Case for Diagnosis DOI: 10.1111/ddg.13450 Asymptomatic yellowish papules on the upper arms History A 77-year-old patient presented with yellowish, asymp- tomatic papules on the posterior aspect of the upper arms (Figure 1a). First noted during a routine skin exam, the trans- lucent lesions measured 3–5 mm in diameter and had a waxy appearance (Figure 1b). The rest of the skin was otherwise unremarkable. The patient had no significant past medical history and was taking no medications. Histology Figure 2 Nodular amorphous deposits in the upper and Underlying a normal epidermis were well-demarcated amor- mid-reticular dermis (hematoxylin-eosin stain, original mag- phous nodular deposits in the upper and mid-reticular dermis nification x 10). (Figure 2). Other findings included thickened and shortened collagen fibers. Figure 1 Yellowish papules on the posterior aspect of the upper arm (a); Translucent papules measuring 3–5 mm in diameter (b). Your diagnosis? … © 2018 Deutsche Dermatologische Gesellschaft (DDG). Published by John Wiley & Sons Ltd. | JDDG | 1610-0379/2018/1603 357 Case for Diagnosis Diagnosis: amyloidosus, macular and nodular cutaneous amyloidosis), secondary cutaneous forms (for example, associated with Nodular cutaneous amyloidosis actinic damage, benign and malignant tumors as well as connective tissue disorders), and cutaneous manifestations Further
Journal Der Deutschen Dermatologischen Gesellschaft – Wiley
Published: Jan 1, 2018
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