Pomade crust R23.81

Gartmann and ascending leather 1975

Care-related parakeratotic and orthokeratotic thickening of the horny layer, especially in infants in the diaper area, but also in adults with reduced care. The extent to which the"granular parakeratosis" described above all in the intertrigines is identical with the pomade crust has not been conclusively clarified.

Excessive use of oily skin care products which are superimposed on the skin together with parakeratotic skin lamellae in layers.

Initially, under occluding ointment dressings, short-term intensified keratolytic therapy with oils or fatty ointments (e.g. Vaseline).

Permanently: change in care methods: discontinuation of ointments. Only use of oils or (when the skin is back to normal) powder. Powders should be regularly reabsorbed with a mild vegetable oil.

Analogous "reactive" skin deposits are also found in terra firma-like dermatosis. However, this disease mainly affects adults.

1. Bechara FG, Altmeyer P, Thomas J (2002) A case of facial pomade crust. J Dermatol 29: 820-821
2. Jansen T et al (1991) Pomade crust of the scalp under the image of a cornu cutaneum. dermatologist 42: 642-644
3. Landes E (1981) Facial pomade crust. Dermatologist 32: 432-433
4. Vakilzadeh F, Kalveram KJ (1979) Pomade crusts. dermatologist 30: 321-322