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Images in Clinical Practice
ARTICLE IN PRESS
doi:
10.4103/ijdvl.IJDVL_257_19
pmid:
32415048

Primary anetoderma of Jadassohn-Pellizzari: A “saclike” skin

Department of Dermatology, Chang Gung Memorial Hospital, Linkou Branch, Taiwan
Department of Dermatology, Chang Gung Memorial Hospital, Keelung, Taiwan
School of Medicine, College of Medicine, Chang Gung University, Taoyuan, Taiwan
Graduate Institute of Clinical Medical Sciences, Chang Gung University, Taoyuan, Taiwan
Corresponding author: Dr. Chau Yee Ng, Department of Dermatology, Chang Gung Memorial Hospital, Linkou Branch, No. 5, Fushin Street, Taoyuan, Taiwan.mdcharlene@gmail.com
Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Wang CH, Ng CY. Primary anetoderma of Jadassohn-Pellizzari: A “saclike” skin. Indian J Dermatol Venereol Leprol 2020;1-2.

A 37-year-old man presented with history of skin lesions on the trunk and face of one-year duration. On examination, multiple asymptomatic oval outpouchings, with a “saclike” appearance, were noted on his back. The lesions effortlessly herniated inward with finger-tip pressure, producing a buttonhole sign [Figure 1]. Inflammatory nodules were observed on his face. Antiphospholipid antibodies, antinuclear antibody and serologic tests for syphilis were negative. Histopathology revealed mild perivascular lymphocytic infiltrates in the upper-to-mid dermis. Verhoeff-Van Gieson staining of lesional skin showed a significant reduction of elastic fibers within the dermis, compared with peripheral healthy skin. The patient was diagnosed as primary anetoderma of Jadassohn-Pellizzari.

Figure 1:: Multiple saccular outpouchings in a “saclike” appearance on the back. Inset: Lesions herniated inward with finger-tip pressure, producing a buttonhole sign

Acknowledgement

We thank the patient for granting permission to publish this information.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient has given his consent for his images and other clinical information to be reported in the journal. The patient understands that name and initials will not be published and due efforts will be made to conceal identity, but anonymity cannot be guaranteed.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.


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