DOI: 10.1097/01.dad.0000171603.71057.f0

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Issn Print: 0193-1091

Publication Date: 2005/08/01


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Firm Papules on Lower Extremities of 52-Year-Old Male

Gregory M Wolgamot; John E Olerud; Zsolt B Argenyi

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Excerpt

A52-year-old male presented with multiple papules. Biopsies were submitted for histologic examination (Figs. 1 and 2).
Figures 1 and 2: What is your differential diagnosis?
Clinical evaluation was significant for multiple firm papules that were not painful or pruritic, located on the bilateral knees, calves, and buttocks (Fig. 3). The papules had been present, but increasing in size, for several years, during which time the patient was undergoing treatment of non-Hodgkin lymphoma.
Figures 3 and 4: How do the clinical and electron microscopy findings affect your diagnosis? Are additional studies are indicated?
For the answer, please turn to page 347.
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