheria of the oropharynx. The disease is characterized by a long course, frequent relapses, and the possibility of malignancy in complex clinical cases. The difficulty in determining an accurate diagnosis lies in the polymorphism of the nature of the rash. Lewandowska and Lutz, independently of each other, described hereditary lymphocytic leukoderma in men and women. Classically, both types of manifestations are a single focus after an infection. The course is similar: a systemic disease that leads to body resistance and the formation of a secondary bacterial infection involving new areas of the skin. The rashes never go away and are more typical for boys and male teenagers. Dermatosis is highly contagious.

The symptoms of hereditary Lewandow-Lutz disease are almost identical to the pustular form of the common miliaria. The main difference between recurrent hyperkeratosis: in the disease, flat papules affect predominantly the occipital region, which is typical for other non-pathological types of the disease. Such places are not typical for purpurosis. Severe itching is extremely rare in such cases. In this aspect, the symptom is inherent in many dermatoses.