November 2004

Fig. 1

Fig. 2

History:
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.

Physical examination:
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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