Grover disease

Also known as transient acantholytic dermatosis
cause of Grover disease is unclear
Clinical
1. produces small, firm
2. intensely pruritic
3. reddish-brown
4. warty papules with minimal scale
5. mainly on the upper trunk
6. The rash can resolve over a few months, or persist for years.
It usually occurs in
1. middle-aged to elderly men (typically 70-80 years).can occur same age women as well
2. Trigger factors include
  1. Heat
  2. Sweating
  3. Fever
  4. occlusion, especially on photo-damaged skin.
Differnetials
1. Darier disease
2. Miliaria
3. Folliculitis such as malassezia folliculitis or gram-negative folliculitis
Diagnosis : by biopsy.
Treatment
1. can be difficult.
2. reduce heat and humidity and minimise
3. Apply a moderately potent topical corticosteroid to relieve symptoms
Treatment is to relieve the itch until spontaneous resolution occurs.
Effective treatments include
- topical (preferable) steroids
- oral corticosteroids
- ultraviolet light.