December 2005

Fig.1

Fig2.

HISTORY: A 51-year old white female presented to our dermatology clinic in 2001 with a painful, itchy rash present for 1 year. (See July/August 2001 Case of the Month) Her past medical history is significant for an extensive hot water burn 13 years prior requiring skin grafting. Her review of systems was significant for dull muscle aches, primarily affecting her back and lower legs.

PHYSICAL EXAMINATION: Cutaneous examination revealed multiple violaceous papules and plaques along the edges of graft sites (Fig.1) The upper extremities, lower extremities, and torso were primarily affected(Fig.2- closeup) with sparing of the head and neck.

A skin biopsy was performed.

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