PMC8581777_01
Numerous 1 to 2 cm scaly mildly erythematous papules and plaques on the abdomen.
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On physical examination, she presented diffuse icterus of sclera and skin as well as numerous 1 to 2 cm scaly mildly erythematous papules and plaques on the abdomen, back, limbs and face, mimicking pityriasis rosea (Figure 1).
Palmar xerosis and discrete yellowish papules in the palmar creases.
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Furthermore, she had palmar xerosis and discrete yellowish papules in the palmar creases, suggestive of xanthoma striatum palmare (Figure 2).
Mild verrucous epidermal hyperplasia with hyperkeratosis and a prominent papillary dermal infiltrate of xanthomatous cells.
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Residual hyperpigmented macules after 10 weeks of apheresis.
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After 10 weeks, her lesions improved greatly, leaving residual hyperpigmented macules (Figure 4).