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March 2010

Large Nodular Plaque on Leg in the Setting of Chronic Lymphedema—Quiz Case

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Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Dermatol. 2010;146(3):337-342. doi:10.1001/archdermatol.2010.6-a

A 29-year-old man with chronic lymphedema in the left lower extremity for 8 years presented with an enlarging and ulcerated nodular plaque on his left leg. The lesion had started out as a bruise, then progressively enlarged and ulcerated over 4 months. He went to many physicians during this time and was tested and/or treated for possible infection, deep vein thrombosis, vasculitis, anda torn muscle. The patient's family history was remarkable in that his mother and sister both have chronic bilateral lymphedema.

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