Nodular-Type Lichen Myxedematosus: A Rare Variant With Exclusive Involvement of the Hands—Report of Two Cases With a Comprehensive Review of the Literature

Author:

Cerroni Lorenzo1,Rongioletti Franco2

Affiliation:

1. Department of Dermatology, Research Unit of Dermatopathology, Medical University of Graz, Graz, Austria; and

2. Università Vita-Salute San Raffaele, IRCCS Ospedale San Raffaele, Milano, Italy.

Abstract

Abstract: Lichen myxedematosus (LM) is an uncommon cutaneous mucinosis characterized by the deposition of mucin and fibroblast proliferation in the dermis. This condition can be classified into 2 forms: a diffuse/generalized LM, also known as scleromyxedema, associated with monoclonal gammopathy and systemic implications, and a localized form, primarily affecting the skin. Within the localized form, nodular-type LM is a rare variant presenting as firm, skin-colored to pinkish mucinous nodules. In this article, we report 2 new cases of nodular-type LM with exclusive involvement of the hands and provide a comprehensive review of the diagnosis, histopathological aspects, and therapeutic considerations of this rare condition.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

Dermatology,General Medicine,Pathology and Forensic Medicine

Reference15 articles.

1. Lichen myxedematosus (papular mucinosis): new concepts and perspectives for an old disease;Rongioletti;Semin Cutan Med Surg.,2006

2. Nodular-type lichen myxedematosus: a case report;Ogita;Case Rep Dermatol.,2010

3. Nodular lichen myxoedematous: a new adverse event associated with ustekinumab;Montero-Vilchez;Australas J Dermatol.,2020

4. Nodular lichen myxedematosus during childhood: a case report;Zeng;Pediatr Dermatol.,2014

5. Pediatric lichen myxedematosus: a diagnostic and management challenge;Barry;Children (Basel),2022

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