title: Granulomatous pigmented purpuric dermatosis.
abstract: We report two cases of brown pigmentation accompanied by hemorrhagic papules. A 61-year-old woman and a 53-year-old woman presented with brown pigmentation accompanied with hemorrhagic papules occurring bilaterally from the dorsal aspect of the feet to the lower legs. The clinical picture was of pigmented purpuric dermatosis, but histopathologically, they were hemorrhagic granulomatous inflammation of the upper dermis. As no systemic granulomatous lesions were observed, these cases were considered to be granulomatous pigmented purpuric dermatosis.
authors.affiliation: Second Department of Dermatology, Toho University School of Medicine, Tokyo, Japan.
authors.forename: R
authors.initials: R
authors.lastname: Saito
authors.forename: Y
authors.initials: Y
authors.lastname: Matsuoka
mesh_terms: D002908:Chronic Disease; D003937:Diagnosis, Differential; D005260:Female; D005533:Foot Dermatoses / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D006801:Humans; D017495:Hyperpigmentation / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D008875:Middle Aged; D011693:Purpura / Q000150:complications / Q000473:pathology* / Q000503:physiopathology; D012882:Skin Tests