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Ser Ling Chua, MRCP; Kusum Kulkarni, MRCPath; Eric Saihan, FRCP
Queen's Medical Centre, Nottingham, England

Arch Dermatol. 2007;143(9):1201-1206.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 59-year-old woman of Indian descent presented with a 6-month history of an increasing number of itchy hyperpigmented nodules on her trunk and limbs. The lesions were preceded by pruritus. Treatment with topical 0.05% clobetasone butyrate cream and oral cetirizine reduced the pruritus but did not affect the appearance of the lesions. The patient had a history of type 2 diabetes mellitus and hypertension. Ultrasonography showed that her liver was enlarged, with a fatty echo texture.

Physical examination revealed multiple 3- to 15-mm-diameter hyperpigmented lesions with a central keratotic plug (Figure 1). The Koebner phenomenon was seen (Figure 2). There was sparing of her back in "difficult-to-reach" areas. A 4-mm punch biopsy specimen obtained from a lesion on the left upper back area was sent for histopathologic examination (Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. . . . [Full Text of this Article]

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Hyperpigmented Keratotic Nodules—Diagnosis
Arch Dermatol. 2007;143(9):1201-1206.
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