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Year : 2010  |  Volume : 76  |  Issue : 3  |  Page : 305-306

Depressed plaques over back in a 35-year-old male

Department of Dermatology, Venerology, Leprology, Histopathology, PGI, PGIMER, Chandigarh - 160 012, India

Date of Web Publication4-May-2010

Correspondence Address:
Sunil Dogra
Department of Dermatology, Venerology and Leprology, PGIMER, CHD - 160 012
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.62979

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How to cite this article:
Jain A, De D, Dogra S, Saikia UN. Depressed plaques over back in a 35-year-old male. Indian J Dermatol Venereol Leprol 2010;76:305-6

How to cite this URL:
Jain A, De D, Dogra S, Saikia UN. Depressed plaques over back in a 35-year-old male. Indian J Dermatol Venereol Leprol [serial online] 2010 [cited 2019 Nov 13];76:305-6. Available from: http://www.ijdvl.com/text.asp?2010/76/3/305/62979

A 35-year-old male presented to our outpatient department with depressed pigmented patches over his back since 1 year. These lesions were non-progressive and asymptomatic. He had no history of trauma, tick bite, infection or injection at these sites.

On examination, multiple well-defined round-to-oval, brownish plaques varying in size from 1 to 8 cm were present over the back [Figure 1]. These were depressed below the level of adjacent skin. There was no induration, sclerosis, tenderness, or perilesional erythema. A punch biopsy specimen was taken from the margin of one of these lesions and was sent for histopathological examination.

  Histopathological Findings Top

Hematoxylin and eosin staining of a skin biopsy specimen revealed dense collagen bundles throughout the dermis. Epidermis was normal. Minimal scattered inflammatory infiltrate was seen. The thickness of dermis was reduced [Figure 2] and [Figure 3].

Laboratory studies including a complete blood count, liver and renal function tests, urinalysis, and electrolytes were within normal limits. The chest X-ray was normal. Serum antibody for Borrelia burgdorferi and anti-nuclear antibody were negative. Complete ophthalmologic, odontologic, and radiologic surveys revealed no abnormalities.

  What is your Diagnosis ? Top

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  References Top

1.Pasini A. Atrofodermia idiopatica progressiva. G Ital Dermatol 1923;58:785.  Back to cited text no. 1      
2.Pierini L, Vivoli D. Atrofodermia progressiva (Pasini). G Ital Dermatol 1936;77:403-9.   Back to cited text no. 2      
3.Canizares O, Sachs PM, Jaimovich L, Torres VM. Idiopathic atrophoderma of Pasini and Pierini. Arch Dermatol 1958;77:42-58.  Back to cited text no. 3      
4.Calka O, Metin A, Kosem M. Idiopathic atrophoderma of Pasini and Pierini. East J Med 2001;6: 55-7.  Back to cited text no. 4      
5.Jablonska S, Blaszczyk M. Is superficial morphea synonymous with atrophoderma Pasini-Pierini? J Am Acad Dermatol 2004;50:979-80.  Back to cited text no. 5  [PUBMED]  [FULLTEXT]  
6.Saleh Z, Abbas O, Dahdah MJ, Kibbi AG, Zaynoun S, Ghosn S. Atrophoderma of Pasini and Pierini: A clinical and histopathological study. J Cutan Pathol 2008;35:1108-14.  Back to cited text no. 6  [PUBMED]  [FULLTEXT]  
7.Arpey CJ, Patel DS, Stone MS, Qiang-Shao J, Moore KC. Treatment of atrophoderma of Pasini and Pierini-associated hyperpigmentation with the Q-switched alexandrite laser: A clinical, histologic, and ultrastructural appraisal. Lasers Surg Med 2000;27:206-12.  Back to cited text no. 7  [PUBMED]  [FULLTEXT]  


  [Figure 1], [Figure 2], [Figure 3]


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