Poikiloderma Vasculare Atrophicans: Report of A Case of Long Duration

We present the case of a 70-year-old woman with poikiloderma vasculare atrophicans (PVA), which demonstrated a benign course over 35 years, raising questions about its classification as early-stage mycosis fungoides (MF) or as a distinct entity. Despite receiving no treatment, the patient’s condition remained stable, with characteristic erythematous papules observed on clinical examination. Histopathological and immunohistochemical analyses supported the diagnosis, emphasizing the importance of longitudinal studies and patient preferences in treatment decisions for PVA.