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  Table of Contents  
CASES FROM ACKERMAN ACADEMY
Year : 2015  |  Volume : 6  |  Issue : 6  |  Page : 419-421  

Asymptomatic erythematous plaque


1 Department of Internal Medicine, Meadowlands Hospital Medical Center, New Jersey, USA
2 Department of Internal Medicine, A&M University Health Science Center, Dallas, USA
3 Ackerman Academy of Dermatopathology, New York, USA

Date of Web Publication17-Nov-2015

Correspondence Address:
John R Griffin
3900 Junius Street, #145, Dallas - 75246, Texas
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2229-5178.169721

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How to cite this article:
Udovenko OV, Griffin JR, Elston DM. Asymptomatic erythematous plaque. Indian Dermatol Online J 2015;6:419-21

How to cite this URL:
Udovenko OV, Griffin JR, Elston DM. Asymptomatic erythematous plaque. Indian Dermatol Online J [serial online] 2015 [cited 2019 Dec 7];6:419-21. Available from: http://www.idoj.in/text.asp?2015/6/6/419/169721


   Case Top


A 44 year old woman presented for evaluation of a new, slightly raised red rash on the right side of chest that developed in the spring. Physical examination revealed an edematous, red- to pink erythematous, non-tender plaque involving the right side of chest [Figure 1]. No surface change was noted. She did not have any other similar lesions. A skin biopsy was obtained for histopathologic analysis [Figure 2],[Figure 3],[Figure 4],[Figure 5].
Figure 1: An edematous, erythematous plaque involving the right chest

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Figure 2: Superficial and deep perivascular and periadnexal lymphocytic infiltrate extending into the subcutis. H and E, original magnification ×40

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Figure 3: Superficial and deep lymphocytic infiltrate tightly hugging vessels and adnexae. H and E, original magnification ×100

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Figure 4: The infiltrate consists of monomorphic lymphocytes. Subtle interstitial mucin is present. H and E, original magnification ×200

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Figure 5: No stratum corneum alterations are present and the dermal-epidermal junction is normal. Hematoxylin and eosin staining, original magnification ×400

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The most likely diagnosis is:

  1. Erythema annulare centrifugum
  2. Granuloma annulare
  3. Lupus erythematosus tumidus
  4. Polymorphic light eruption




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   References Top

1.
Rodriguez-Caruncho C, Bielsa I. Lupus erythematous tumidus: A clinical entity still being defined. Actas Dermosifiliogr 2011;102:668-74.  Back to cited text no. 1
    
2.
Okon LG, Werth VP. Cutaneous lupus erythematosus: Diagnosis and treatment. Best Pract Res Clin Rheumatol 2013;27:391-404.  Back to cited text no. 2
    
3.
Grönhagen CM, Nyberg F. Cutaneous lupus erythematosus: An update. Indian Dermatol Online J 2014;5:7-13.  Back to cited text no. 3
    
4.
Kuhn A, Richter-Hintz D, Oslislo C, Ruzicka T, Megahed M, Lehmann P. Lupus erythematous tumidus - a neglected subset of cutaneous Lupus erythematosus: Report of 40 cases. Arch Dermatol 2000;136:1033-41.  Back to cited text no. 4
    
5.
Vieira V, Del Pozo J, Yebra-Pimentel MT, Martínez W, Fonseca E. Lupus erythematosus tumidus: A series of 26 cases. Int J Dermatol 2006;45:512-7.  Back to cited text no. 5
    
6.
Weedon D. Weedon's Skin Pathology. 3rd ed. New York, NY, USA. Churchill Livingstone, Elsevier; 2010. p. 358-9 and 536-8.  Back to cited text no. 6
    
7.
James WD, Berger TG, Elston DM. Andrew's Diseases of the Skin. Clinical Dermatology. 11th ed. New York, NY, USA. Elsevier; 2011. p. 30-1 and 185-6.  Back to cited text no. 7
    


    Figures

  [Figure 1], [Figure 2], [Figure 3], [Figure 4], [Figure 5]



 

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