John Libbey Eurotext

European Journal of Dermatology

Green pigmentation on the sole with hyperbilirubinaemia Volume 27, issue 5, September-October 2017

Figures

  • Figure 1
Authors
1 Department of Dermatology,
2 Department of Pathology,
3 Department of Surgery, Toho University Ohashi Medical Center, 2-17-6 Ohashi, Meguro-ku, Tokyo 153-8515, Japan

An 83-year-old woman presented with abrupt-onset asymptomatic green pigmented lesions on her sole. She had had progressive jaundice and was recently diagnosed with advanced cholangiocarcinoma. The patient had no fever. Physical examination revealed generalized marked jaundice and multiple, round, discrete, deep green, 1- to 2-mm flat areas of pigmentation on the right sole (figure 1A). Close examination showed a linear distribution on the crista cutis (figure 1B). Dermascopic investigation revealed [...]