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Multiple Papules on the Legs of a Woman
Pairote Laochumroonvorapong, MD, PhD;
Lenora Felderman, MD
New York Presbyterian Hospital, New York–Weill Cornell Center,
New York, NY
Arch Dermatol. 2002;138:973-978.
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REPORT OF A CASE
A 49-year-old woman who had been diagnosed 7 months earlier as having
Crohn disease presented with a 6-week history of multiple lesions on both
legs. She had been treated with bacitracin ointment, without improvement.
She had no history of trauma, and she denied having symptoms in association
with the lesions. Her medical history was significant for cholelithiasis status
postcholecystectomy 2 years earlier. Her medications at the time of presentation
included oral dexamethasone (3 mg/d), oral mesalamine (3600 mg/d), oral lansoprazole
(30 mg/d), oral citalopram (30 mg/d), oral multivitamins, and birth control
pills.
On physical examination, several erythematous, nontender papules were
noted on the patient's legs. The largest papule measured approximately 1 cm
in diameter. Several papules had a central pustule, while others demonstrated
central crusting (Figure 1). A punch
biopsy specimen was obtained from a representative lesion and sent for pathologic
. . . [Full Text of this Article]
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