Violaceous papules on the legs of an elderly Mediterranean man

Published: 8 March 2018
Author(s): Sydney E. Liang, Tracey N. Liebman
Issue: March 2018
Section: Internal Medicine Flashcard

A 71-year-old Italian man with a remote history of multiple myeloma presented with dark spots on his bilateral legs and feet. The lesions had been present for many months and were not painful or pruritic. The patient had not tried any treatment, and the lesions did not spontaneously resolve. He was not on any systemic immunosuppressive medications.