Department of Dermatology, Sao Paulo State University, Botucatu, Brazil.
J Cutan Med Surg. 2011 Jul-Aug;15(4):227-9. doi: 10.2310/7750.2011.10030.
Acral persistent papular mucinosis is a rare localized form of lichen myxedematosus with few case reports and no documented therapeutic options.
To report full resolution of acral persistent papular mucinosis after electrocoagulation.
Case report of a 51-year-old white female diagnosed with an acral persistent papular mucinosis. The clinical and histopathologic features, treatment provided, and response to treatment are detailed.
Acral persistent papular mucinosis presented as multiple asymptomatic normochromic papules on the wrists. Treatment with topical and intralesional steroids was unsatisfactory. Gentle electrocoagulation led to complete resolution of the lesions and negligible scarring. The favorable results remained for 6 months of follow-up, and no new lesions have emerged.
Our case of acral persistent papular mucinosis was successfully treated with electrocoagulation and long-lasting, excellent cosmetic results.
肢端持久性丘疹黏液样水肿是一种罕见的局限性类黏蛋白沉积症，仅有少数病例报告，且无明确的治疗方法。
报告电凝术治疗肢端持久性丘疹黏液样水肿后完全缓解的病例。
报告一例 51 岁白人女性的肢端持久性丘疹黏液样水肿病例。详细描述了临床表现、组织病理学特征、提供的治疗方法以及治疗反应。
肢端持久性丘疹黏液样水肿表现为手腕上多个无症状的正常色素丘疹。局部和皮损内类固醇治疗效果不佳。温和的电凝术导致皮损完全消退，几乎没有瘢痕。在 6 个月的随访中，结果良好，没有新的皮损出现。
我们的肢端持久性丘疹黏液样水肿病例用电凝术成功治疗，获得了持久且极佳的美容效果。
