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The Journal of Health, Population and Nutrition
ISSN: 1606-0997
EISSN: 1606-0997
Vol. 29, No. 3, 2011, pp. 290-291
Bioline Code: hn11036
Full paper language: English
Document type: Case Report
Document available free of charge

The Journal of Health, Population and Nutrition, Vol. 29, No. 3, 2011, pp. 290-291

 en Extending Prayer Marks as a Sign of Worsening Chronic Disease
Cangiano, M.; Chisti, Mohammod J.; Pietroni, Mark A.C. & Smith, Jonathan H.


A 60-year old Muslim man was admitted to the Dhaka Hospital of ICDDR,B with an exacerbation of his chronic obstructive pulmonary disease. Incidental hyperpigmented skin lesions were noticed overlying the dorsum of his ankles, knees, and elbows. Such asymptomatic areas of thickened, lichenified and hyperpigmented skin are called 'prayer marks' and are well-imprinted on the knees, ankles, and forehead. These are secondary to prolonged periods of pressure over bony prominences during prayer. The patient’s wife stated that the appearance of the elbow marks had coincided with an increase in his breathlessness and subsequent use of his elbows to rise from daily prayers. Prayer marks extending to the elbows could be a sign of worsening chronic disease.

Chronic disease; Elbows, Extending; Prayer marks; Bangladesh

© Copyright 2011 Journal of Health Population and Nutrition.
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