Presenter: Heather Orkwis, DO
Dermatology Program: St. Joseph Mercy Hospital
Program Director: Daniel Stewart, DO
Submitted on: Dec 17, 2011
CHIEF COMPLAINT: A 44-year-old woman presented with a greater-than-10-year history of dark, itchy spots on legs.
Signs and symptoms: She complained of pruritic, progressively worsening dark spots on the bilateral anterior lower legs.
Previous Treatment: She used a bleaching cream on the areas 8 years prior without improvement.
Other information: The patient has insulin resistance, hypertension and arthritis.
There are hyperpigmented, keratotic plaques on the bilateral anterior lower extremities.
Punch biopsy showed a hyperkeratotic epidermis overlying papillary dermal deposits of homogenous material.
1. Acquired Ichthyosis
2. Lichen Aureus
3. Lichen Simplex Chronicus
4. Keratosis Pilaris