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Warty Nodules on an Annular Plaque in a Renal Transplant Recipient—Quiz Case

Warty Nodules on an Annular Plaque in a Renal Transplant Recipient—Quiz Case Report of a case A 50-year-old Chinese man who had undergone renal transplantation 4 years earlier and who was currently taking oral cyclosporine (210 mg/d), azathioprine (50 mg/d), and prednisolone (10 mg/d) presented with a 1½-year history of a lesion on his left shin. It had started as a small patch and had gradually increased in size. It was neither itchy nor painful. He also noticed 3 asymptomatic nodules that had appeared over the initial patch and had gradually increased in size over the past 8 months. Physical examination revealed a 7-cm dry, scaly, annular plaque over the left shin. There were 3 warty, hyperkeratotic nodules arising from the scaly plaque (Figure 1). Biopsy specimens were obtained from the edge of the plaque (Figure 2) and from the nodule (Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

Warty Nodules on an Annular Plaque in a Renal Transplant Recipient—Quiz Case

Archives of Dermatology , Volume 140 (1) – Jan 1, 2004

Warty Nodules on an Annular Plaque in a Renal Transplant Recipient—Quiz Case

Abstract

Report of a case A 50-year-old Chinese man who had undergone renal transplantation 4 years earlier and who was currently taking oral cyclosporine (210 mg/d), azathioprine (50 mg/d), and prednisolone (10 mg/d) presented with a 1½-year history of a lesion on his left shin. It had started as a small patch and had gradually increased in size. It was neither itchy nor painful. He also noticed 3 asymptomatic nodules that had appeared over the initial patch and had gradually increased in size...
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Publisher
American Medical Association
Copyright
Copyright © 2004 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archderm.140.1.121-g
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 50-year-old Chinese man who had undergone renal transplantation 4 years earlier and who was currently taking oral cyclosporine (210 mg/d), azathioprine (50 mg/d), and prednisolone (10 mg/d) presented with a 1½-year history of a lesion on his left shin. It had started as a small patch and had gradually increased in size. It was neither itchy nor painful. He also noticed 3 asymptomatic nodules that had appeared over the initial patch and had gradually increased in size over the past 8 months. Physical examination revealed a 7-cm dry, scaly, annular plaque over the left shin. There were 3 warty, hyperkeratotic nodules arising from the scaly plaque (Figure 1). Biopsy specimens were obtained from the edge of the plaque (Figure 2) and from the nodule (Figure 3). Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. View LargeDownload What is your diagnosis?

Journal

Archives of DermatologyAmerican Medical Association

Published: Jan 1, 2004

Keywords: renal transplantation

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