October 2004



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History: An 80 year-old white male with no significant past medical history was referred to the dermatology clinic because of several pink "bumps" on his face and trunk. The patient reported that these lesions developed over a period of several months prior to presentation. They were not symptomatic, and were not rapidly growing in size. The patient had no history of skin cancer or other skin disease.
Physical Examination: The patient had several 0.4 to 0.6 cm pink, pearly, telangiectatic papules scattered on the face, chest, and upper arms.
Laboratory Evaluation: A complete blood count showed mild thrombocytopenia with platelet count of 60,000. Peripheral blood smear showed mild monocytosis and rare immature myeloid cells.

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