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April 1994

Peculiar Linear and Angulated Lesions in a Mantle Distribution Over the Upper Trunk

Author Affiliations

Skin and Cancer Foundation, Sydney, Australia

Arch Dermatol. 1994;130(4):507-508. doi:10.1001/archderm.1994.01690040113018

REPORT OF A CASE  For over 20 years, a 37-year-old man noted numerous lesions over his upper trunk and shoulders (Figure 1) that were associated with mild irritation. The lesions were more distinct in the summer as they failed to tan. The lesions consisted of peculiar linear and angulated erythematous pale macules with an adherent scale (Figure 2). These tended to be confluent and gave the skin a reticulated appearance. The distribution of the lesions had remained stable for many years. The family had no known history of similar skin findings.Multiple skin biopsy specimens showed identical features (Figure 3), and these were accentuated with the orcein and Giemsa stains, highlighting the elastic fiber network in the dermis (Figure 4).What is your diagnosis?Figure 1.Figure 2.Figure 3.Figure 4.SECTION EDITOR: ANTOINETTE F. HOOD, MDPeculiar Linear and Angulated Lesions in a Mantle Distribution Over the Upper

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