Adult-onset erythrokeratodermia variabilis (EKV) triggered by pregnancy and crash dieting: A rare case report Authors Ghazal Afzal PNS Shifa Hospital, Karachi, Pakistan Najia Ahmed Department of Dermatology, PNS Shifa Hospital, Karachi, Pakistan Nighat Jamal Department of Histopathology, PNS Shifa Hospital, Karachi, Pakistan Fatima Zahoor Department of Dermatology, PNS Shifa Hospital, Karachi, Pakistan DOI: https://doi.org/10.47391/JPMA.9785 Keywords: Acitretin, adult onset, crash diet, erythrokeratodermia variabilis, pregnancy, retinoids, sporadic Abstract Erythrokeratodermia variabilis (EKV) is a rare inherited genodermatosis characterised by migratory and erythematous patches changing over the course of hours to days and fixed keratotic plaques. The disease begins mostly at birth or within the first year of life; it very rarely starts after childhood. We present here a sporadic case with adult onset EKV that was aggravated by pregnancy with spontaneous resolution, and later on, after crash diet more persistent patches and plaques appeared with no spontaneous resolution. The patient showed excellent response to systemic retinoids. Keywords: Acitretin, Adult onset, Crash diet, Erythrokeratodermia variabilis, pregnancy, Retinoids, Sporadic. Downloads Full Text Article Published 2024-08-23 How to Cite Afzal, G., Najia Ahmed, Nighat Jamal, & Fatima Zahoor. (2024). Adult-onset erythrokeratodermia variabilis (EKV) triggered by pregnancy and crash dieting: A rare case report. Journal of the Pakistan Medical Association, 74(9), 1687–1689. https://doi.org/10.47391/JPMA.9785 More Citation Formats ACM ACS APA ABNT Chicago Harvard IEEE MLA Turabian Vancouver Download Citation Endnote/Zotero/Mendeley (RIS) BibTeX Issue Vol. 74 No. 9 (2024): SEPTEMBER Section Case Report License Copyright (c) 2024 Journal of the Pakistan Medical Association This work is licensed under a Creative Commons Attribution 4.0 International License.