
Multiple Painless Papules on the Wrists—Quiz Case
Elizabeth L. Callaly, MRCPI;
Niall Mulligan, FCAP;
Frank C. Powell, FRCPI, FRCP(Edin)
Mater Misericordiae Hospital, Dublin, Ireland
Arch Dermatol. 2007;143(6):791-796.
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REPORT OF A CASE
A 51-year-old woman presented with a 5-year history of a progressive eruption of asymptomatic papules on the dorsal aspect of her hands and wrists. She had no other history of medical problems.
Physical examination revealed approximately 40 discrete flesh-colored to translucent papules located exclusively and symmetrically on the dorsum of the hands and wrists (Figure 1). They were round and firm, with a smooth surface. The surrounding skin was normal. The findings of the rest of the physical examination were unremarkable. A 4-mm punch biopsy specimen was obtained from a papule (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
Multiple Painless Papules on the WristsDiagnosis
Arch Dermatol. 2007;143(6):791-796.
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