Korean J Dermatol.  2003 Feb;41(2):219-222.

A Case of Discrete Papular Mucinosis

Affiliations
  • 1Department of Dermatology, Yonsei University College of Medicine Seoul, Korea. mglee@yumc.yonsei.ac.kr

Abstract

Papular mucinosis, or lichen myxedematosus is one of the rare cutaneous diseases characterized by papular-lichenoid eruptions, in which mucin deposits in the dermis without thyroid dysfunction. A 31-year-old male presented with 3-5mm sized waxy, flesh-colored, multiple firm papules on the upper and lower extremities and trunk for 5 months. He did not have any familial medical history. None of the laboratory findings, including serum protein electrophoresis, was significant. Skin biopsies were performed from papules of his trunk and arm. Histopathological findings showed that the collagen fibers in the upper dermis were loosely arranged and separated by amorphous materials. These materials were all positive for alcian blue, colloidal iron, mucicarmine, and Giemsa staining. This case is compatible with discrete papular mucinosis which is the rare subtype of localized papular mucinosis.

Keyword

Papular mucinosis; Scleromyxedema; Lichen myxedematosus

MeSH Terms

Adult
Alcian Blue
Arm
Azure Stains
Biopsy
Collagen
Colloids
Dermis
Electrophoresis
Humans
Iron
Lower Extremity
Male
Mucins
Scleromyxedema*
Skin
Thyroid Gland
Alcian Blue
Azure Stains
Collagen
Colloids
Iron
Mucins
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