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Miriam Sue Keltz, MD; Hirshel Kahn, MD; Marsha Gordon, MD; Robert G. Phelps, MD

Arch Dermatol. 1994;130(5):654.

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

REPORT OF A CASE

A 57-year-old woman presented complaining of shortness of breath. She had multiple skin nodules of unknown duration. She noted pleuritic chest pain, night sweats, and fevers. She had a cough productive of white sputum for 1 year and generalized weakness. She lost 18 kg over the past 2 years.

The patient quit smoking 2 months before but had a 10 pack-year history. At that time she also stopped her 0.25 L/d alcohol intake. Her history was significant for a seizure disorder for which she took phenytoin (Dilantin).

Physical examination revealed multiple 1-cm nodules on her trunk without changes in the overlying skin. A 2-cm mass with a central erosion was found on her posterior left thigh (Figure 1).

A chest roentgenogram showed bilateral interstitial and alveolar infiltrates and a left pleural effusion. She was treated for presumptive Pneumocystis pneumonia but her respiratory distress worsened. Two days . . . [Full Text PDF of this Article]

Author Affiliations
Mount Sinai Medical Center, New York, NY

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