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Poikiloderma Atrophicans Vasculare (Jacobi). Presented by Dr. David Kahn.
A white man, age 28, has had for 20 years progressively appearing dry, pruritic, superficial, scaly patches over the bathing trunk area of the body. Repeated scrapings from the various lesions for KOH mounts and culture purposes have been negative for fungi on all counts. Various treatment methods consisting of superficial x-ray, hydrating baths, local corticosteroid ointment, oral prednisolone, and intralesional injections of triamcinolone acetonide suspension have been used without altering the course of the disease. The general health of the patient has remained good throughout the history of the eruption.Examination of the skin revealed scaly patches of various size intermixed with brownish, livid telangiectatic changes both in the lesions and in the areas around them which were distributed freely over the lower abdomen, sacrum, buttocks, hips, and upper thighs.A biopsy specimen taken from the left buttock was reported
DETROIT DERMATOLOGICAL SOCIETY. Arch Dermatol. 1964;90(1):121. doi:10.1001/archderm.1964.01600010127035
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