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Rapidly Enlarging, Violaceous Nodule on the Abdomen
Supriya Goyal, BA, BS;
Caroline P. McCall, MD;
Israel S. Eckman, MD
The Johns Hopkins University School of Medicine, Baltimore, Md
Arch Dermatol. 2001;137:495-500.
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REPORT OF A CASE
A 73-year-old white woman was referred for a 2-week history of a rapidly enlarging, pruritic, violaceous nodule on her abdomen. She was a long-standing heavy smoker with chronic obstructive pulmonary disease who had been diagnosed with nonsmall cell carcinoma of the lung 7 months earlier. Systemic workup at the time of diagnosis revealed no evidence of metastases, and chemotherapy and radiation therapy were initiated. The patient denied any fever, night sweats, weight loss, or other constitutional symptoms.
Physical examination revealed a well-defined, firm, 1.5 x 1.5-cm, violaceous, nontender dermal nodule on the right upper quadrant of the abdomen (Figure 1). No similar lesions were present elsewhere. No cervical or axillary lymphadenopathy was noted. On laboratory examination, the complete blood cell count and electrolyte, aminotransferase, alkaline phosphatase, bilirubin, and albumin levels were all within normal limits. A . . . [Full Text of this Article]
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