Abstract

Acroangiodermatitis (AAD) of Mali is an uncommon benign chronic dermatosis, commonly associated with chronic venous insufficiency in elderly and stasis dermatitis, presenting as violaceous macules, patches progressing slowly to become soft, non-tender, papules, nodules or indurated plaques often involving bilateral lower extremity. These lesions closely mimic common conditions like stasis dermatitis, lipodermatosclerosis as well as more serious ones like Kaposi’s sarcoma. Histopathology as well as immunohistochemistry is often cornerstone in diagnosis. Ours was a young patient of acquired aplastic anaemia presenting with multiple well defined hyperpigmented, violaceous to dusky colour patches and plaques over the bilateral legs lacking clinically obvious varicosities, which on biopsy and immunohistochemistry turned out to be AAD of Mali

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