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Stellate spontaneous pseudoscars with senile purpura – A dermoscopic view
*Corresponding author: Resham Vasani, Department of Dermatology, Bhojani Clinic, Mumbai, Maharashtra, India. mailreshamvasani@gmail.com
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How to cite this article: Vasani R, Baddireddy K. Stellate spontaneous pseudoscars with senile purpura - A dermoscopic view. CosmoDerma. 2025;5:139. doi: 10.25259/CSDM_194_2025
A 61-year-old Indian female presented with asymptomatic white patches over both forearms for 1 year, concerned about vitiligo. Examination showed xerotic, minimally atrophic skin with multiple sharply demarcated, angulated, depressed hypopigmented macules on the extensor forearms, more on the right, along with irregular purpuric patches suggestive of senile purpura [Figure 1].
- Multiple well-defined, irregular, angulated hypopigmented depressed areas on the right extensor forearm. An ecchymotic patch is seen at the periphery of the uppermost lesion (black arrow), with a pink– red purpuric patch along the upper border of the distal lesion (blue arrow).
Dermoscopy revealed stellate hypopigmented scar-like areas with loss of pigment network, reddish-violaceous lacunae from extravasated blood, and background xerosis [Figure 2]. These findings confirm spontaneous pseudoscars with senile purpura, an age-related entity reflecting dermal atrophy and vascular fragility, distinct from vitiligo and true scarring.[1,2]
- Dermoscopy (Dermlite DL4; ×10, polarized mode) showing a stellate, white scar-like area (black arrow) with adjacent reddish lacunae corresponding to ecchymotic patches (blue arrow), over a background of accentuated skin markings and xerosis.
Ethical approval:
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Declaration of patient consent:
The authors certify that they have obtained all appropriate patient consent.
Conflicts of interest:
There are no conflicts of interest.
Use of artificial intelligence (AI)-assisted technology for manuscript preparation:
The authors confirm that there was no use of artificial intelligence (AI)-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.
Financial support and sponsorship: Nil.
References
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