Case for Diagnosis: Poikiloderma of Civatte; Melanodermitis? Presented by Dr. Nathan Sobel.
A 46-year-old Puerto Rican woman has had an eruption for the past four years. It began in a small area over the right jaw and gradually spread.
There is a markedly reticulated hyperpigmentation of the skin of the lower part of the right cheek, the entire right side of the neck, and part of the adjacent chest. Most of the rest of the face shows a diffuse hyperpigmentation without reticulation, which is also present over most of the medial aspect of the right forearm and a palm-sized area on the external aspect of the right knee. Xerosis of the skin of the extremities is present.
A biopsy specimen taken from the right side of the neck about three years ago was reported as "pigmentary disturbance."
The patient was treated several years ago for a basal-cell epithelioma