Korean J Dermatol.  1998 Jun;36(3):456-459.

A Case of Progressive Zosteriform Macular Pigmented Lesion

• Kwon OC
• Yang JK
• Yoon DH
• Kim TY
• Kim HO

Abstract

Progressive zosteriform macular pigmented lesion(PZMPL) is a chronic pigmentary dermatosis similar to progressive cribriform and zosteriform hyperpigmentation(PCZH). This dermatosis described by Simoes in 1980 is characterized by a uniformly tanned macular pigmented lesion in a zosteriform distribution preceded by multiple pruritic macular pigmentation in a part of the dermatome for a period. PZMPL is not a fully understood disease entity but it is thought to be a variant of PCZH. It is differentiated from PCZH by accompanying pruritus as a prodromal symptom, a characteristic clinical course, and histological findings such as pigmentary incontinence. We report herein a case of PZMPL in a 17 year-old girl with the pigmentary skin lesion extending from the left forearm to the left chest along the Blaschkos line. The histological findings revealed increased melanin pigments in the basal layer and focal pigmentary incontinence in the upper dermis. To our knowledge, this case is the first report of PZMPL in korea thought to be the same case reported by Simoes.

MeSH Terms

Adolescent
Dermis
Female
Forearm
Humans
Korea
Melanins
Pigmentation
Prodromal Symptoms
Pruritus
Skin
Skin Diseases
Thorax
Triacetoneamine-N-Oxyl
Melanins
Triacetoneamine-N-Oxyl