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February 1997

Poikilodermatous Plaques on the Torso of a Young Man

Arch Dermatol. 1997;133(2):233-234. doi:10.1001/archderm.1997.03890380105018

REPORT OF A CASE  A 22-year-old man presented to our office in August 1993 with an 8-year history of several asymptomatic poikilodermatous plaques on his torso. These cutaneous lesions had been slowly progressive in both size and number. The patient had previously been evaluated by several other dermatologists, and multiple biopsies had been performed. Initial specimens had been interpreted as "granuloma of undetermined etiology" and "foreignbody granuloma." Cultures of tissue were negative for acid-fast bacilli and fungi. The patient did not seek further medical attention for several years despite progression of his cutaneous lesions.When we first saw the patient in our office, his physical examination revealed multiple, indurated, poikilodermatous plaques located on the lateral aspect of the right side of his torso, in the right axilla, and in the inguinal region bilaterally (Figure 1 and Figure 2). There were telangiectasias and marked atrophy of the surface of the epidermis.