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Journal of the American Academy of Dermatology
Volume 3, n° 6
pages 633-636 (décembre 1980)
Doi : 10.1016/S0190-9622(80)80080-6
Clinical and laboratory studies

Actinic comedonal plaque

Joseph S. Eastern, M.D., Sandy Martin, M.D. **
 From the Department of Dermatology, Baylor College of Medicine, Texas Medical Center, USA 


Solitary plaques developed on the sun-exposed and damaged skin of five elderly, fair-skinned individuals. The lesions, erythematous to bluish confluent nodules and plaques with a cribriform appearance and comedone-like structures, presented a distinctive histologic picture of dilated, keratin-filled follicles within a matrix of amorphous, damaged collagen. We believe these cases demonstrate a distinct entity within the realm of actinic dermatoses, for which the name “actinic comedonal plaque” seems appropriate.

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* Cost of color reproductions was paid by Stiefel Laboratories, Inc., Coral Gables, FL.
*** We express our appreciation to Theodore Rosen, M.D., and Edward M. Shapiro, M.D., for permitting the inclusion of Cases 4 and 5, respectively.

**  Dr. Martin is in private practice in Margate and Delray Beach, FL, USA

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