Indian Journal of Dermatology
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Year : 2014  |  Volume : 59  |  Issue : 2  |  Page : 211
An atrophic plaque in an Indian lady

Department of Dermatology, Venereology and Leprosy, JLN Hospital and Research Centre, Bhilai Steel Plant, Bhilai, Chhattisgarh, India

Date of Web Publication21-Feb-2014

Correspondence Address:
Ashok Ghorpade
BK D-18, Sector 9, Bhilai, Chhattisgarh - 490 006
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0019-5154.127702

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How to cite this article:
Ghorpade A. An atrophic plaque in an Indian lady. Indian J Dermatol 2014;59:211

How to cite this URL:
Ghorpade A. An atrophic plaque in an Indian lady. Indian J Dermatol [serial online] 2014 [cited 2021 Mar 8];59:211. Available from: https://www.e-ijd.org/text.asp?2014/59/2/211/127702

A 28-year-old Indian lady presented with a 3-year history of itchy skin lesion on left upper arm. Topical hydrocortisone acetate cream used for about 6 months did not improve the lesion. Cutaneous examination showed a violaceous annular skin lesion with raised border and an atrophic center on left upper arm [Figure 1]. The mucosal and nail examination, routine hematology, and blood glucose level were normal. Microphotographs from the central part and the edge are shown in [Figure 2] and [Figure 3].
Figure 1: An annular violaceous skin lesion with a raised border and an atrophic center

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Figure 2: Histopathology showing irregular acanthosis and band-like dense inflammatory infiltrate on the left side and epidermal thinning towards the right edge with scanty upper dermal infiltrate (H and E, original magnification ×40)

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Figure 3: Microphotographs of close-up views of section of Figure 2, (a) Left edge showing hypergranulosis, irregular acanthosis, basal cell degeneration with saw-tooth rete ridges and dense, band like upper dermal dense inflammatory infiltrate with melanin incontinence (H and E, original magnification ×100). (b) Right edge showing patchy hypergranulosis, epidermal atrophy with degeneration of basal cell layer, absent rete ridges and mild upper dermal chronic inflammatory infiltrate (H and E, original magnification ×100)

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   Question Top

What is your diagnosis?

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   References Top

1.Friedman DB, Hashimoto K. Annular atrophic lichen planus. J Am Acad Dermatol 1991;25:392-4.  Back to cited text no. 1
2.Requena L, Olivares M, Piqué E, Fariña MC, Martín L. Annular atrophic lichen planus. Dermatology 1994;189:95-8.  Back to cited text no. 2
3.Lipsker D, Piette JC, Laporte JL, Maunoury L, Francès C. Annular atrophic lichen planus and Sneddon's syndrome. Dermatology 1997;195:402-3.  Back to cited text no. 3
4.Morales-Callaghan A Jr, Martínez G, Aragoneses H, Miranda-Romero A. Annular atrophic lichen planus. J Am Acad Dermatol 2005;52:906-8.  Back to cited text no. 4
5.Ponce-Olivera RM, Tirado-Sánchez A, Montes-de-Oca-Sánchez G, León-Dorantes G, Mercadillo-Pérez P. Annular atrophic lichen planus. Int J Dermatol 2007;46:490-1.  Back to cited text no. 5
6.Mseddi M, Bouassida S, Marrakchi S, Khemakhem M, Turki H, Zahaf A. Annular atrophic lichen planus. Dermatology 2003;207:208-9.  Back to cited text no. 6
7.Li B, Li JH, Xiao T, He CD, Gao XH, Chen HD. Annular atrophic lichen planus. Eur J Dermatol 2010;20:842-3.  Back to cited text no. 7
8.Dahlbäck K, Sakai LY. Elastolysis in lichen ruber planus. Acta Derm Venereol 1991;71:364-6.  Back to cited text no. 8


  [Figure 1], [Figure 2], [Figure 3]


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