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Brownish Scaly Plaques

Brownish Scaly Plaques Abstract REPORT OF A CASE A 60-year-old man was referred to the Outpatient Dermatology Clinic of the American University of Beirut (Lebanon) Medical Center complaining of a 6-month history of asymptomatic skin lesions on the trunk. These lesions had started as hyperpigmented brownish scaly macules and gradually progressed into plaques. Burning sensation over the hands and feet accompanied the skin lesions. There was no history of sensory deficits. The patient's other medical history and family history were noncontributive. Results of routine laboratory investigations, including complete blood cell count, erythrocyte sedimentation rate, and levels of fasting serum glucose, alkaline phosphatase, and serum glutamic oxaloacetic transaminase, were all within normal limits.Physical examination revealed multiple discrete and confluent plaques ranging from 1 to 7 cm in size. The plaques were symmetrically distributed over the trunk, and to a lesser extent over the proximal upper and lower extremities (Figs 1 and 2). A References 1. Brazin SA. Leprosy (Hansen's disease) . Otolaryngol Clin North Am. 1982;15:597-611. 2. Yoder LJ, Jacobson RR, Job CK. A single skin lesion: an unusual presentation of lepromatous leprosy . Int J Lepr Other Mycobact Dis. 1985;53:554-558. 3. Hendrick SA, Wilkin JK. Leprosy . Am Fam Physician . 1982; 26:161-166. 4. Lever WF, Schaumburg-Lever G. Histopathology of the Skin . 6th ed. Philadelphia, Pa: JB Lippincott; 1983:304-309. 5. Browne SG. Mycobacterial diseases: leprosy . In: Fitzpatrick TB, Eisen AZ, Wolff K, et al, eds. Dermatology in General Medicine . 3rd ed. New York, NY: McGraw-Hill International Book Co; 1987:2180-2193. 6. Jolliffe DS. Leprosy reactional states and their treatment . Br J Dermatol. 1977;97:345-352.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

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Publisher
American Medical Association
Copyright
Copyright © 1989 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.1989.01670230115024
Publisher site
See Article on Publisher Site

Abstract

Abstract REPORT OF A CASE A 60-year-old man was referred to the Outpatient Dermatology Clinic of the American University of Beirut (Lebanon) Medical Center complaining of a 6-month history of asymptomatic skin lesions on the trunk. These lesions had started as hyperpigmented brownish scaly macules and gradually progressed into plaques. Burning sensation over the hands and feet accompanied the skin lesions. There was no history of sensory deficits. The patient's other medical history and family history were noncontributive. Results of routine laboratory investigations, including complete blood cell count, erythrocyte sedimentation rate, and levels of fasting serum glucose, alkaline phosphatase, and serum glutamic oxaloacetic transaminase, were all within normal limits.Physical examination revealed multiple discrete and confluent plaques ranging from 1 to 7 cm in size. The plaques were symmetrically distributed over the trunk, and to a lesser extent over the proximal upper and lower extremities (Figs 1 and 2). A References 1. Brazin SA. Leprosy (Hansen's disease) . Otolaryngol Clin North Am. 1982;15:597-611. 2. Yoder LJ, Jacobson RR, Job CK. A single skin lesion: an unusual presentation of lepromatous leprosy . Int J Lepr Other Mycobact Dis. 1985;53:554-558. 3. Hendrick SA, Wilkin JK. Leprosy . Am Fam Physician . 1982; 26:161-166. 4. Lever WF, Schaumburg-Lever G. Histopathology of the Skin . 6th ed. Philadelphia, Pa: JB Lippincott; 1983:304-309. 5. Browne SG. Mycobacterial diseases: leprosy . In: Fitzpatrick TB, Eisen AZ, Wolff K, et al, eds. Dermatology in General Medicine . 3rd ed. New York, NY: McGraw-Hill International Book Co; 1987:2180-2193. 6. Jolliffe DS. Leprosy reactional states and their treatment . Br J Dermatol. 1977;97:345-352.Crossref

Journal

Archives of DermatologyAmerican Medical Association

Published: Nov 1, 1989

References