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Warty Nodules on an Annular Plaque in a Renal Transplant RecipientQuiz Case
Colin T. S. Theng, MRCP(UK);
Gil Yosipovitch, MD
National Skin Centre, Singapore
Arch Dermatol. 2004;140:121-126.
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REPORT OF A CASE
A 50-year-old Chinese man who had undergone renal transplantation 4 years earlier and who was currently taking oral cyclosporine (210 mg/d), azathioprine (50 mg/d), and prednisolone (10 mg/d) presented with a 1 -year history of a lesion on his left shin. It had started as a small patch and had gradually increased in size. It was neither itchy nor painful. He also noticed 3 asymptomatic nodules that had appeared over the initial patch and had gradually increased in size over the past 8 months.
Physical examination revealed a 7-cm dry, scaly, annular plaque over the left shin. There were 3 warty, hyperkeratotic nodules arising from the scaly plaque (Figure 1). Biopsy specimens were obtained from the edge of the plaque (Figure 2) and from the nodule (Figure 3).
Figure appears in full text version.
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Warty Nodules on an Annular Plaque in a Renal Transplant RecipientDiagnosis
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