PMC9949951_01
Hypopigmented patches involving the axilla, back, and abdomen.
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An 11-year-old boy presented at the Dermatology Center at Palestine Medical Complex in Ramallah on account of 9 months to 1 year history of nonpruritic hypopigmented maculopapular patches that started on the axilla and then spread to the back with a progressive course until they involved most of his body surface area Figure 1.
H & E 10x histopathology showing epidermotropism with occasional characteristic intraepidermal collections of atypical cells.
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The epidermis showed scattered dyskeratotic keratinocytes and a few intraepidermal hyperchromatic atypical lymphocytes (Figure 2).
Immunohistochemical staining showing CD 4+ T cells.
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Immunohistochemical staining showing CD 8+ T cells.
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