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JAMA Dermatology Clinicopathological Challenge
May 27, 2020

Asymptomatic Green-Gray Nodules on the Chest

Author Affiliations
  • 1Medical student, College of Medicine, The Ohio State University Wexner Medical Center, Columbus
  • 2Division of Dermatology, Department of Internal Medicine, The Ohio State University Wexner Medical Center, Columbus
  • 3Department of Pathology, The Ohio State University Wexner Medical Center, Columbus
JAMA Dermatol. Published online May 27, 2020. doi:10.1001/jamadermatol.2020.1313

A man in his 60s presented for evaluation of asymptomatic skin lesions on the chest that had been stable since onset 4 months prior. His medical history was significant for hyperlipidemia, familial polyposis, and acute myelogenous leukemia (AML) for which he had undergone an allogenic hematopoietic stem cell transplant 13 months earlier. Cutaneous examination revealed green-gray nodules and plaques on the left and right upper chest (Figure 1). Bilateral cervical, axillary, and inguinal lymph node chains were negative for adenopathy. The patient had not attempted measures to alleviate the nodules and denied experiencing exacerbating factors or pain. Biopsies of the skin lesions were performed.

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