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Cutaneous manifestations as a clue to the diagnosis of POEMS syndrome
  1. Sheetanshu Kumar1,
  2. Mandeep Singh2,
  3. Vishal Thakur1,
  4. Sanjeev Handa1,
  5. Manish Modi3,
  6. Debajyoti Chatterjee4,
  7. Dipankar De1
  1. 1 Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  2. 2 Department of Internal Medicine, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  3. 3 Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  4. 4 Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  1. Correspondence to Dr Dipankar De, Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, India; dr_dipankar_de{at}yahoo.in

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Dermatology consultation was sought for a middle-aged man with multiple asymptomatic skin nodules all over the body. The patient was admitted with neurology inpatient services for altered sensorium and loss of vision for the last 2 days. He also suffered from hyperaesthesia and weakness of limbs for the last 2 years.

On physical examination, hepatosplenomegaly was also detected along with neurological and visual abnormalities. Multiple cutaneous erythematous to skin-coloured, dome-shaped, exophytic, sessile as well as pedunculated, soft to firm asymptomatic nodules were observed on trunk, limbs and scalp (figure …

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Footnotes

  • Contributors SK and DD had full access to all of the data in the study and take responsibility for the integrity of the data and the accuracy of the data analysis. Study concept and design: SK, MS, VT, DD, DC and SH. Acquisition, analysis and interpretation of data: MM, SH, SK, DC and VT. Drafting of the manuscript: SK, MS, VT, DC and DD. Critical revision of the manuscript for important intellectual content: DD, SH and MM. Study supervision: DD, MM and SH.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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