Erythema Ab Igne Treatment & Management

Updated: Oct 04, 2016
  • Author: Laila I Al-Otaibi, MBBCh, MSc; Chief Editor: Dirk M Elston, MD  more...
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Treatment

Medical Care

No definitive therapy is available for erythema ab igne. Reducing or eliminating exposure to the heat source early in the erythema ab igne disease process may reverse the hyperpigmentation. In cases of short duration, complete resolution occurs with removal of the offending heating device. More advanced cases may respond somewhat to tretinoin, and 5-fluorouracil cream can help clear epithelial atypia. [4, 38]

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Surgical Care

In patients with chronic erythema ab igne that results in hyperpigmentation, photothermolysis using the Nd:YAG, ruby, or alexandrite laser may improve the appearance of the lesions of erythema ab igne.

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Activity

Cessation of chronic heat exposure is paramount in erythema ab igne. In mildly affected patients with little or no pigmentary change, their condition may resolve within several months.

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Prevention

Reducing or eliminating exposure to the heat source can help prevent erythema ab igne development.

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Long-Term Monitoring

As in patients with chronic solar damage, monitor patients with erythema ab igne at regular intervals for possible development of thermal keratosis, squamous cell carcinoma in situ, and squamous cell carcinoma. In addition, although not yet reported, other cutaneous malignancies (eg, malignant melanoma) feasibly may develop within the affected areas.

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