A 45 year-old African-American female presented with a six-year history of progressively enlarging pruritic plaques, nodules and tumors on her arms, legs, neck and trunk. The lesions were red-brown in color and she continues to get more of them. Some of them breakdown and ulcerate.
She had multiple erythematous, hyperpigmented, scaly and ulcerated nodules, plaques and tumors on her face, neck, arms, legs and face (Figure 1,2). The lesions covered >50% of her body surface area. She also had multiple enlarged axillary, cervical and inguinal lymph nodes.
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