• multiple myeloma
• amyloidosis
• plasma cell dyscrasia
• λ light chain

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 …