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Ann Dermatol. 2011 Sep;23 Suppl 1:S48-52. doi: 10.5021/ad.2011.23.S1.S48. Epub 2011 Sep 30.

A case of poikiloderma vasculare atrophicans.

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  • 1Department of Dermatology, Chonnam National University Medical School, Gwangju, Korea.


Poikiloderma vasculare atrophicans (PVA) is a rare variant of mycosis fungoides, and is characterized by generalized hyperkeratotic scaly papules in net-like, retiform, or zebra-like patterns. A 59-year-old Korean woman presented with asymptomatic, erythematous-to-violaceous, reticulated confluent papules on the trunk and extremities. Skin lesions were initially limited to both thighs 25 years ago, and then spread slowly over her body. Histopathological examination showed band-like inflammatory infiltrations and epidermotropism consisting of mostly CD8+ lymphocytes. Based on the clinical manifestations and histological findings, the diagnosis of PVA was made. We herein report on a case of PVA, which featured a long-benign course without progression into the tumor stage over a period of 30 years.


CD8-positive T lymphocytes; Mycosis fungoides

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