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Translate this page into:

Letter in Response to Previous Publication
89 (
5
); 781-782
doi:
10.25259/IJDVL_807_2023

Authors’ reply

Department of Dermatology, Mehektagul Dermaclinic, Safdarjung Enclave, New Delhi, India
Department of Dermatology and Venereology, All India Institute of Medical Sciences (AIIMS), New Delhi, India
East Patel Nagar, New Delhi, Delhi, India
Department of Dermatology, Maulana Azad Medical College, Balmiki Basti, New Delhi, India
Department of Dermatology, UCMS and GTBH, Vivek Vihar, Delhi, India
Department of Dermatology, UCMS and GTBH, Dilshad Garden, New Delhi, Delhi, India
Department of Dermatology and Venereology, ABVIMS and Dr. RML Hospital, New Delhi, India
Department of Dermatology, Maulana Azad Medical College, Uttar Pradesh, UP, India
Department of Dermatology, Maulana Azad Medical College and Lok Nayak Hospital, Bahadur Shah Zafar Marg, New Delhi, India
Department of Dermatology and Venereology, Vardhaman Mahavir Medical College and Safdarjung Hospital, Law Apartment, Delhi, India
Corresponding author: Dr. Anuva Bansal, East Patel Nagar, New Delhi, Delhi, India. anuvabansal22@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Arora G, Khandpur S, Bansal A, Shetty B, Agrawal S, Saha S, et al. Response to letter to the editor-Current understanding of frictional dermatoses: A review. Indian J Dermatol Venereol Leprol 2023;89:781-2.

We would like to thank you our readers1 for taking an interest in our article2 and providing your suggestions. As previously outlined, no single definition exists for frictional dermatosis and therefore currently there is no accepted classification encompassing the wide range of conditions that can be categorized under this entity.

We have reviewed the literature on skin disorders that “primarily” arise due to frictional abuse and have devised a classification to club them together to enable a simple clinical approach for a therapeutic solution.

A detailed literature review was made via PubMed, Medscape, Medline, ResearchGate and Google Scholar using the terms “frictional dermatitis,” “friction and skin,” “dermatoses and culture,” “clothing dermatitis,” “friction melanosis,” “PPE induced dermatoses in COVID-19 era,” etc. A total of 122 articles were reviewed and 100 articles among them were shortlisted and included in the study.

Though the definition of frictional dermatoses may overlap, we have included the dermatoses caused by frictional forces in daily activities, habits, rituals and cultural practices as such.

The category “secondary frictional dermatosis” includes entities where friction plays a contributory role in the pathogenesis; however, its presence alone is not sufficient for the development of the lesion. Infection, sweat or other inciting agents and/or a pre-existing dermatosis are prerequisites for the development of these conditions.

Psychodermatoses would be another perspective or could be included as a separate classification. The article references are very old and have largely been re-classified into impulse control disorders or dermatitis artefacta (chewing pads). Trichoteiromania and russell pads of bulimia are other entities which may be included in this spectrum.

As elucidated clearly by the authors themselves, the self-inflicted conditions that they have mentioned are related to obsessive compulsive disorder as a primary cause representing the impossibility to release emotional tension by other means and appearing in situations of stress, anxiety, insecurity or nervousness. These compulsive acts are performed to release feelings of anxiety which become alleviated with those frictional actions; however, friction itself is not the inciting factor as is the case with “primary” frictional dermatosis.

References

  1. , . Missing conditions in frictional dermatoses review. Indian J Dermatol Venereol Leprol. 2023;89:796-7.
    [Google Scholar]
  2. , , , , , , et al. Current understanding of frictional dermatoses: A review. Indian J Dermatol Venereol Leprol. 2023;89:170-88.
    [CrossRef] [PubMed] [Google Scholar]

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