André C. de Figueiredo, Departamento de Dermatologia, Fundação de Medicina Tropical Heitor Vieira Dourado, Manaus, Brazil Rosilene Viana-de Andrade, Departamento de Dermatologia, Fundação de Medicina Tropical Heitor Vieira Dourado, Manaus, Brazil Virginia V. Figueiras, Departamento de Dermatologia, Fundação de Medicina Tropical Heitor Vieira Dourado, Manaus, Brazil Rima de S. Raad, Departamento de Dermatologia, Fundação de Medicina Tropical Heitor Vieira Dourado, Manaus, Brazil
A 44-year-old female patient, from Tapauá, Amazonas, was observed with a scaly nodular plaque with an irregular erythematous-brownish surface and meliceric crusts, extending over the entire lower region of the left buttock. It was present since she was 19 years old (Fig. 1).