October 1997

An Unusual Granulomatous Disease in the Elderly

Author Affiliations

University of South Florida College of Medicine, Tampa

Arch Dermatol. 1997;133(10):1305-1306. doi:10.1001/archderm.1997.03890460129018

REPORT OF A CASE  A 67-year-old white man presented to the Medical Clinics of the University of South Florida College of Medicine, Tampa, complaining of a 20-year history of a progressive skin eruption that had recently become symptomatic. The lesions, consisting of nodules and plaques, appeared initially on his trunk and then progressively spread to involve his extremities and eyelids. The individual lesions gradually increased in size, and some developed atrophic centers. They were asymptomatic until several months before he presented to us, when he noticed painful ulcerations within a large plaque on the anterior aspect of his left shin. He denied fever, chills, nightsweats, arthralgias, weight loss, and appetite change. His medical history was insignificant, and he did not have diabetes mellitus.The physical examination revealed multiple, indurated, yellowish to reddish-brown papules, nodules, and plaques, varying in size from a few millimeters to several centimeters in diameter, on

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