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Images in Dermatology
December 4, 2019

Malignant Atrophic Papulosis

Author Affiliations
  • 1Department of Dermatology, University Hospital of Besançon, Besançon, France
  • 2Department of Internal Medicine, University Hospital of Besançon, Besançon, France
JAMA Dermatol. 2020;156(2):204. doi:10.1001/jamadermatol.2019.3726

A man in his 30s was hospitalized for multiple ulcerations of the digestive tract and general weakness from weight loss of more than 10%. He reported a 3-year history of diffuse, asymptomatic skin lesions. Physical examination revealed multiple plaques measuring approximately 1 cm with an atrophic porcelain-white center and an erythematous, telangiectatic rim (Figure 1). The lesions were localized mostly on the trunk (Figure 2) and upper extremities.

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