Poikilodermatous changes on the forearms of a woman practicing aroma-therapy: Extracervical poikiloderma of civatte?

We report the case of a 48-year-old,caucasian female who presented with slowly progressing asymptomatic poikilodermatous changes of the extensor aspects of the forearms. she also had typical poikiloderma of civatte on the v of the neck and erythemato-telangiectatic rosacea of the central face. the patient had been practicing aroma-therapy for many years. histologic examination revealed findings consistent with pc. patch-testing revealed positive reactions to fragrance mix and nickel sulphate. based on clinical and histological findings,a diagnosis of extracervical pc was suggested. pc with extra-cervical or extra-facial involvement is rare. in addition,this case supports the theory that contact sensitization to fragrances may contribute to the development of pc. © 2014 by anais brasileiros de dermatologia.