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January 1993


Author Affiliations

Hahnemann University, Philadelphia, Pa

Arch Dermatol. 1993;129(1):109-110. doi:10.1001/archderm.1993.01680220123029

REPORT OF A CASE  A 29-year-old Hispanic woman saw an erythematous papule on her left arm in July 1989, 9 months before presenting to the dermatology clinic. Additional lesions, which appeared on both arms, were seen in November. These lesions evolved from erythematous papules to soft, flesh-colored plaques. These continued to appear despite the use of an unknown topical preparation prescribed by a family physician. The patient's history was unremarkable for dermatologic disease, but she had undergone follow-up for hypertension and proteinuria since early 1989. In May 1989, a needle biopsy specimen of the left kidney was obtained. The specimen was interpreted as intrarenal arteriosclerosis and was also consistent with focal segmental sclerosis, possibly secondary to IgM nephropathy. The patient's mother had chronic renal failure secondary to IgA nephropathy and underwent hemodialysis. No family members had any cutaneous disorders. The only medication used by the patient was atenolol (50 mg/d)

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