Table of Content

Archive

Spring 2004, Vol. 12 No. 1

H.K. Dermatol. Venereol. Bull. (2004) 12, 24-27


Case Report

A lady with recurrent itchy papules: eczematid-like purpura of Doucas and Kapetanakis

PT Chan 陳寶德, WYM Tang 鄧旭明, WY Lam 林永賢

Abstract
A 30-year-old lady with recurrent pruritic non-blanchable erythematous papules over the extremities was presented. Skin biopsy confirmed the clinical impression of eczematid-like purpura of Doucas and Kapetanakis. Her skin lesions ran a recurrent course despite oral antihistamines and topical steroids. Phototherapy only produced transient improvement. Topical tacrolimus was given as a therapeutic trial resulted in good control. To the authors' knowledge, this was the first report of the use of topical tacrolimus in the management of pigmented purpuric dermatitis.