Pitfall prayer marks: Recognition and appropriate treatment: A case report and review of literature.

Fosse, Nicole; Rast, Anna C; Kammermann, Andrea; Sonderegger, Joanna; Navarini, Alexander; Goldust, Mohamad; Brandt, Oliver; Mueller, Simon M (2020). Pitfall prayer marks: Recognition and appropriate treatment: A case report and review of literature. Dermatologic therapy, 33(1), e13176. Wiley-Blackwell 10.1111/dth.13176

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Prayer marks are asymptomatic callosities resulting from repeated, extended pressure, and friction exerted on bony prominences when praying on hard ground. A 41-year-old woman with ulcerative colitis treated with infliximab was referred to our clinic due to skin changes on her feet that were suspected to be drug eruptions. The patient presented several asymptomatic, hyperpigmented, and hyperkeratotic plaques over the lateral malleoli suggesting that the lesions had a mechanical cause. Further exploration revealed that the patient, a practicing Muslim, prays in a sitting position called "Julus" several times a day. After color marking, the lesions over the lateral feet left a precise imprint on the underlay when the patient was asked to imitate the praying posture-thus proving the origin of the skin lesions. We searched the database on July 31, 2019 using the terms «prayer marks» OR «prayer nodules» OR "prayer callosities." Only electronically available publications were reviewed. Recognition of prayer marks is important to avoid misdiagnosis, performance of unnecessary diagnostic procedures, and to enhance the intercultural competence of clinicians who practice in multicultural societies.

Item Type:

Journal Article (Review Article)

Division/Institute:

04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine
04 Faculty of Medicine > Department of Gynaecology, Paediatrics and Endocrinology (DFKE) > Clinic of Paediatric Medicine > Paediatric Pneumology

UniBE Contributor:

Kammermann, Andrea and Brandt, Laurence William Oliver

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1396-0296

Publisher:

Wiley-Blackwell

Language:

English

Submitter:

Romy Melanie Rodriguez Del Rio

Date Deposited:

02 Dec 2020 11:01

Last Modified:

02 Dec 2020 11:01

Publisher DOI:

10.1111/dth.13176

PubMed ID:

31769910

Uncontrolled Keywords:

Muslim comorbidities prayer marks, religious

BORIS DOI:

10.7892/boris.148600

URI:

https://boris.unibe.ch/id/eprint/148600

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