Becker's nevus with ipsilateral breast hypoplasia.

202 On investigation, routine blood, urine examination and biochemical parameters were normal. Erythrocyte sedimentation rate (ESR) was 50 mm at first hour. Blood VDRL test was reactive (1:64). Cerebro spinal fluid VDRL test was non-reactive. CD4 cell count was 271 cells/mm3. Other investigations were normal. Skin biopsy and histopathology revealed endarteritis obliterans and few granulomas. Because dark ground illumination (DGI) microscopy and Treponema pallidum haemagglutination test (TPHA) or Microhaemagglutination-Treponema pallidum test (MHATP) were not available at our institute, these were not performed. The patient was treated with injection Benzathine penicillin, 24 lac units, deep intramuscular, once a week for 3 weeks. Within 1 month, the skin lesions completely healed with postinflammatory hyperpigmentation and the blood VDRL titer came down to 1:16 at the end of 3 months.