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Acquired brachial cutaneous dyschromatosis
Stephanie W Hu1, Julie Chu, Shane Meehan
1Department of Dermatology, New York University, New York, New York, USA.
Dermatology Online Journal
|October 28, 2011
Summary
Acquired brachial cutaneous dyschromatosis (ABCD) presents as a pigmentary disorder on the forearms of post-menopausal women. This case suggests a stronger link to sun damage rather than hypertension medications.
Area of Science:
- Dermatology
- Pigmentary Disorders
Background:
- Acquired brachial cutaneous dyschromatosis (ABCD) is a recently identified skin condition.
- It affects the dorsal forearms, primarily in post-menopausal women.
Observation:
- A 62-year-old woman presented with asymptomatic, reticulated, gray-brown forearm eruption.
- Clinical and histopathological findings were consistent with ABCD.
Findings:
- The original association with hypertension or its medications is questioned.
- This case suggests a stronger link between ABCD and cumulative sun damage.
- ABCD may be related to other acquired skin disorders like poikiloderma of Civatte.
Implications:
- Effective treatment for ABCD remains challenging.
- Management strategies should focus on rigorous sun protection.
- Adjunctive therapies may include depigmenting agents, chemical peels, and laser treatments.
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