Is it Tinea Versicolor, Vitiligo, or Both?
Honarpisheh H1, Patrignelli R, Cowper SE1, 2
1Departments of Pathology and Laboratory Medicine, Yale University, New Haven, CT, USA and 2Department of Dermatology, Yale University, New Haven, CT, USA
HISTORY
An 85-year-old otherwise healthy man with rheumatoid arthritis presented with hypopigmented and dyspigmented patches over the chest and upper and lower back that evolved over several years. In addition, the patient had well-demarcated depigmented patches in the groin area, as well as on the bilateral elbows. Isolated depig-mented foci were also noted in the left axilla and right antecubital fossa. The initial lesions were re-ceived with a clinical differential of nummular dermatitis vs. Lyme disease vs. cutaneous T-cell lym-phoma (CTCL). Eight months later the clinical diagnosis was still suspicious for CTCL with the added clinical differential of vitiligo. The patient was treated with narrow band UVB and topical steroids without changes in the dyspig-mentation.
©2012 Yale Department of Pathology. All rights reserved.
Any redistribution or reproduction of part or all of the contents in any form is prohibited. You may not, except with express written permission of the author or the Department of Pathology, distribute or commercially exploit the content, nor may you transmit it or store it in any other website or other form of electronic retrieval system, including use for educational purposes.