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Clinical Problem Solving: Pathology
October 18, 2010

Pathology Quiz Case 2

Author Affiliations
 

JULIA C.IEZZONIMD

Arch Otolaryngol Head Neck Surg. 2010;136(10):1038. doi:10.1001/archoto.2010.164-a

A 78-year-old man with myelodysplastic syndrome presented with multiple asymptomatic indurated nodules localized to the submental region. There were accompanying recurrent and episodic fevers (temperatures, >38°C). He denied any other symptoms and reported no history of trauma to the area. Physical examination revealed multiple nontender, small, well-demarcated, nodular erythematous to violaceous cutaneous lesions spanning the submental region. An excisional biopsy of the skin and subcutaneous tissue was performed in the operating room.

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