Acquired brachial cutaneous dyschromatosis is an acquired pigmentary disorder that has been described in only 20 patients but\nlikely affects many more. This case of a man with acquired brachial cutaneous dyschromatosis is unique as most reports are in\nwomen.We report the case of a 60-year-old male who presents with an asymptomatic eruption characterized by hyperpigmented\nand telangiectatic macules coalescing into patches on the bilateral extensor aspects of the forearms which is consistent clinically\nand histopathologically with acquired brachial cutaneous dyschromatosis. Given its presence in patients with clinical evidence of\nchronic sun exposure and its histopathological finding of solar elastosis, acquired brachial cutaneous dyschromatosis is likely a\ndisorder caused by cumulative UV damage. However, a possible association between angiotensin-converting enzyme inhibitors\nand acquired brachial cutaneous dyschromatosis exists. Further investigation is needed to elucidate both the pathogenesis of\nthe disorder and forms of effective management. Treatment of the disorder should begin with current established treatments for\ndisorders of dyspigmentation.
Loading....