PMC9834793_01
Forehead haemangiomas. Multiple 0.2-0.4-cm red nodules were observed on the
patient's forehead.
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At the current clinic visit, physical examination showed normal vital signs, but she had several 0.2-0.4-cm red nodules on her forehead, chest, and abdominal wall (Figure 1).
Perioral hyperpigmentation.
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The patient also had perioral hyperpigmentation (Figure 2) and enlarged lymph nodes in the axillary areas, but her heart and lung examinations were unremarkable.
Computed tomography scan shows multiple sclerotic bones with increased
densities.. (a) Sternum bone density shadow and (b) sacrum and ilium bone density
shadow.
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Table 1. The patient also exhibited the following: signs of nerve damage; slowed nervous transmission; IgG lambda type M protein positivity; numerous sclerotic bones with increased densities (Figure 3); VEGF level of 1595 pg/ml; multiple lymph node swellings.
Axillary lymph node biopsy shows clustered plasma cells.
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An axillary lymph node biopsy showed clustered plasma cells (Figure 4).