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Ryo Shibagaki, MD; Saburo Kishimoto, MD; Hideya Takenaka, MD; Hirokazu Yasuno, MD
From the Department of Dermatology, Kyoto Prefectural University of Medicine, Kyoto, Japan

Arch Dermatol. 1998;134:1193-1196.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

An 83-year-old Japanese man was referred to our clinic with a 3-year history of multiple cutaneous lesions on both feet, which had slowly increased in size and number. A physical examination revealed scattered blue-red papules up to 5 mm in diameter on both feet, mainly on the soles. The largest dome-shaped nodule (10 mm in diameter) was present on the ventral aspect of his right first toe. The inguinal lymph nodes were not palpable. Results of computed tomographic scanning showed no metastatic lesions in the liver or other abdominal organs. The results of laboratory studies were within normal limits, including urinalysis, CD4⁺ and CD8⁺ lymphocyte counts, and CD4/CD8 ratio. Serologic test results for human immunodeficiency virus (HIV) 1 and HIV-2 were negative. The patient had IgG antibodies to cytomegalovirus. He was otherwise healthy except for having hypertension, for . . . [Full Text of this Article]

THERAPEUTIC CHALLENGE

SOLUTION

COMMENT