A 48-year-old woman was referred to a dermatology department with a 3-month history of an asymptomatic rash without fever or systemic symptoms. She was HIV negative and on treatment for… Click to show full abstract
A 48-year-old woman was referred to a dermatology department with a 3-month history of an asymptomatic rash without fever or systemic symptoms. She was HIV negative and on treatment for hypertension and hypothyroidism. On examination, she had indurated pink to red papules and plaques with no surface change on the trunk, limbs, and scalp. On the upper back, the lesions had a striking corymbose (corymbiform) arrangement characterized by a central plaque with satellite papules (Fig. 1). Palms, soles, and mucous membranes were unaffected. Examination of the hair was non-contributory. Systemic examination was unremarkable, including the absence of lymphadenopathy. A 4-mm punch biopsy of the skin was performed. Histopathological findings
               
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