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Diffuse Verrucous, Vascular Nodules on the Extremities and Trunk—Quiz Case
Josephine Nguyen, MD;
Barbara M. Egbert, MD;
Susan M. Swetter, MD
Stanford University Medical Center (Drs Nguyen and Swetter) and Veterans Affairs Palo Alto Health Care System (Drs Egbert and Swetter), Palo Alto, Calif
Arch Dermatol. 2004;140:353-358.
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REPORT OF A CASE
A 52-year-old Hispanic man presented with diffuse violaceous, hyperkeratotic papules, as well as vascular-appearing, verrucous nodules and plaques on his lower extremities. The lesions had developed over the preceding 25 years, mainly on his legs, but also on his abdomen, buttocks, and arms. The leg lesions began as erythematous to violaceous papules and enlarged into exophytic, verrucous nodules with frequent bleeding after minor trauma and chronic secondary bacterial impetigo. Prior cryotherapy, shave excison, and KTP laser removal were unsuccessful in preventing recurrence of the leg lesions. The patient denied ocular problems, fever, paresthesias, and neurologic and cardiac abnormalities, but his medical history was significant for hypertension, gout, sleep apnea, and obesity. His family history revealed no family members with similar cutaneous lesions.
Physical examination revealed hundreds of 2- to 5-mm hyperkeratotic, violaceous papules on the abdomen, buttocks, and arms . . . [Full Text of this Article]
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Diffuse Verrucous, Vascular Nodules on the Extremities and Trunk—Diagnosis
Arch Dermatol. 2004;140(3):353-358.
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