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[Acral papular lichen myxedematosus]

S Gartner1, H P Schoppelrey, M Agathos

  • 1Abteilung für Dermatologie und Allergologie, Städtisches Krankenhaus München-Schwabing, Akademisches Lehrkrankenhaus der Ludwig-Maximilians-Universität.

Der Hautarzt; Zeitschrift Fur Dermatologie, Venerologie, Und Verwandte Gebiete
|January 8, 1999
PubMed
Summary

Acral persistent papular mucinosis presents as papules on the hands and forearms. This condition is identified as an acral papular subtype of lichen myxedematosus (LM), suggesting a reclassification.

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Area of Science:

  • Dermatology
  • Pathology

Background:

  • Acral persistent papular mucinosis (APPM) was described by Rongioletti in 1986.
  • APPM is characterized by persistent papules on the dorsal hands and distal forearms.
  • Skin biopsies show mucin deposits similar to those found in lichen myxedematosus (LM).

Observation:

  • A 54-year-old female patient presented with a 2.5-year history of skin lesions.
  • The lesions followed a typical acral distribution pattern.
  • Routine laboratory results were unremarkable.

Findings:

  • The patient's presentation suggests APPM is an acral papular subtype of LM.
  • Histopathological examination revealed characteristic mucin deposits.

Implications:

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  • This entity should be recognized as acral papular lichen myxedematosus.
  • This classification may replace the less defined discrete papular form of LM.
  • Refined classification aids in clinical diagnosis and management of LM subtypes.