Cutis aurantiasisE67.1

Baelz 1896

Nutritive or metabolic, harmless, diffuse yellowing of the skin.

Excessive consumption of carrots, oranges or tomatoes or by drinking carotene-containing fruit juices; also due to increased serum lipoid levels in diabetes mellitus, nephrosis syndrome, hypothyroidism or primary hypercholesterolemic xanthomatosis.

In infants, harmless findings due to the particularities of the diet (carrot jaundice). If the plasma carotenoid level of 4.0 mg/l is exceeded over a longer period of time, carotene accumulates in the keratin of the skin.

This leads to a yellowing of hyperkeratotic areas such as the palms of the hands, soles of the feet and the face.

Yellowing of the skin and nails with intensification on the palms of the hands and soles of the feet. In particular, the hand lines are more intensely stained. The yellow coloration is particularly pronounced on calloused palms. The skin of the trunk is rather pale, the face is only moderately yellow, periorally intensified. Nails and hair remain free. In children, in addition to the palms of the hands and soles of the feet, the armpits and bends of the joints are affected.

Icterus: Bilirubin elevation; yellowing of the sclerae; liver diseases (e.g.hepatitis, cirrhosis of the liver)!

Chrysiasis: brown colouring of the skin, accentuated by light! Medical history.

Argyrie: Dirty brown colouring of the skin, light accentuated! Medication history (roller cures).

Xanthoderma: yellowing of the skin as a side effect of a mepacrin therapy (antiepileptic) or a therapy with Qinacrin or Sorafenib.

dyschromia caused by drugs such as: minocycline, amiodarone, imipramine, clofazimine, hydroxychloroquine

Exogenous dyschromia: discoloration of the contact zones.

1. Pietzcker F et al (1975) Aurantiasis cutis Baelz--a modern clinical picture again . Dermatologist 26:137-139.