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2007:73:6;447-448
doi: 10.4103/0378-6323.37084
PMID: 18032880

Scaly erythematous plaque on the chest

Vandana Mehta Rai1 , C Balachandran1 , Sudha Bhat2 , V Geetha2
1 Department of Skin and STD, KMC, Manipal, India
2 Department of Pathology, KMC, Manipal, India

Correspondence Address:
Vandana Mehta Rai
Department of Skin and STD, Kasturba Medical College, Manipal - 576 104, Karnataka
India
How to cite this article:
Rai VM, Balachandran C, Bhat S, Geetha V. Scaly erythematous plaque on the chest. Indian J Dermatol Venereol Leprol 2007;73:447-448
Copyright: (C)2007 Indian Journal of Dermatology, Venereology, and Leprology
Figure 4: Skin biopsy (H and E stain, X400)
Figure 4: Skin biopsy (H and E stain, X400)
Figure 3: Skin biopsy (H and E stain, X200)
Figure 3: Skin biopsy (H and E stain, X200)
Figure 2: Skin biopsy (H and E stain, X100)
Figure 2: Skin biopsy (H and E stain, X100)
Figure 1: Scaly erythematous plaque on the chest
Figure 1: Scaly erythematous plaque on the chest

A 55 year-old male presented to us with an asymptomatic plaque on the chest of a year′s duration. There was a history of excessive exposure to the sun as he was a field worker but there was no history of contact with insecticides, pesticides or fertilizers. There was no similar lesion elsewhere on the body. The patient had been treated by a local physician with topical steroids for the past one year without any improvement. Cutaneous examination revealed a 3 x 3 cm well-marginated, erythematous, mildly scaly plaque on the V area of the neck [Figure - 1]. Biopsy performed from the lesion showed an irregularly acanthotic epidermis with mild nuclear pleomorphism, loss of normal architecture, scattered dyskeratotic keratinocytes, multinucleated giant cells with a lichenoid lymphoplasmacytic infiltrate [Figure - 2],[Figure - 3],[Figure - 4].

What is your Diagnosis ?



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