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Samuel L. Gettler, BA; Maxwell A. Fung, MD
University of Connecticut School of Medicine, Farmington

Arch Dermatol. 2001;137:957-962.

	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 52-year-old man presented with a 3-week history of progressive, persistent, pruritic plaques that began on the posterior aspect of his right arm and subsequently developed on his left arm. Treatment with cephalexin and cetirizine was ineffective.

Two weeks prior to the development of the plaques, the patient was hospitalized with a 3-month history of abdominal pain. Admission laboratory findings revealed elevated alanine transaminase, aspartate transaminase, and alkaline phosphatase levels as well as increased prothrombin time. The patient underwent laparoscopic cholecystectomy for acute cholecystitis. Because of the increase in liver enzyme levels and abdominal pain, he received 7 subcutaneous injections (10 mg each) of phytonadione in the forearm and deltoid muscle as well as intramuscular injections of meperidine. His family history was significant for type 2 diabetes mellitus.

Physical examination revealed indurated, well-demarcated red plaques with a dusky center and yellow hue, . . . [Full Text of this Article]

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