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Chronic Zosteriform Eruption of the Lower Extremity

Chronic Zosteriform Eruption of the Lower Extremity Abstract REPORT OF A CASE A 56-year-old man had a 25-year history of multiple gelatinous vesicular-appearing coalescent papules, present since birth, over his right posterior hip and thigh. The fluid present in the papules was usually straw-colored, although sometimes it appeared to be slightly bloody. Over the years, new lesions developed distally in a linear distribution toward the right popliteal fossa. The papules were asymptomatic and there was no swelling of the surrounding subcutaneous tissue. The eruption was not present in any other part of the body. His family history was unremarkable.Physical examination revealed elevated, gelatinousappearing papules and plaques on the right posterior thigh, extending toward the popliteal fossa and located primarily in the distribution of the S1 dermatome (Figs 1 and 2). The lesions ranged in size from 0.5 to 6.0 cm. A skin biopsy specimen of one of these lesions was taken (Fig 3).What is your diagnosis? References 1. Fox T, Fox CT: On a case of lymphangiectodes . Trans Pathol Soc London 1879;30:470-476. 2. Morris M: Lymphangioma circumscription , in Unna PG, Morris M, Lelois H, et al (eds): Internationala Attos von Seltener Hautkrankheiten . Leipzig, East Germany, L Voss, 1889, pp 1-4. 3. Peachey RG, Lim CC, Whimster IW: Lymphangioma of the skin: A review of 65 cases . Br J Dermatol 1970;83:519-521.Crossref 4. Palmer LC, Strauch WG, Welton WA: Lymphangioma circumscriptum . Arch Dermatol 1978;114:394-396.Crossref 5. Whimster IW: The pathology of lymphangioma circumscriptum . Br J Dermatol 1976;94:473-486.Crossref 6. Bauer BS, Kernahan DA, Hugo NE: Lymphangioma circumscriptum . Ann Plast Surg 1981;7:318-326.Crossref 7. Girard C, Johnson WC, Graham JH: Cutaneous angiosarcoma . Cancer 1970;26:868-883.Crossref 8. King DT, Duff DM, Hirose FM, et al: Lymphangiosarcoma arising from lymphangioma circumscriptum . Arch Dermatol 1979;115:969-972.Crossref 9. Flanagan BP, Helwig EB: Cutaneous lymphangioma . Arch Dermatol 1977;113:24-30.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Chronic Zosteriform Eruption of the Lower Extremity

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Publisher
American Medical Association
Copyright
Copyright © 1988 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1988.01670020085025
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A 56-year-old man had a 25-year history of multiple gelatinous vesicular-appearing coalescent papules, present since birth, over his right posterior hip and thigh. The fluid present in the papules was usually straw-colored, although sometimes it appeared to be slightly bloody. Over the years, new lesions developed distally in a linear distribution toward the right popliteal fossa. The papules were asymptomatic and there was no swelling of the surrounding subcutaneous tissue. The eruption was not present in any other part of the body. His family history was unremarkable.Physical examination revealed elevated, gelatinousappearing papules and plaques on the right posterior thigh, extending toward the popliteal fossa and located primarily in the distribution of the S1 dermatome (Figs 1 and 2). The lesions ranged in size from 0.5 to 6.0 cm. A skin biopsy specimen of one of these lesions was taken (Fig 3).What is your diagnosis? References 1. Fox T, Fox CT: On a case of lymphangiectodes . Trans Pathol Soc London 1879;30:470-476. 2. Morris M: Lymphangioma circumscription , in Unna PG, Morris M, Lelois H, et al (eds): Internationala Attos von Seltener Hautkrankheiten . Leipzig, East Germany, L Voss, 1889, pp 1-4. 3. Peachey RG, Lim CC, Whimster IW: Lymphangioma of the skin: A review of 65 cases . Br J Dermatol 1970;83:519-521.Crossref 4. Palmer LC, Strauch WG, Welton WA: Lymphangioma circumscriptum . Arch Dermatol 1978;114:394-396.Crossref 5. Whimster IW: The pathology of lymphangioma circumscriptum . Br J Dermatol 1976;94:473-486.Crossref 6. Bauer BS, Kernahan DA, Hugo NE: Lymphangioma circumscriptum . Ann Plast Surg 1981;7:318-326.Crossref 7. Girard C, Johnson WC, Graham JH: Cutaneous angiosarcoma . Cancer 1970;26:868-883.Crossref 8. King DT, Duff DM, Hirose FM, et al: Lymphangiosarcoma arising from lymphangioma circumscriptum . Arch Dermatol 1979;115:969-972.Crossref 9. Flanagan BP, Helwig EB: Cutaneous lymphangioma . Arch Dermatol 1977;113:24-30.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Feb 1, 1988

References