A figurate papulosquamous variant of inflammatory vitiligo

The classic description of inflammatory vitiligo is an erythematous rim at the periphery of a patch of hypopigmented or depigmented skin. The histolog ical correlate is a superficial perivascular infiltrate of mononuclear cell s. However, we observed a 61-year-old patient with inflammatory vitiligo wh o had thin solid pink scaly plaques as well as serpiginous lesions with fin e scale. Histologically, a lichenoid infiltrate was seen as was a thickened stratum corneum with parakeratosis. In a review of the literature, scatter ed case reports of similar findings were identified, either in the Japanese and French literature or from over 25 years ago. The clinical and histolog ical spectrum of inflammatory vitiligo should be expanded to include solid and annular papulosquamous plaques as well as lichenoid infiltrates with ex ocytosis. Copyright (C) 2000 S. Karger AG,Basel.