Abstract
A 57-year-old male presented with multiple it chypurple raised
#lesions on left side off ace and scalp for 3 years. Examination revealed
multiple soft to firm violaceous papules and nodules, varying in size
from 0.5cmto1cm, limited to left side of scalp and face over forehead,#periorbital, #preauricular, anterior helix, post auricular and beard are
as with few excoriations. There was no associated regional
#lymphadenopathy.
Laboratory reports: #Haemoglobin=5.7gm%, decreased red cell count and
indices, increased red cell distribution width, leukocytosis elevated
blood sugars(Fasting Blood Sugar=430mg%),decreased serum ferritin and
normal serum Immunoglobulin E (IgE). Histopathology revealed
increased thick-walled capillaries and venules in upper dermis
surrounded by an infiltrate of #lymphocytes and #eosinophils with their
linings how in gplumpendo the lialcells. High frequency #ultra-sonography
of affected skin suggested enlarged #lymphnodes.
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