PMC5803944_01
Solitary, ovoid, soft to firm plaque present on left scapular region surrounded by follicular prominences
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F1
On examination, a solitary erythematous to pigmented plaque of size 4 cm in length and 2 cm in width (4 x 2) cm, ovoid shaped, firm in consistency, irregular surface was present on the right scapular region with a firm rubbery nodule surmounted over the plaque [Figure 1].
Attenuated collagen bundles in dermis widely separated by pools of acellular mucin. (H and E, x40)
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F2
Histopathological examination of biopsy specimen showed normal epidermis with separation and replacement of collagen bundles by mucinous deposits in superficial and mid-dermis (hematoxylin and eosin, x40) [Figure 2].
Dermal mucin highlighted (Alcian Blue, x200)
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F3
Mucinous substance was present in the peri-eccrine location on Alcian blue staining (x200) [Figure 3].