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December 1992

Multiple Ulcers in an Elderly Man

Author Affiliations

Safdarjang Hospital, New Delhi, India

Arch Dermatol. 1992;128(12):1643-1648. doi:10.1001/archderm.1992.04530010081013

REPORT OF A CASE  A 57-year-old man under surgical care for multiple ulcers resulting from abscesses was referred to the dermatology department as facial nodules developed (Fig 1). He was receiving oral antibiotics, although no organisms were cultured. The condition commenced a month earlier with fever and chills, followed a few days later by red nodules on his face, trunk, and extremities. The nodules had rapidly increased in size and ruptured, leaving large denuded areas. There was no history of diabetes, hypertension, or any other chronic disease. Family history was not contributory. Four years ago, he had tingling and numbness in his limbs but did not receive therapy, as his problems did not affect his living a normal life. At examination, the patient was febrile (38°C) and anemic. He had edema of the hands, feet, and lower legs. Cutaneous examination revealed ulcers of varying sizes located mainly on the face,