A woman in her 60s presented with numerous whitish papules on the back of more than 10 years’ duration. The lesions previously resolved with topical corticosteroids but flared soon after treatment discontinuation. Some papules became pruritic and extended to the waist and anterior trunk in the past month. No family history of similar lesions was recorded. Physical examination revealed multiple hypopigmented, flat-topped papules on the back, waist, and inframammary area without genital involvement (Figure, A). Most lesions were folliculocentric under close inspection. Dermoscopy revealed central keratin plugs and some foci of structureless, whitish, and homogenous areas with surrounding erythema (Figure, B). The results of laboratory tests for antinuclear antibody and hyperglobulinemia were negative. A biopsy specimen was obtained from the back for histologic analysis (Figure, C).
Lo Y, Chu C, Chen Y. Scattered Hypopigmented, Atrophic, and Folliculocentric Papules on the Trunk. JAMA Dermatol. 2018;154(4):469–470. doi:10.1001/jamadermatol.2017.5174
Dermatology in JAMA: Read the Latest
Customize your JAMA Network experience by selecting one or more topics from the list below.