PMC5871392_01
Subtly yellow plaque, made by multiple pedunculated and confluent papules
on the right infrascapular region
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f1
Physical examination revealed a yellow plaque formed by multiple pedunculated and confluent papules, measuring 7 cm x 10 cm, on the right infrascapular region, following the Blaschko's lines, not crossing the median line (Figure 1).
Clinical improvement after 4 months of topical corticotherapy
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f2
The patient used the medication almost daily for four months, with improvement of the symptoms and partial involution of the lesion (Figure 2).
Mature fat tissue in the dermis, more prominent around the vessels and
associated to the presence of perivascular and interstitial dermal mast
cells (Hematoxylin & eosin, X40)
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f3
A new incisional biopsy was performed (ellipse) and the histopathology revealed mature fax tissue in the dermis, more prominent around the vessels and associated to dermal perivascular and interstitial mast cells - findings there are consistent with NLCS (Figure 3).