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Off-Center Fold
December 2005

Bluish Nodules on the Trunk and Arms—Diagnosis

Arch Dermatol. 2005;141(12):1595-1600. doi:10.1001/archderm.141.12.1595-g

The skin biopsy specimen revealed irregular vascular spaces and anastomoses surrounded by a proliferation of glomus cells, which have an eosinophilic cytoplasm, rounded or sometimes pleomorphic nuclei with dense chromatin, and some evident nucleoli. The findings of a complete blood cell count, liver function tests, a fecal occult blood test, and upper gastrointestinal endoscopy were normal. Ultrasonography and computed tomography of the patient’s abdomen revealed a hepatic cyst in the right lobe. The painful lesions and the hepatic cyst were surgically excised. The procedures reduced the patient’s abdominal pain and improved her quality of life.