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Perforating Papules in Chronic Renal Failure
Thomas J. Enelow, MD;
Wilber Huang, MD;
Carmen M. Williams, MD
George Washington University, Washington, DC
Arch Dermatol. 1998;134:97-102.
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REPORT OF A CASE
A 27-year-old, human immunodeficiency virus–negative white man with an 8-year history of Wegener granulomatosis underwent a frontal sinus biopsy after severe recurrent nose bleeding. The patient's condition remained stable on a regimen of cyclophosphamide and prednisone for approximately 2 years until laboratory tests revealed that his serum urea nitrogen and creatinine levels were elevated; the results of a renal biopsy confirmed a diagnosis of Wegener granulomatosis. Peritoneal dialysis was subsequently initiated 2 years before the patient presented with a skin eruption. Other significant medical history included arthritis, hypertension, anemia due to chronic renal failure and chronic disease, cytomegalovirus colitis, herpes zoster infection with associated encephalitis, and testicular leiomyoma.
The patient presented to the dermatology clinic with a 10-month history of grouped, erythematous, tan to white papules and nodules 5 to 25 mm in diameter scattered over his chest and . . . [Full Text of this Article]
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