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Orange-Yellow Diffuse Cutaneous Eruption in an 82-Year-Old Woman—Quiz Case
Ivanka Kovalyshyn, BA;
Klaus J. Busam, MD;
Ashfaq A. Marghoob, MD
Memorial Sloan-Kettering Cancer Center, New York, New York
Arch Dermatol. 2009;145(10):1183-1188.
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REPORT OF A CASE
An 82-year-old woman presented with orange-yellow patches and plaques over her arms and trunk of 4 years' duration. The patient denied pruritus, pain, or any skin symptoms associated with this eruption. There was no history of night sweats, weight loss, fatigue, fever, weakness, or bone pain. On physical examination, there were numerous yellow plaques on her eyelids and diffuse orange-yellow patches on her arms and trunk (Figure 1). The lesions were symmetrically distributed. A shave biopsy specimen from her left back was obtained (Figure 2). Serum protein electrophoresis revealed monoclonal IgG protein, and the diagnosis of a monoclonal gammopathy of unknown significance was established. Test results from a bone marrow biopsy specimen were within reference range. Two years after the initial presentation, she developed painful violaceous subcutaneous lesions on her arms and trunk adjacent to . . . [Full Text of this Article]
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Orange-Yellow Diffuse Cutaneous Eruption in an 82-Year-Old Woman—Diagnosis
Arch Dermatol. 2009;145(10):1183-1188.
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