Violaceous Papules on an Achromatic Macule

Asymptomatic cluster of violaceous papules

A 56-year-old male patient was seen in the dermatology clinic for a 25-year history of an asymptomatic cluster of violaceous papules in a coalescing pattern on the right lateral thigh (Figure 1). No other significant findings were found on physical exam and all laboratory results were within normal demographic ranges. The patient reported to have hypothyroidism that was diagnosed one year ago a...

Violaceous papules on the dorsum of the hand.

[Violaceous papules and nodules on the palmar aspects of the hands].

The patient was a 31-year-old woman with a history of abortion in the 16th week of pregnancy and diagnosed with possible antiphospholipid syndrome (APS) during her second pregnancy, based on the incidental finding of positive antiphospholipid antibodies and her previous history. In the third month of pregnancy, she initiated antiplatelet therapy with acetylsalicylic acid (100 mg/d). In the 35th...

Large hyperpigmented macule on the leg of an adolescent girl.

[Erythematous-violaceous lesions on the palms].

The patient was a 6-year-old girl with no past history of interest. She was seen for asymptomatic skin lesions that had appeared 2 weeks earlier on the palms of the hands. The history revealed that the lesions first appeared 15 days after the start of the summer holidays, coinciding with the beginning of prolonged, daily leisure activities in a family swimming pool. The girl had not had any pre...