MICHAEL E.MINGMD, MSCECARRIE ANN R.CUSACKMDDYSONSENAIT W.MDJACQUELINE M.JUNKINS-HOPKINSMDLIUVINCENTMDKARLA S.ROSENMANMD
A 59-year-old woman of Indian descent presented with a 6-month history of an increasing number of itchy hyperpigmented nodules on her trunk and limbs. The lesions were preceded by pruritus. Treatment with topical 0.05% clobetasone butyrate cream and oral cetirizine reduced the pruritus but did not affect the appearance of the lesions. The patient had a history of type 2 diabetes mellitus and hypertension. Ultrasonography showed that her liver was enlarged, with a fatty echo texture.
Chua SL, Kulkarni K, Saihan E. Hyperpigmented Keratotic Nodules—Quiz Case. Arch Dermatol. 2007;143(9):1201-1206. doi:10.1001/archderm.143.9.1201-a