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Cyndi Yag-Howard, MD; Philip D. Shenefelt, MD, MS
University of South Florida College of Medicine, Tampa

Arch Dermatol. 1998;134:231-236.

	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

A 47-year-old woman presented with multiple asymptomatic papules on her arms and back. She reported that the initial lesions had started 11 months earlier on the distal aspect of her upper extremities. Subsequently, many more lesions developed on her arms before lesions began to appear on her torso. Her personal and family histories were unremarkable. She complained of a 6-month history of diarrhea and a weight loss of 14.5 kg over the past 11 months. She attributed the weight loss to a pending divorce. The patient was 163 cm tall and weighed 36 kg.

Physical examination revealed multiple disseminated papules located predominantly on the arms and back. The papules were pink peripherally, with white, depressed centers (Figure 1). The patient was obviously cachectic and exhibited abdominal guarding. The patient's stool sample was negative for occult blood.

Figure 1.

Several biopsy . . . [Full Text of this Article]

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