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Soft Papules and Nodules on the Buttock—Quiz Case
Marlyanne M. Pol-Rodriguez, MD;
Kristin M. Nord, MD;
Danielle E. Engler, MD
The Permanente Medical Group, Oakland, California (Dr Pol-Rodriguez), and Columbia University Medical Center, New York, New York (Drs Nord and Engler)
Arch Dermatol. 2007;143(12):1583-1588.
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REPORT OF A CASE
A 24-year-old healthy African American woman presented with a 10-year history of "growths" on her right buttock that had started as a single lump over the sacrum. Over time, new lesions developed and increased in size, but after 5 years, the masses stopped growing and changing. There was no family history of similar lesions.
Physical examination revealed multiple soft, sessile, skin-colored to hyperpigmented grouped papules and nodules coalescing into plaques over a 16 x 10-cm area of the sacrum and right buttock (Figure 1). The plaques had a wrinkled, cerebriform surface. Two nodules were excised for histologic evaluation (Figure 2 and Figure 3).
Figure appears in full text version.
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What is your diagnosis?
SECTION EDITOR: MICHAEL E. MING, MD, MSCE; ASSISTANT SECTION EDITORS: CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; JACQUELINE M. JUNKINS-HOPKINS, MD; VINCENT LIU, MD; KARLA S. ROSENMAN, MD
RELATED ARTICLE
Soft Papules and Nodules on the Buttock—Diagnosis
Arch Dermatol. 2007;143(12):1583-1588.
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