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February 1989

Diffuse, Ulcerating Plaques and Nodules

Author Affiliations

The University of Texas Health Science Center at San Antonio

Arch Dermatol. 1989;125(2):287-288. doi:10.1001/archderm.1989.01670140139028

REPORT OF A CASE  A 63-year-old man presented with a one-year history of cutaneous lesions that had progressively increased in size and number. They initially appeared on his abdomen and then spread to his upper trunk, neck, face, and arms. The lesions, beginning as small papules, enlarged over several months to form plaques or nodules, some of which ulcerated and slowly healed with atrophy and scarring. The patient had noted easy fatigability and a 9-kg weight loss over the preceding four months.Physical examination revealed a rather thin, pale man with approximately 100 papules, plaques, and nodules on his abdomen, chest, back, neck, arms, and face. The lesions were yellow-brown and most had a faint rim of erythema. A few were ulcerated, while others were so deep that they were more palpable than visible (Figs 1 through 3). The remaining physical examination was remarkable only for a massively enlarged spleen.