REPORT OF A CASE
A 36-year-old man presented with a pruritic eruption of 4 months' duration. It had started on the chest and upper back and later spread to the upper arms and forehead. He was otherwise in good health except for a history of peptic ulcer disease at age 22 years.Physical examination showed slightly hypopigmented papules on his chest, upper back, arms, and forehead (Figs 1 and 2). The lesions were confluent in certain areas. Results of initial laboratory examinations were as follows: normal white blood cell count and differential; normal hemoglobin and hematocrit; total serum protein, 87 g/L (normal, 57 to 82 g/L); albumin, 44 g/L (normal, 26 to 52 g/L); and globulin, 43 g/L (normal, 25 to 37 g/L).A skin biopsy specimen from a chest papule was stained with hematoxylin-eosin (Fig 3). Special stains were also performed (Fig 4).What is your diagnosi?
Popular mucinosis (lichen myxedematosus)
A biopsy specimen of a papule was obtained. The epidermis