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Hypopigmented plaque with cut dragon fruit appearance

Year: 2024

Type: article

Abstract: A 32-year-old male presented with a whitish, hypopigmented asymptomatic skin lesion over his upper back for six months, with no similar lesions reported elsewhere.On examination, a 5 × 5 cm hypopigmented atrophic plaque, with follicular plugging and peripheral hyperpigmentation was observed on the right upper back, resembling the appearance of a cut dragon fruit [Figure 1].Dermoscopy revealed structureless areas, comedo-like openings, white chrysalis-like structures, and telangiectasia.Histopathology showed follicular plugging, epidermal thinning, loss of rete ridges, focal basal cell vacuolization, and edema and hyalinization of the papillary dermis [Figure 2].After correlating clinical findings, dermoscopic results, and histopathological features, the diagnosis of extragenital lichen sclerosus et atrophicus (LSA) was made.www.cosmoderma.org

Source: Cosmoderma

DOI: 10.25259/csdm_152_2024

Authors: Spandana Devarahalli Krishnamurthy, Mahalaxmi Khatagave, M. Madhu

Institutions: Bangalore Medical College and Research Institute, Shamnur Shivashankarappa Institute of Medical Sciences & Research Centre

Language: English

Topic: Medicine and Dermatology Studies History

Subfield: Dermatology

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

OpenAlex ID: W4404865926