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Vol. 51, No. 6, 2007
Issue release date: February 2008

A Rare Cutaneous Case of Carotenosis Cutis: Lycopenaemia

Caroselli C. · Bruno G. · Manara F.
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Abstract

Objective: To report a rare adult case of lycopenaemia associated with ingestion of excessive amounts of kaki fruit. Methods: We describe the clinical manifestation and laboratory findings in our patient and the possible causes that induce this cutaneous disease. Results: A 68-year-old Caucasian woman presented with red-orange tinged skin of the palms and soles. Her diet included about 1 kg of kaki fruit daily. High-performance liquid chromatography showed increased lycopene levels. Conclusion: Our case of lycopenaemia is a benign condition, secondary to an excessive dietary intake of lycopene-rich fruits. The discoloration of the palms and soles resulted from pigment deposits, due to the slow conversion of carotene to vitamin A. This condition disappeared after changes in her dietary habits.



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References

  1. Monk BE: Metabolic carotenemia. Br J Dermatol 1982;106:485–487.
  2. Bancroft WD: The Biochemistry of Plant Pigments. Ithaca, Cornell University, 1947.
  3. Itoo S: The persimmon; in Hulme AC (ed): The Biochemistry of Fruit and Their Products. London, Academic Press, 1971, vol 2, pp 281–301.
  4. Mazzone A, Dal Canton A: Image in clinical medicine: hypercarotenemia. N Engl J Med 2002;346:821.
  5. Birmingham CL, Pierach CA, Mazzone A, Dal Canton A: Hypercarotenemia. N Engl J Med 2002;347:222–223.
  6. Loo WJ, Burrows NP: An orange-tinted baby! Clin Exp Dermatol 2006;31:495–496.
  7. Miesen W: Yellow or orange hands as presenting signs of carotenaemia. Neth J Med 2006;64:207.
  8. Takita Y, Ichimiya M, Hamamoto Y, Muto M: A case of carotenemia associated with ingestion of nutrient supplements. J Dermatol 2006;2:132–134.

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