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Targetoid erythematous plaques: an unusual morphological presentation of multibacillary Hansen's disease |
European Journal of Dermatology. Volume 11, Number 1, 65-7, January - February 2001, Votre diagnostic !
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 Free Article
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Author(s) : Janna NUNEZ-GUSSMAN, Linda HWANG, Sylvia HSU |
Summary : A 65-year-old white man with non-insulin dependent diabetes mellitus and coronary artery disease presented with a one-year history of mildly pruritic nummular plaques over the arms and legs. The lesions began as small red papules and plaques and gradually expanded concentrically despite treatment with multiple topicals. There was no history of prior skin disease, and he denied associated constitutional symptoms. Other past medical history included a toe amputation for peripheral vascular disease and a cholecystectomy for cholelithiasis. His medications included metformin, troglitazone, repaglinide, and fenofibrate, none of which were newly prescribed. Review of systems was negative except for worsening numbness and paresthesias in a stocking-glove distribution, attributed to diabetic neuropathy. The patient was a retired teacher and sports coach and enjoyed recreational game hunting in central Texas. There was no known history of direct contact with armadillos. |
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