Indian Journal of Dermatology (Jan 2014)

Wolf′s isotopic response: Report of a case and review of literature

  • Rahul Mahajan,
  • Dipankar De,
  • Uma Nahar Saikia

DOI
https://doi.org/10.4103/0019-5154.131401
Journal volume & issue
Vol. 59, no. 3
pp. 275 – 282

Abstract

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"Wolf′s isotopic response" refers to the occurrence of a new dermatosis at the site of previously healed dermatosis. A number of factors including viral, neural, vascular, and immunologic factors have been implicated in the causation of this peculiar response but none has been proven conclusively. Here, we report a case where lichen planus developed at the site of dermatofibrosarcoma protruberans that had been previously treated with surgery and radiotherapy. We also put forth a hypothesis on the genesis of isotopic response considering the above mentioned factors.

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