PMC4448059_01
Diffuse cutaneous hyperpigmentation and sclerodactyly on the legs and hands.
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F1
Examination showed diffuse cutaneous hyperpigmentation, atrophy of the interosseous muscles (fig. 1, fig. 2), sclerodermiform cutaneous thickening and normochromic, papular lesions (fig. 3) in the cervical region, abdominal and right infraclavicular region.
Papular lesion in the right infraclavicular region.
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F3
Examination showed diffuse cutaneous hyperpigmentation, atrophy of the interosseous muscles (fig. 1, fig. 2), sclerodermiform cutaneous thickening and normochromic, papular lesions (fig. 3) in the cervical region, abdominal and right infraclavicular region.
Papular lesion with presence of red lakes.
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F4
At dermatoscopy of the infraclavicular lesions there was presence of red lakes (fig. 4).
Anteroposterior and profile X-ray of left thigh showing a lithic lesion with sclerotic borders in the left femur.
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F5
Skeleton radiography revealed a lithic lesion with sclerotic borders in the left femur (fig. 5); histopathologic examination confirmed it to be a plasmocytoma.
Exophytic lesion containing vascular structures in dispersed connective stroma.
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F6
Histopathologic examination of the right infraclavicular lesion showed an exophytic lesion containing dispersed vascular connective structures (fig. 6), and increased magnification showed both thick- and thin-walled vascular structures, compatible with arteriovenous hemangioma (fig. 7).