Cutaneous Signs of Piety
It is important for dermatologists to be aware of cutaneous changes related to religious practices to help in their recognition and management. The anatomic location of cutaneous lesions associated with friction from praying varies based on religious practice. Allergic contact dermatitis from products and substances commonly used in worshipping also vary by religion. Some religious practices may render individuals prone to infections that manifest on the skin. Tattoos of godly figures also may adorn the body. Religious practices also have been implicated in cases of urticaria, köbnerization, and leukoderma. This article reviews the clinical presentation of some of the most common cutaneous changes that occur in individuals who practice the following religions: Christianity, Islam, Judaism, Hinduism, and Sikhism.
Practice Points
- Cutaneous changes may be seen in specified areas of the skin following regular worship in almost all major religions of the world.
- Cutaneous lesions are most commonly associated with friction from praying, along with contact allergic dermatitis from products and substances commonly used in worshipping and granulomas due to practices such as tattoos and skin piercing.
- Uncommon skin manifestations include urticaria and leukoderma.
- Some religious practices may render individuals prone to infections that manifest on the skin.
Conclusion
Knowledge of the religious practices of patients would help in recognizing puzzling and peculiar dermatoses. It may not be possible to eliminate the causes of these conditions, but methods to reduce their effects on the skin can be discussed with patients.
Acknowledgments—We are grateful to the valuable help rendered by Joginder Kumar, MD, New Delhi, India, and C. Indira, MD, Hyderabad, India.
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