Because of scratching, there are abrasions or lichenification, frequent secondary infection and progression to scars. This disease is an eruption of multiple extremely itchy small papules. Prurigo nodularis of hyde treated with lowdose thalidomide. T he term papular urticaria was originally employed by hebra in 1860, but the disease was first recognized, defined, and classified. This paper presents a case of hebra s prurigo, with the typical picture in a child under similar socioeconomic conditions and predisposing factors described by hebra in vienna, in the nineteenth century. Prurigo of hebra severe type jama dermatology jama. Prurigo hebra is a diagnosis that is now rarely made. Most cases occurred in atopic subjects and the role of poor nutritional and hygienic conditions were considered as. Browse through a collection of high quality images of dermatology diseases. It is commonly believed that prurigo hebra, also called prurigo ferox, is simply prurigo simplex acuta that has become persistent due to secondary infection,t2 the patients were often children with atopic eczema. It usually begins during infancy in the form of an urticarial rash followed by milletsized or slightly larger pruritic papules that eventually become covered by a bloodcoloured crust. This dermatosis, included in types of prurigo pruritus and papules, was well studied and further commented on by hebra s successor in vienna, kaposi, 1 and by french authors, besnier and doyon 2 kaposis translators and commentators, vidal, 3 brocq 4 and jacquet. Hebra s prurigo hebra s prurigo is now rarely diagnosed and its status is questionable.
Department of dermatovenereology, faculty of medicine. The omission of prurigo ferox as a specific entity in the official list of the standard nomenclature of disease and standard nomenclature of operations,1 published in 1942, is evidence of its rarity in north america. The immunohistopathological features of prurigo hebra. A chronic, recurrent skin disorder characterised by intensely pruritic papules and nodules in the trunk and limbs. Full text full text is available as a scanned copy of the original print version. The relatiolv of papular urticaria and prurigo mitts. Prurigo nodularis of hyde treated with lowdose thalidomide a. Prurigo is a widely used dermatologic term without a precise definition. Cottone department of general medicine, pneumology and nutrition clinic, v. Hebras prurigo description was sharply criticized but still formed the clinical and conceptual framework of a.