Erythematous Rash on the Chest
Arjida Woollons, MD, MRCP;
Charles R. Darley, MD, FRCP
Brighton Health Care NHS Trust, Brighton, England
Arch Dermatol. 2002;138:1245-1250.
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REPORT OF A CASE
A previously healthy 28-year-old white woman presented with a 6-month
history of a nonpruritic, erythematous eruption on her central chest area.
She was otherwise in good health.
On examination, a dermal erythematous eruption with well-defined borders
was observed on the anterior aspect of the chest (Figure 1). The eruption consisted of both macules and papules. A
punch biopsy specimen from the erythema was stained with hematoxylin-eosin
(Figure 2) and alcian blue (Figure 3).
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Figure 1.
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Figure 2.
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Figure 3.
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What is your diagnosis?
Diagnosis: Reticular erythematous mucinosis (REM) syndrome.
The hematoxylin-eosin–stained biopsy specimen revealed a normal
epidermis and a deep perivascular and periadnexal infiltrate of lymphocytes.
Alcian blue staining showed the separation of the collagen fibers by mucin.
In 1960, Perry et al1 reported a unique
type of mucinosis with a predilection for the thorax and gave it the name plaque-like . . . [Full Text of this Article]
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