Acral persistent papular mucinosis.

Jocelyn E Harris; Stephen M Purcell; Thomas D Griffin

doi:10.1016/j.jaad.2004.07.002

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Acral persistent papular mucinosis.

Jocelyn E Harris·Stephen M Purcell·Thomas D Griffin

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Abstract

Acral persistent papular mucinosis is a rare subtype of localized lichen myxedematosus. For half a century, this disease has endured a controversial and constantly evolving classification. We describe a patient who presented with discrete, flesh-colored papules on the hands, wrists, and forearms in a distribution consistent with acral persistent papular mucinosis. Histology was also constant with this disease, showing a well-circumscribed deposition of mucin in the upper and mid dermis that spared a small grenz zone. The changing nomenclature and diagnostic requirements of acral persistent papular mucinosis that have allowed it to remain a topic of debate are examined through a comprehensive review of the literature. All reported cases are reviewed.

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Jocelyn E Harris, Stephen M Purcell, Thomas D Griffin. 2004. Acral persistent papular mucinosis.. https://doi.org/10.1016/j.jaad.2004.07.002

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