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Unexpected cutaneous alterations in a patient with lower back pain
  1. Veronika Schmidt1,2,
  2. Pashija Demolli3,4,
  3. Matthias Möhrenschlager3
  1. 1 Department of Dermatology, University Hospital, University of Basel, Basel, Switzerland
  2. 2 Department of Research, Christine Kühne Center for Allergy Research and Education, Davos Wolfgang, Switzerland
  3. 3 Department of Dermatology, Hochgebirgsklinik Davos AG, Davos Wolfgang, Switzerland
  4. 4 Department of Rheumatology, University Hospital, University of Zurich, Zurich, Switzerland
  1. Correspondence to Dr Matthias Möhrenschlager, Department of Dermatology, Hochgebirgsklinik Davos AG, Davos Wolfgang, Switzerland; matthias.moehrenschlager{at}

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Clinical introduction

An 84-year-old woman presented with permanent unbearable pruritic sensations in the lower back area. Clinical examination revealed reticular as well as coin-shaped, reddish-brown macules with a few single blister remnants affecting her lumbar and gluteal regions (figure 1). Several months ago, she had started to apply daily overnight a heated pad on the area to antagonise ongoing lower back pains.

Figure 1

Toasted skin syndrome with some blisters in regression localised in the lumbar and gluteal regions.


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  • Contributors All authors contributed to the conception of the paper and the interpretation of the data. The clinical picture was taken by MM.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.