Asymptomatic yellowish papules and plaques over flexures
Department of Dermatology, Amrita Institute of Medical Sciences and Research Centre, Elamakkara PO Kochi - 26, Kerala
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Kaliyadan F, Dharmaratnam A D, Jayasree M G, Parmar C. Asymptomatic yellowish papules and plaques over flexures. Indian J Dermatol Venereol Leprol 2009;75:437
A 27-year-old male patient presented to us with progressively increasing asymptomatic-raised skin lesions mainly over both axillae and groins since the age of 4 years. Since then, the area of involvement had increased slowly over the last few years. The patient did not have any other significant systemic and ophthalmic problems. No family member had similar or any other significant/relevant disease. On examination, yellowish papules and plaques were seen mainly over both axillae, sides of chest, groins and medial aspect of thighs [Figure - 1]. There were similar lesions scattered over the neck, cubital and popliteal fossae. There were no mucus membrane lesions. Systemic examination was within normal limits. Ophthalmological and cardiac evaluation was done, which was also normal. Investigations including complete blood counts, stool and urine examination, calcium/phosphate levels were all within normal ranges. A skin biopsy was taken. The Orcein stained image is shown [Figure - 2].
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