SUNSCREEN AS AN ADJUVANT ...

A 41-year-old female patient presented to the department with a four-year-old pink-brown plaque on her nose and cheek that had lasted for 4 years. With topical steroids, there had been no improvement. There was one. There was nothing noteworthy in her own or her family history. During her dermatological examination, a 165 cm pink-brown plaque was discovered across her nose extending from the dorsum to the left malar region (Figure 1) Systemic and oral mucosa examinations were normal. Antinuclear antibody (ANA) was negative, and the standard hemogram and biochemical assays were normal. The epidermis was normal in histological examination of biopsy, material collected from the lesion, and a marked grenz zone was seen in the papillary dermis. Histopathological findings were consistent with GF and demonstrated a mixed infiltration of lymphocytes, histiocytes, eosinophils, polymorphonuclear leukocytes, plasmocytes, and mast cells in the papillary and reticular dermis (1). Polymorphonuclear leukocytes were also found in the artery walls, as well as enlargement of the endothelium, nuclear debris, and leukocytoclastic vasculitis with fibrin accumulation.