Localised lichen myxedematosus: an infrequent entity

Lichen Myxedematosus (LM) is seen within the spectrum of primary cutaneous mucinoses. Primary cutaneous mucinoses is a heterogeneous group of skin disorders characterized by abnormal dermal deposition of mucin. Here, we present a case of a 35-year-old individual with pruritic skin-colored to hyperpigmented discrete papules. These papules were distributed over the neck, upper trunk, lower back, scalp, and forearms, arranged in a rippled pattern for the past 3 months. Various investigations, including hemogram, serum biochemistry, thyroid profile, lipid profile, viral markers, serum electrophoresis, and histopathological examination, were conducted. Based on history and thorough examination, the case was diagnosed as lichen Myxedematosus (papular variant). The patient received treatment with topical steroids and systemic antihistamines, showing moderate improvement.