Acquired Reactive Perforating Collagenosis : Report of a Case and Review of the Literaturet

PONGSAK MAHANUPAB, M.D.*, SIRI CHIEWCHANVIT, M.D.**

Affiliation : * Department of Pathology, ** Dermatology Unit, Department of Medicine, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand. t Presented at the Annual Meeting of Dermatological Society of Thailand, March 2000.

AbstractA case of acquired reactive perforating collagenosis is reported in a 57-year-old Thai woman, with a history of diabetes mellitus, chronic renal insufficiency needing hemodialysis, and dry gangrene of the right fourth toe. Physical examination revealed multiple scattered erythematous hyperkeratotic nodules and plaques and some showed ulceration. Histopathology showed vertical strands of collagen perforating from the ulcerated lesions. The authors also reviewed the literature on this subject.

Keywords : Reactive Perforating Collagenosis, Diabetes Mellitus, Chronic Renal Insufficiency

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