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Hypopigmented Papules and Nodules on the Trunk and ArmsQuiz Case
Debra M. Jih, MD;
Stephen C. Somach, MD
MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio
Arch Dermatol. 2004;140:121-126.
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REPORT OF A CASE
A 32-year-old black man with a history of hypertension and a 4-year history of discoid lupus erythematosus (LE) of the face, scalp, and ears presented with a 2-month history of an asymptomatic papular eruption on his trunk and arms. He also complained of a 4-month history of fatigue, arthralgias, and numbness in his fingers. His medications included enalapril maleate, hydroxychloroquine sulfate, and clobetasol propionate ointment. Physical examination revealed scattered hypopigmented, firm, smooth, papules and nodules on his upper chest area, back, and arms (Figure 1). A biopsy specimen of a lesion was stained with hematoxylin-eosin (Figure 2).
Figure appears in full text version.
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Figure appears in full text version.
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What is your diagnosis?
SECTION EDITOR: MICHAEL E. MING, MD
RELATED ARTICLE
Hypopigmented Papules and Nodules on the Trunk and ArmsDiagnosis
Arch Dermatol. 2004;140(1):121-126.
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