|40 YEARS AGO
|Year : 2019 | Volume
| Issue : 5 | Page : 598-600
SkIndia Quiz 53: A dusky red plaque with satellite lesions
Keshavmurthy A Adya1, Arun C Inamadar1, Aparna Palit2, Ajit B Janagond1
1 Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College Hospital and Research Centre, BLDE (Deemed to be University), Vijayapur, Karnataka, India
2 Department of Dermatology and Venereology, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India
|Date of Web Publication||28-Aug-2019|
Arun C Inamadar
Department of Dermatology, Venereology and Leprosy, Shri B M Patil Medical College, Hospital and Research Center, BLDE (Deemed to be University), Vijayapur - 586 103, Karnataka
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Adya KA, Inamadar AC, Palit A, Janagond AB. SkIndia Quiz 53: A dusky red plaque with satellite lesions. Indian Dermatol Online J 2019;10:598-600
|How to cite this URL:|
Adya KA, Inamadar AC, Palit A, Janagond AB. SkIndia Quiz 53: A dusky red plaque with satellite lesions. Indian Dermatol Online J [serial online] 2019 [cited 2020 Sep 29];10:598-600. Available from: http://www.idoj.in/text.asp?2019/10/5/598/261824
A 27-year-old man presented with a dark colored lesion on the left upper back since 6 years. It began as a small, dark red papule that increased in size over time. Patient also complained of episodic excessive sweating over the lesion. Examination revealed a hyperpigmented irregular plaque with a dusky-red hue measuring about 5 × 8 cm with geographical margins and smaller satellite lesions involving the left scapular region [Figure 1]. Histological examination of the lesion revealed multiple circumscribed lobules and aggregates of elongated and spindle-shaped cells throughout the dermis that demonstrated luminal differentiation at the center and at the margins [Figure 2]. The lumina were lined by large endothelial cells [Figure 3]. The overlying epidermis was mildly hyperplastic with irregular elongation of rete ridges and increased melanization of the basal layer.
|Figure 1: Irregular dusky red plaque with geographic margins and multiple satellite lesions on the left scapular region|
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|Figure 2: Multiple discrete lobules of cells with slit-like lumina in the center and at the margins are noted in the entire dermis (H and E, ×5)|
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|Figure 3: Higher magnification of an individual cellular lobule shows elongated and spindle-shaped cells with central and marginal luminal differentiation that are lined by large atypical endothelial cells (H and E, ×40)|
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| Question|| |
What is your diagnosis?
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[Figure 1], [Figure 2], [Figure 3]