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Acrodermatitis Chronica Atrophicans. Presented by Drs. Lawrence Frank and Marvin Winston.
The patient is a 67-year-old white male who has had an eruption which started in the groin 30 years ago. The eruption gradually spread involving the groin, the lower part of the abdomen, and both popliteal areas.Examination reveals a thin, atrophic skin with a tissue paper wrinkling of the epidermis. There are atrophy, telangiectasia, and erythema present. Some broad areas blood vessels are visible through the epidermis, as is a yellowish infiltrate present in some areas, particularly the lower abdomen.
Culture of the lesion is negative for fungi. Purified protein derivative second strength negative. Biopsy report reads as follows: sections reveal an atrophic epidermis (thinned) with some focal homogenization of thin layer of subjacent corium. Beneath this there is a band of lymphocytic infiltrate with rare diapedesis of red cells. The vessels are dilated. Occasionally
NEW YORK ACADEMY OF MEDICINE. Arch Dermatol. 1964;90(2):243–247. doi:10.1001/archderm.1964.01600020111027
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