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September 2009

Erythematous Plaques Involving Calves—Diagnosis

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Arch Dermatol. 2009;145(9):1053-1058. doi:10.1001/archdermatol.2009.183-b

The lesional biopsy specimen demonstrated an effaced epidermis with prominent vasculature and few adnexal structures. Dermal elements were widely spaced with a blue granular substance between collagen bundles. There was little inflammation. The Alcian blue stain confirmed the presence of increased dermal mucin (Figure 3), which was digestible with hyaluronidase (data not shown). The patient was treated with flurandrenolide tape and compression stockings with little improvement. Over time, the plaques expanded to involve the classic pretibial area.

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