Skip Navigation LinksHome > October 2012 - Volume 34 - Issue 7 > Granulomatous Variant of Pigmented Purpuric Dermatosis
American Journal of Dermatopathology:
doi: 10.1097/DAD.0b013e31823f616a
Brief Report

Granulomatous Variant of Pigmented Purpuric Dermatosis

Tato, Berta Pérez MD*; Marinero Escobedo, Silvia MD*; Pérez González, Yosmar Carolina MD; Sánchez Albisua, Begoña MD*; Polimón Olabarrieta, Isabel MD*; Encabo Mayoral, Beatriz MD; López, Paloma Fernández MD*

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Abstract

Abstract: Granulomatous pigmented purpuric dermatosis is a rare entity. Historically, it has been seen in Asians. In this article, we report the case of a white man with this unusual variant. A 65-year-old, white man presented with a 1-year history of asymptomatic purpuric to brown papules on both lower legs and more confluent on dorsum of feet. He had an underlying history of hypertension and hyperlipidemia. Skin biopsy revealed a granulomatous lympho-histocytary inflammatory infiltrate in papillary dermis and superficial reticular dermis with extravasation of red blood cells and siderophages. periodic acid schiff (PAS), Giemsa and Ziehl–Neelsen stains were negative. A diagnosis of granulomatous pigmented purpuric dermatosis was made. From the 10 cases reported of this granulomatous variant, 6 were associated with hyperlipidemia. We report an additional case with this association.

© 2012 Lippincott Williams & Wilkins, Inc.

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