TY  - JOUR
T1  - A violaceous plaque in an immunosuppressed patient
AU  - Micheletti R, Rosenbach M
Y1  - 2012/06/27
N1  - 10.1001/jama.2012.4302
JO  - JAMA
SP  - 2635
EP  - 2636
VL  - 307
IS  - 24
N2  - 
A 56-year-old man with acute myelogenous leukemia develops a violaceous plaque on his anterior neck that expands rapidly over the course of one day. The patient was hospitalized a month earlier for salvage chemotherapy with clofarabine. His course has been complicated by prolonged neutropenia and fever of unknown origin, for which he is receiving meropenem, vancomycin, and voriconazole. Physical examination reveals a necrotic-appearing, nonblanching, violaceous plaque on his anterior neck with surrounding erythema (Figure 1). On close inspection, 2 similar violaceous papules are discovered on his tongue and scalp. The patient is febrile but otherwise asymptomatic, with recent negative blood cultures.

SN  - 0098-7484
M3  - doi: 10.1001/jama.2012.4302
UR  - http://dx.doi.org/10.1001/jama.2012.4302
ER  -