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June 1987

Asymptomatic Nodules on the Back and Abdomen

Author Affiliations

University of Maryland School of Medicine, Baltimore

Arch Dermatol. 1987;123(6):813-814. doi:10.1001/archderm.1987.01660300135027

REPORT OF A CASE  A healthy 22-year-old woman had developed asymptomatic nodules on the upper part of her back at the age of 12 years. Over the following ten years, she continued to develop new lesions on her back and lower part of her abdomen. She denied previous skin eruptions or trauma to the areas where the nodules developed. Her family had no history of skin abnormalities.Physical examination demonstrated multiple firm, flesh-colored, slightly erythematous, oval and round plaques and nodules, 0.5 to 3 cm in diameter, distributed on the patient's back and anterior aspect of the abdomen (Fig 1). The lesions were movable with the skin and had a flat or dome-shaped configuration. The surface of some lesions showed a peau d'orange appearance (Fig 2).Results of laboratory studies, which consisted of a complete blood cell count, liver and renal function tests, and radiologie examinations of the feet and

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