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February 1990

Papulonodular Lesions

Author Affiliations

Baylor College of Medicine, Houston, Tex

Arch Dermatol. 1990;126(2):235-236. doi:10.1001/archderm.1990.01670260105023

REPORT OF A CASE  A previously healthy 70-year-old man presented with a 3-month history of several asymptomatic, soft, papulonodular lesions on the tongue and the fingers of both hands. His medical history and a review of his systems were notable for occasional epistaxis and arthralgias.Physical examination revealed a 0.5 × 0.75-cm hyperpigmented papule on the right upper eyelid in addition to a 1.0-cm smooth nodule on the right side of the tongue, with a smaller lesion located distally (Fig 1). Minimal macroglossia was noted. Papules and nodules of various sizes were situated on the lateral aspects of the fingers (Fig 2). The rest of the physical examination was normal.Laboratory data included the following: hemoglobin, 132 g/L; hematocrit, 0.40; and white blood cell count, 5.5 × 109/L with a normal differential. Urinalysis yielded 2+ protein, 4 to 10 red blood cells per high-power field, and 41 to 60 white

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