To the Editor.—
I wish to report a new disease associated with Mees' lines. The patient is a 67-year-old white woman with a history of warm-reacting antibody immunohemolytic anemia diagnosed in 1986. At the time of presentation, her evaluation for associated diseases included a chest roentgenogram without evidence of masses or hilar adenopathy, a computed tomographic scan of the pelvis and abdomen that revealed no retroperitoneal or pelvic adenopathy or masses, and an upper gastrointestinal tract series that revealed a sliding hiatal hernia with a normal smallbowel follow through. The patient had no clinical criteria for rheumatoid arthritis, systemic lupus erythematosus, or systemic sclerosis, and had a negative rheumatoid factor and an antinuclear antibody test result that was weakly positive at 1:40. The peripheral blood smear revealed spherocytosis without abnormal white blood cell lines, and an examination of the bone marrow was consistent with erythroid hyperplasia. Results of a complete
Marino MT. Mees' Lines. Arch Dermatol. 1990;126(6):827–828. doi:10.1001/archderm.1990.01670300127025
Customize your JAMA Network experience by selecting one or more topics from the list below.