Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2015 Jan-Feb;90(1):96-9.
doi: 10.1590/abd1806-4841.20153067.

Phototherapy as an effective treatment for Majocchi's disease--case report

Tapan Kumar Dhali  1 , Monica Chahar  1 , Mohammad Asad Haroon  1
Affiliations
Case Reports

Phototherapy as an effective treatment for Majocchi's disease--case report

Tapan Kumar Dhali et al. An Bras Dermatol. 2015 Jan-Feb.

Abstract

Pigmented purpuric dermatoses are chronic and relapsing disorders characterized by a symmetrical rash of petechial and pigmentary macules, mainly confined to the lower limbs. Purpura annularis telangiectodes of Majocchi is a less common variant of Pigmented purpuric dermatoses characterized by punctate telangiectatic macules progressing to annular, hyperpigmented patches with central clearing and infrequent atrophy. A 12 year-old girl presented with asymptomatic round to oval reddish brown macules, present symmetrically over her lower and upper limbs for 3 years. Few lesions were annular in shape. Biopsy from the lesion was compatible with Pigmented purpuric dermatoses. On the basis of clinical and histopathological findings, a diagnosis of Purpura annularis telangiectodes of Majocchi was made. The patient began phototherapy thrice a week and showed excellent response.

PubMed Disclaimer

Conflict of interest statement

Conflict of Interests: none

Figures

FIGURE 1
FIGURE 1
Multiple macules over bilateral thighs and legs (extensor aspect)
FIGURE 2
FIGURE 2
Multiple macules over bilateral thighs and legs (flexor aspect)
FIGURE 3
FIGURE 3
(H&E staining): Prominent RBC extravasation seen in higher magnification (400 X)
FIGURE 4
FIGURE 4
Marked improvement in macules over bilateral legs (extensor aspect)
FIGURE 5
FIGURE 5
Marked resolution seen over flexor aspect of bilateral legs
See this image and copyright information in PMC

References

    1. Sardana K, Sarkar R, Sehgal VN. Pigmented purpuric dermatoses: an overview. Int J Dermatol. 2004;43:482–488. - PubMed
    1. Hoesly FJ, Huerter CJ, Shehan JM. Purpura annularis telangiectodes of Majocchi: case report and review of the literature. Int J Dermatol. 2009;48:1129–1133. - PubMed
    1. Fathy H, Abdelgaber S. Treatment of pigmented purpuric dermatoses with narrowband UVB: a report of six cases. J Eur Acad Dermatol Venereol. 2011;25:603–606. - PubMed
    1. Burrows NP, Jones RR. Cell adhesion molecule expression in capillaritis. J Am Acad Dermatol. 1994;31:826. - PubMed
    1. Gudi VS, White MI. Progressive pigmented purpura (Schamberg's disease) responding to TL01 ultraviolet B therapy. Clin Exp Dermatol. 2004;29:683–684. - PubMed

Publication types

LinkOut - more resources