“…OALM as an entity was first described in 2006 by Tokuda et al 3 Its pathophysiology remains unknown, although it has been proposed that the accumulation of lymph in the dermal interstice leads to a decreased tissue oxygenation and stimulates the synthesis of mucopolysaccharides, with their consequent deposition. 1,4 It is characterized by the onset of soft consistency, skin-or erythematous-colored papules, with smooth surface, on the lower limbs, as in the presented case. Its mentioned histopathological findings, along with the absence of thyroid disease, can provide the diagnosis and allow its recognition among other forms of mucinoses.…”