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Hyperpigmented Patches on Shins, Palms, and Soles—Quiz Case

Hyperpigmented Patches on Shins, Palms, and Soles—Quiz Case Report of a case A 54-year-old woman presented with a 2-year history of a mildly pruritic, golden-brown rash that first developed on her palms and progressed to her shins and soles. The patient's medical history and medications were unremarkable. Physical examination revealed dusky, reddish-brown patches on her bilateral soles and reddish-brown patches with scattered red puncta on the dorsum of her feet, shins, and palms (Figure 1 and Figure 2). Laboratory test results showed no abnormalities for full blood cell count, double-stranded DNA, antinuclear an-tibody, serum protein electrophoresis, and erythrocyte sedimentation rate. A shave biopsy specimen was obtained (Figure 3). View LargeDownload Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Dermatology American Medical Association

Hyperpigmented Patches on Shins, Palms, and Soles—Quiz Case

JAMA Dermatology , Volume 149 (2) – Feb 1, 2013

Hyperpigmented Patches on Shins, Palms, and Soles—Quiz Case

Abstract

Report of a case A 54-year-old woman presented with a 2-year history of a mildly pruritic, golden-brown rash that first developed on her palms and progressed to her shins and soles. The patient's medical history and medications were unremarkable. Physical examination revealed dusky, reddish-brown patches on her bilateral soles and reddish-brown patches with scattered red puncta on the dorsum of her feet, shins, and palms (Figure 1 and Figure 2). Laboratory test results showed no...
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Publisher
American Medical Association
Copyright
Copyright © 2013 American Medical Association. All Rights Reserved.
ISSN
2168-6068
eISSN
2168-6084
DOI
10.1001/2013.jamadermatol.652a
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 54-year-old woman presented with a 2-year history of a mildly pruritic, golden-brown rash that first developed on her palms and progressed to her shins and soles. The patient's medical history and medications were unremarkable. Physical examination revealed dusky, reddish-brown patches on her bilateral soles and reddish-brown patches with scattered red puncta on the dorsum of her feet, shins, and palms (Figure 1 and Figure 2). Laboratory test results showed no abnormalities for full blood cell count, double-stranded DNA, antinuclear an-tibody, serum protein electrophoresis, and erythrocyte sedimentation rate. A shave biopsy specimen was obtained (Figure 3). View LargeDownload Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. What is your diagnosis?

Journal

JAMA DermatologyAmerican Medical Association

Published: Feb 1, 2013

Keywords: arecaceae

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