title: Treatment of acral persistent papular mucinosis with electrocoagulation.
abstract: BACKGROUND
  Acral persistent papular mucinosis is a rare localized form of lichen myxedematosus with few case reports and no documented therapeutic options.
  
  
  OBJECTIVE
  To report full resolution of acral persistent papular mucinosis after electrocoagulation.
  
  
  METHODS
  Case report of a 51-year-old white female diagnosed with an acral persistent papular mucinosis. The clinical and histopathologic features, treatment provided, and response to treatment are detailed.
  
  
  RESULTS
  Acral persistent papular mucinosis presented as multiple asymptomatic normochromic papules on the wrists. Treatment with topical and intralesional steroids was unsatisfactory. Gentle electrocoagulation led to complete resolution of the lesions and negligible scarring. The favorable results remained for 6 months of follow-up, and no new lesions have emerged.
  
  
  CONCLUSIONS
  Our case of acral persistent papular mucinosis was successfully treated with electrocoagulation and long-lasting, excellent cosmetic results.
authors.affiliation: Department of Dermatology, Sao Paulo State University, Botucatu, Brazil.
authors.forename: Flávia
authors.initials: F
authors.lastname: André Jorge
authors.forename: Tatiana
authors.initials: T
authors.lastname: Mimura Cortez
authors.forename: Fabiana
authors.initials: F
authors.lastname: Guadalini Mendes
authors.forename: Mariângela
authors.initials: M
authors.lastname: Esther Alencar Marques
authors.forename: Hélio
authors.initials: H
authors.lastname: Amante Miot
mesh_terms: D004564:Electrocoagulation / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017520:Mucinoses / Q000601:surgery*; D017444:Skin Diseases, Papulosquamous / Q000601:surgery*; D014953:Wrist