Volume : IV, Issue : IV, April - 2014

Erythema Dyschromium Perstans – A Rare Case Report of Dermal Hyperpigmented Skin Lesion

Dr. Priyadarshini. D, Dr. Satish Arakeri

Abstract :

  A 20–year–old healthy man with skin complained of a 6 months history of progressive hyperpigmentation on the trunk and abdomen. There was no preceding dermatitis. The lesions were asymptomatic. He did not use any prescription or over–the–counter drugs or any herbal supplements. A full review of systems was negative. Physical examination revealed diffuse symmetric grayish own   patches on the trunk and abdomen (Figure 1). The lesions were nonpalpable and without erythema.. Two adjacent 4–mm punch biopsies were performed on the skin over abdomen, one consisted of unaffected skin and one of hyperpigmented skin.( Figure 2) shows affected  skin with an interface dermatitis and significant pigment incontinence . There was no evidence of depositional process of substances such as heavy metals, drugs, or tattoo. Differential diagnosis included erythema dyschromicum perstans, fixed–drug reaction, or interface drug reaction. (Figure 3)  Fontana Masson stain revealed prominent dermal melanin deposition.

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr.Priyadarshini.D, Dr.Satish Arakeri Erythema Dyschromium Perstans – A Rare Case Report of Dermal Hyperpigmented Skin Lesion Indian Journal of Applied Research, Vol.IV, Issue. IV

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