Demitsu T, Nakajima K, Okuyama R, Tadaki T
Division of Dermatology, Sanuma General Hospital, Miyagi-ken, Japan.
Int J Dermatol. 1992 Feb;31(2):99-102. doi: 10.1111/j.1365-4362.1992.tb03246.x.
A 29-year-old Japanese man with malignant atrophic papulosis had a 1-year history of scattered, asymptomatic, whitish or skin-colored papules, as well as erythematous papules with central atrophy showing a porcelain-like appearance on the trunk and extremities. Histologic examination revealed lymphocyte-mediated necrotizing vasculitis with considerable deposition of mucin in the dermis. The wedge-shaped necrosis of the dermis was not detected. Based on a review of the literature we think that this case represents the histologic features of the early skin lesions of malignant atrophic papulosis.
