Abstract

Acquired perforating dermatosis (APD) is an uncommon condition typically associated with diabetes mellitus and chronic kidney disease in adults on dialysis. Pediatric cases are rare. We report a 9-year-old girl with type 1 diabetes and chronic kidney disease on dialysis who developed pruritic papules on the shins. Clinical examination, dermoscopy and histopathology confirmed the diagnosis of APD. The patient improved with phototherapy and topical corticosteroids. This case highlights the need to consider APD in children with systemic comorbidities, the usefulness of dermoscopy in differentiating it from other papular dermatoses, and the role of supportive treatment to achieve symptomatic control.

Keywords

perforating dermatosis, pediatric, kidney disease, brownish papules, glucocorticoids