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Crusted Scarring Plaques on the Upper Part of the Back
Niamh Flanagan, MB, MRCPI;
David Kane, MB, MRCPI;
Eamonn Sweeney, MA, MD, FRCPI, FRCPath;
Fiona Mulcahy, MD, FRCPI;
Louise Barnes, MB, FRCPI
St James's Hospital, Dublin, Ireland
Arch Dermatol. 1998;134:365-370.
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REPORT OF A CASE
A 74-year-old white man presented for evaluation of a pruritic eruption on his back. The lesions first appeared 5 months earlier and had spread to his shoulders and upper arms. He reported that a number of the lesions had healed, with scarring, while others had enlarged and become ulcerated.
Physical examination revealed a number of well-circumscribed, nontender, erythematous, violaceous papules, nodules, and nodulo-ulcerative lesions on the patient's back and shoulders (Figure 1). There were also a number of scaly erythematous plaques, some with prominent crusting and others with superficial ulceration, and depressed, atrophic, hypopigmented scars. The lesions ranged from 0.5 to 3 cm in diameter. The findings of the physical examination were otherwise unremarkable. In particular, there was no lymphadenopathy or mucous membrane abnormality. A 4-mm . . . [Full Text of this Article]
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