A rare case of granulomatous slack skin with scarce multinucleated giant cells




Laísa E. de-Hollanda, Divison of Pediatric Dermatology, Hospital Universitário Getúlio Vargas, Manaus, Brazil Carolina Souza-de Oliveira, Divison Dermatology, Hospital Universitário Getúlio Vargas, Manaus, Brazil Isabella C. Mendes-Alexandre, Division of Dermatology, Hospital Universitário Getúlio Vargas, Manaus, Brazil Rebeca de O. Alves-Melo-Martins, Department of Dermatology, Hospital Universitário Getúlio Vargas, Manaus, AM, Brasil Rebeca de O. Alves-Melo-Martins, Department of Dermatology, Hospital Universitário Getúlio Vargas, Manaus, AM, Brasil Vanessa R. Ferreira, Divison of Dermatology, Hospital Universitário Getúlio Vargas, Manaus, Brazil Monique F. Santana, Department of Pathology, Hospital Universitário Getúlio Vargas, Manaus, AM, Brasil Silvana de A. Damasceno-Ferreira, Department of Pathology, Fundação Hospitalar de Dermatologia Tropical e Venereologia Alfredo da Matta. Manaus, AM, Brasil Luciana Mendes-dos Santos, Department of Dermatology, Fundação de Medicina Tropical Dr. Heitor Vieira Dourado (FMT-HVD), Manaus, Brazil


A previously healthy 23-year-old woman was observed with erythematous and infiltrated plaques associated with significant skin flaccidity forming a pendulous skin fold in the right armpit and a brown macular pigmentation with mild skin flaccidity in the left armpit (Fig. 1). Lesions were asymptomatic and had a 2-year evolution.