|For Art's Sake|
Saturday, November 21, 2015
The patient is a 45 yo woman who presented with a new lesion on the right malar eminence. It looked innocuous, perhaps, a lentigo. The dermatoscopic image revealed a pointillist pattern. One of our VGRD members, Dr. Phung Huynh described “pointillist nevus” some years ago. While this is not a nevus, it shows a similar pattern.
A 3 mm punch biopsy was taken to establish what this lesion is and it is being presented for interest since I could find no reference to this phenomenon in PubMed.
Pathology: The biopsy shows a focal lichenoid lymphocytic infiltrate, scattered colloid bodies and melanophages consistent with lichen planus-like keratosis (LPLK).
1. Pointillist nevi.
Huynh PM, Glusac EJ, Bolognia JL. J Am Acad Dermatol. 2001 Sep;45(3):397-400. PubMed.
2. Dermoscopy of lichen planus-like keratosis: a model of inflammatory regression. Bugatti L, Filosa G. J Eur Acad Dermatol Venereol. 2007 Nov;21(10):1392-7. PubMed.