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Diffuse Painless Ulcerations
Fernando Gallardo Hernández, MD;
Jaime Notario Rosa, MD;
Anna Jucglà Serra, MD;
Jordi Peyri Rey, MD
Ciutat Sanitària i Universitària de Bellvitge, Barcelona, Spain
Arch Dermatol. 1999;135:983-988.
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REPORT OF A CASE
A 62-year-old man presented with a 3-month history of severe, ulcerating skin lesions over the extremities. Painless violaceous macules, livedo, and occasional bullae gave rise to ulcerations after a few weeks. The lower extremities were predominantly involved, with spontaneous amputation of some necrotic digits. The lesions extended proximally over the buttocks. The patient had a 4- to 5-year history of frequent painless traumatic wounds that healed after 2 to 3 weeks, leaving atrophic scars. The patient also noted progressive thickening of the skin, with loss of body hair, especially the eyebrows. Physical examination revealed a chronically ill man with waxy diffuse skin infiltration and a total loss of body hair. Numerous angular ulcerations were located over the extremities (Figure 1) and surrounded by a livedoid pattern. The findings of the rest of . . . [Full Text of this Article]
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