Hyperpigmentation, Bullae, and Keratotic Papules in a Renal Dialysis Patient
| Autor: | Marla Ross, Gary M. White |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Hypertrichosis
medicine.medical_specialty integumentary system medicine.diagnostic_test business.industry Papule Physical examination Dermatology General Medicine medicine.disease Hyperpigmentation Surgery body regions medicine.anatomical_structure Biopsy Forehead medicine medicine.symptom Buttocks Bulla (seal) business |
| Zdroj: | Archives of Dermatology. 129:231 |
| ISSN: | 0003-987X |
| Popis: | REPORT OF A CASE A 27-year-old woman with a history of dialysis-dependent renal failure presented to the dermatology clinic with a 6-week history of diffuse hyperpigmentation. She had previously been fair skinned and denied excess sun exposure. She also noted increased skin fragility on her hands and feet and the development of blisters on her hands without trauma. She also complained of a pruritic eruption on her buttocks and thighs. Physical examination revealed diffuse hyperpigmentation, including non-sun-exposed areas (Fig 1). Mucous membranes were spared. There was mild hypertrichosis over the forehead and temples and several tense bullae on the dorsa of her hands. The skin surrounding the bullae was not inflamed. On the buttocks and thighs were multiple 2- to 4-mm reddish brown papules with central keratotic plugs (Fig 2). Laboratory examinations for serum and urine porphyrins showed normal findings. A biopsy specimen of a bulla and a keratotic papule |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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