Description

Autonomic denervation dermatitis is an uncommon condition that may follow surgery or trauma. The skin changes reflect changes to autonomic nerves to overlying skin.


Synonyms: post-traumatic eczema, neuropathic dermatitis, SKINTED (surgery of the knee plus injury to the infrapatellar branch of the saphenous nerve, plus traumatic eczematous dermatitis)

 

Risk factors:

(1) saphenous vein harvest

(2) other surgery affecting peripheral nerves

(3) trauma

 

Clinical features:

(1) eczematous eruptions

(2) xerosis

(3) pruritus

(4) hypoesthesia or anesthesia

(5) vasomotor changes


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