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Images in medicine
Multiple waxy papules unmasking an underlying multiple myeloma
  1. Garima Dabas1,
  2. Dipankar De1,
  3. Gaurav Prakash2,
  4. Vikarn Vishwajeet3,
  5. Ashim Das3,
  6. Sanjeev Handa1
  1. 1 Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
  2. 2 Department of Hematology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
  3. 3 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 (PGIMER), Chandigarh 160012, India; dr_dipankar_de{at}yahoo.in

http://dx.doi.org/10.1136/postgradmedj-2018-135855

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    A 42-year-old woman presented with a 2-year history of pain in lower back and both shoulder joints. She was undergoing radiotherapy for suspected chordoma since 3 months. On examination, multiple translucent papules coalescing to form plaques were present on the eyelids (figure 1A), axilla and sacral area (figure 1B). There were no purpuras, telangiectasias, bleeding on application of pressure and macroglossia. Histopathological examination demonstrated deposition of pale amorphous eosinophilic material in the upper dermis with positive …

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    Footnotes

    • Contributors GD and DD drafted the manuscript. VV and AD conceptualised the report and edited the manuscript for intellectual content. GP provided patient care and edited the manuscript. SH edited the manuscript.

    • 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.

    • Competing interests None declared.

    • Patient consent Obtained.

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