title: Discrete papular form of lichen myxedematosus: a case report and review of the literature.
abstract: The discrete papular form of lichen myxedematosus (LM) is a rare idiopathic skin disorder. We present a case of this type in an 80-year-old African American woman. She was treated with pimecrolimus cream, which resulted in symptomatic relief. To our knowledge, this is the first report of the discrete papular form of LM occurring in an African American, as well as the first report on the disorder's response to pimecrolimus therapy. We also review the English medical literature on this rare disease and examine and summarize the findings.
authors.affiliation: Marine Corps Air Station, Branch Medical Clinic, Beaufort, South Carolina, USA.
authors.forename: Daryl J
authors.initials: DJ
authors.lastname: Sulit
authors.forename: Robert
authors.initials: R
authors.lastname: Harford
authors.forename: Jennifer T
authors.initials: JT
authors.lastname: O'Neill
mesh_terms: D000287:Administration, Topical; D000368:Aged; D000369:Aged, 80 and over; D001707:Biopsy, Needle; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007150:Immunohistochemistry; D017512:Lichenoid Eruptions / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D017520:Mucinoses / Q000175:diagnosis / Q000473:pathology*; D009333:Neck; D012720:Severity of Illness Index; D016559:Tacrolimus / Q000031:analogs & derivatives* / Q000627:therapeutic use
chemical_list: C117268:pimecrolimus; D016559:Tacrolimus