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Hyperpigmented Patches on the Trunk of a Nigerian Woman—Quiz Case
Justin J. Finch, BA;
Cynthia L. Olson, MD
University of Minnesota Medical School, Minneapolis
Arch Dermatol. 2008;144(11):1509-1514.
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REPORT OF A CASE
A 33-year-old Nigerian woman who immigrated to the United States 4 years previously presented with mildly itchy, dark, round, scaly patches, mostly on the trunk and proximal extremities, which appeared suddenly 3 months earlier. Two weeks before the onset of the cutaneous eruption, she was hospitalized with fever of unknown origin, nausea, vomiting, and a 43-pound unintentional weight loss over 8 months. She was diagnosed as having sarcoidosis after a workup revealed mediastinal lymphadenopathy, parotid enlargement, hypercalcemia, polyclonal gammopathy, and anemia and bronchoscopy demonstrated mediastinal granulomas, with negative results from serologic examination, cultures, and stains for acid-fast bacilli and fungi.
Physical examination revealed a dozen round, well-marginated patches, 5 to 10 cm in diameter, with prominent scale and slight hyperpigmentation. These were most prominent on the sides of her abdomen, chest, back (Figure 1 and Figure 2) and posteriomedial upper . . . [Full Text of this Article]
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Hyperpigmented Patches on the Trunk of a Nigerian Woman—Diagnosis
Arch Dermatol. 2008;144(11):1509-1514.
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