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August 1978

Granulomatosis Disciformis Chronica et Progressiva With Lymphadenopathy

Author Affiliations

From the Department of Dermatology, Tohoku University School of Medicine, Sendai, Japan.

Arch Dermatol. 1978;114(8):1224-1225. doi:10.1001/archderm.1978.01640200076020

We report a case of granulomatosis disciformis chronica et progressiva (GDCP) in which the condition developed not only on the skin but also in the lymph node tissue.

REPORT OF A CASE  A 31-year-old man was admitted to our hospital with multiple skin lesions of about three months' duration. Examination showed multiple round or oval erythematous plaques that were distributed on the head, mandibular, pubic, and axillary regions, chest, back, and antecubital fossae. The borders of these plaques were firm, yellowish-reddish, sharply demarcated, and elevated from the skin surface like an embankment. The central parts were atrophic and depressed, and telangiectases and irregularly shaped white scars were noted (Fig 1). Secondary alopecia was observed on the head and axillary and pubic regions, and several ulcers were noted on the plaques. Several axillary and inguinal lymph nodes were palpable in fingertip sizes; they were relatively firm, but not adherent to the