Localized cutaneous argyria from an acupuncture needle clinically concerning for metastatic melanoma.

Abstract:

:Localized cutaneous argyria presenting as an asymptomatic blue-gray macule has been rarely reported from diverse etiologies including occupational exposures, topical medications, alternative medical therapies, body jewelry, and dental procedures (amalgam tattoos). The lesions often are clinically indistinguishable from blue nevi and malignant melanoma. We present a case of localized cutaneous argyria from an acupuncture needle in a patient with a history of malignant melanoma. Fine granules of nonbleachable dark particles coating collagen and elastin fibers, altered yellow-brown collagen bundles similar to ochronosis, and involvement of eccrine structures were histologically consistent with the pseudo-ochronosis pattern of localized cutaneous argyria, demonstrating that clinicopathologic correlation is of crucial importance.

journal_name

Cutis

journal_title

Cutis

authors

Rackoff EM,Benbenisty KM,Maize JC,Maize JC Jr

subject

Has Abstract

pub_date

2007-11-01 00:00:00

pages

423-6

issue

5

eissn

0011-4162

issn

2326-6929

journal_volume

80

pub_type

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