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A 2-year-old Japanese girl had a past history of eczema on the whole body which had been well controlled with mild corticosteroid ointment. She developed an asymptomatic papular lesion on her right wrist, and visited our outpatient clinic. The lesion was composed of linearly arranged, deep red-coloured, papules varying in size from 1mm to 4mm, and coalesced, on the dorsal site of the right wrist (Fig. 1). There were no similar lesions on other sites of the body. Under a provisional clinical diagnosis of epidermal nevus, the papular lesion was followed-up for 4 years, without therapy, and showed almost no change in clinical appearance. The lesion was surgically removed. Histologically, the epidermis was  attened in most parts of the lesion, covering a well circumscribed, dense cell in ltrate of massive mononuclear cells, con ned to the super cial through mid-dermis (Fig. 2A). The epidermis showed hydropic degeneration of the basal cell layer with the cell in ltration (Fig. 2B), and focal

Acral Pseudolymphomatous Angiokeratoma of Children: a Case with a Lesion on the Wrist