PMC4294462_01
Clinical presentation of acquired brachial cutaneous dyschromatosis. There are irregular hyper- and hypopigmented macules coalescing into large patches on the bilateral dorsal forearms.
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fig1
Physical exam incidentally revealed two large, well-delineated patches on the bilateral forearms comprised of hyperpigmented, hypopigmented, telangiectatic, and slightly atrophic macules (Figures 1 and 2).
Clinical presentation of acquired brachial cutaneous dyschromatosis. Closer inspection of the left forearm reveals hyperpigmented patches and hypopigmented, slightly depressed, atrophic plaques with prominent telangiectasia. Note the relative sharp demarcation at the distal forearm/wrist.
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fig2
Physical exam incidentally revealed two large, well-delineated patches on the bilateral forearms comprised of hyperpigmented, hypopigmented, telangiectatic, and slightly atrophic macules (Figures 1 and 2).
Histopathological examination of acquired brachial cutaneous dyschromatosis. Note the pronounced atrophy of the viable epidermis and papillary dermis, increased telangiectasias, abundant solar elastosis, and scattered melanophages, consistent with ABCD 100x magnification, H&E.
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fig3
There were prominent superficial blood vessels (Figure 3).