January 2004

1.

History: A 51 year old white female presented with a 21 year history of progressive and extensive ulcers of the bilateral lower extremeties.

Physical Exam: There were well circumscribed, waxy, atrophic plaques with hyperpigmented borders on the bilateral lower extremeties. There was a 3x4 cm. ulcer on the left lower shin (Fig. 1).

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