‘Butterfly’ Plaque of Antecubital Fossa: A Diagnostic Dilemma

Abstract

Dear Editor, The 20-year-old female, a farmer with no medical history or current medications, presented with a large discoid soft-tissue mass arising from the left antecubital fossa since childhood. It started as a pea-nut-sized verrucous swelling and slowly enlarged over the last one-and-a-half decades. She experienced occasional local itching but never had pain. There were no ulcerations, discharge, or similar lesions elsewhere. Her past and family histories were non contributory, and she could not recall any local trauma in the past. Primarily, inadequate elbow flexion and cosmetic disfigurement compelled her to seek medical consultation.

Keywords

• lichen planus
• pseudoepitheliomatous hyperplasia
• skin