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March 1988

Reddish-Brown Macules With Telangiectasia and Pruritus

Author Affiliations

Ohio State University, Columbus

Arch Dermatol. 1988;124(3):431-432. doi:10.1001/archderm.1988.01670030097031

REPORT OF A CASE  A 75-year-old woman was referred to the dermatology clinic for evaluation of a pruritic rash, involving the face, trunk, and proximal extremities, that had been present for ten years. There were also complaints of periodic nausea, vomiting, diarrhea, and abdominal pain. She denied ever having peptic ulcer disease, melena, hematochezia, or a bleeding disorder. There was a history of dizziness on standing, but no episodes of flushing, palpitations, or syncope. There were no complaints of joint or bone pain.Physical examination revealed reddish-brown macules with prominent telangiectasia involving the face along the mandible, neck, trunk, and proximal extremities (Figs 1 and 2). The lesions blanched with diascopy and urticated on stroking (Darier's sign). There was no organomegaly and no bone pain on palpation. The rest of the physical examination was normal. Results of a complete blood cell count were normal, but her red blood cells were

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