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Indian Journal of Dermatology
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E-IJD QUIZ
Year : 2015  |  Volume : 60  |  Issue : 3  |  Page : 325
Multiple hypopigmented truncal papules


Department of Dermatology, Dr. D. Y. Patil Medical College and Hospital, Santtukaram Nagar, Pimpri, Pune, India

Date of Web Publication6-May-2015

Correspondence Address:
Neha C Virmani
3b Rudravan Apartment, Near The Gateway Hotel, Athwa Lines, Surat - 395 007, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.156498

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How to cite this article:
Virmani NC, Dash KN, Sharma YK, Patvekar MA. Multiple hypopigmented truncal papules. Indian J Dermatol 2015;60:325

How to cite this URL:
Virmani NC, Dash KN, Sharma YK, Patvekar MA. Multiple hypopigmented truncal papules. Indian J Dermatol [serial online] 2015 [cited 2021 Jul 26];60:325. Available from: https://www.e-ijd.org/text.asp?2015/60/3/325/156498


A 21-year-old male presented with multiple asymptomatic hypopigmented lesions over the back and front of trunk, which have been persisting unaltered as regards their physical appearance or number since he first developed these at 5 years of age. There was no history of any other skin abnormalities before the age of 5 or any systemic complaints. He reported no significant family history. General physical examination revealed no abnormality. Cardiovascular examination and electrocardiogram were within normal limits. Dermatological examination of the trunk revealed multiple pale white, fibrotic, rubbery, non-tender papules and nodules ranging from 5 mm to 1 cm in diameter with highest concentration over the lower back [Figure 1]a and b. There was no evidence of lesions elsewhere on the body. Histopathological examination of the papule revealed areas with thick and haphazardly-oriented collagen bundles within the reticular dermis [Figure 2]. The collagen was strongly stained with Masson trichrome stain showing an intense blue-green color [Figure 3]. The Van Gieson stain for elastin showed few fragmented interspersed elastin fibers.
Figure 1: (a) Multiple hypopigmented papules and plaques over trunk. (b) Hypopigmented fibrotic papules over the abdomen

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Figure 2: Histopathology showing thickened dermis with increased and haphazardly-oriented collagen bundles. (H and E stain, ×40)

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Figure 3: Dermis showing dense coarse collagen bundles (Masson trichrome stain, ×100)

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Question

What is the diagnosis?



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   References Top

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Ryder HF, Antaya RJ. Nevus anelasticus, papular elastorrhexis, and eruptive collagenoma: Clinically similar entities with focal absence of elastic fibers in childhood. Pediatr Dermatol 2005;22:153-7.  Back to cited text no. 1
    
2.
Batra P, Loyd A, Patel R, Walters R, Stein JA. Eruptive collagenomas. Dermatol Online J 2010;16:3.  Back to cited text no. 2
    
3.
Available from: https://escholarship.org/uc/item/0nv4d72s [Last accessed on 2014 June 3].  Back to cited text no. 3
    
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Uitto J, Santa Cruz DJ, Eisen AZ. Connective tissue nevi of the skin: Clinical, genetic and histopathologic classificationof hamartomas of the collagen, elastin and proteoglycan type. J Am Acad Dermatol 1980;3:441-61.  Back to cited text no. 4
    
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Cramer HJ. Eruptiven kollagenoms. Hautarzt 1966;17:437-40.  Back to cited text no. 5
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Smith LR, Bernstein BD. Eruptive collagenoma. Arch Dermatol 1978;114:1710-1.  Back to cited text no. 6
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Betti R, Inselvini E, Pazzini C, Moneghini L, Crosti C. Symmetrical, papular, eruptive auricular collagenomas. J Am Acad Dermatol 1998;39:363-4.  Back to cited text no. 7
    
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de Almeida HL Jr, Breunig Jde A, Wolter M, de Castro LA, Rocha NM. Light and electron microscopy of eruptive collagenoma. J Cutan Pathol 2009;36:35-8.  Back to cited text no. 8
    


    Figures

  [Figure 1], [Figure 2], [Figure 3]



 

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