186 203

Cited 3 times in

An unusual case with membranous lipodystrophy in a hypertensive patient with transepidermal elimination

Authors
 Hana Bak  ;  Jin Wook Lee  ;  Hyung Jin Ahn  ;  Sang Min Hwang  ;  Eung Ho Choi  ;  Seung Hun Lee  ;  Sung Ku Ahn 
Citation
 YONSEI MEDICAL JOURNAL, Vol.47(3) : 428-431, 2006 
Journal Title
 YONSEI MEDICAL JOURNAL 
ISSN
 0513-5796 
Issue Date
2006
MeSH
Adult ; Epidermis/pathology* ; Female ; Humans ; Hypertension/complications* ; Lipodystrophy/complications* ; Lipodystrophy/pathology* ; Skin Diseases/pathology*
Keywords
Transepidermal elimination ; membranous lipodystrophy ; hypertension
Abstract
Membranous lipodystrophy represents a peculiar type of fat necrosis that is present in patients with various types of skin disease. It is characterized by the presence of microcysts and macrocysts and is lined by amorphous eosinophilic material with a crenelated arabesque appearance. These findings have been associated with lupus erythematosus, diabetes mellitus, erythema nodosum, trauma, etc. We report a case of a 43-year-old woman who had a red to purple asymptomatic indurated plaque, approximately seven cm in diameter and on the left arm. She was a chronic hepatitis B antigen carrier and had hypertension for four years. Histopathology of the biopsied lesion showed transepidermal elimination of altered collagen and elastic fibers, as well as membranous lipodystrophy changes. There were hypertensive vascular changes including lymphohistiocytic infiltration around the vascular wall, swelling of endothelial cells, increased thickness of the vascular walls, and narrowing of the lumen. We report a case showing transepidermal elimination with membranous lipodystrophy. We carefully suggest that the secondary phenomenon of transepidermal elimination was associated with membranous lipodystrophy and degenerate connective tissues
Files in This Item:
T200601114.pdf Download
DOI
10.3349/ymj.2006.47.3.428
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Dermatology (피부과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Park, Ha Na(박하나)
Lee, Seung Hun(이승헌)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/110079
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse