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Multiple Chronic Lesions With Peripheral Scale
Jill A. Cohen, MD;
Robert A. Skidmore, MD;
John T. Woosley, MD, PhD
University of North Carolina at Chapel Hill
Arch Dermatol. 1998;134:743-748.
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REPORT OF A CASE
A 49-year-old white woman presented with a chronic eruption on her arms and legs that consisted of discrete, slightly hyperpigmented, thin plaques. The plaques had been present for at least 15 years. There was a seasonal variation in presentation, with an increase in number, darkening, and slight pruritus of the lesions in the summer months. Photoprotection partially alleviated these signs and symptoms. The patient used minimal photoprotection and had a history of sunburns. Her father and paternal grandmother had a history of similar eruptions.
Physical examination revealed type II skin with multiple 3- to 6-mm, discrete, thin, tan plaques in a photodistribution (Figure 1). The lesions were located on the lower extremities and the dorsal aspect of the forearms and hands. Individual plaques were annular, with a raised, sharp, hyperkeratotic border and a depressed center. . . . [Full Text of this Article]
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