Cutaneous involvement in multiple myeloma mimicking acral-lentiginous melanoma Antonio Martorell, MD, Fernando Millan-Parrilla, MD, Enrique Gimeno-Carpio,

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Cutaneous involvement in multiple myeloma mimicking acral-lentiginous melanoma Antonio Martorell, MD, Fernando Millan-Parrilla, MD, Enrique Gimeno-Carpio, MD Journal of the American Academy of Dermatology Volume 62, Issue 6, Pages 1076-1078 (June 2010) DOI: 10.1016/j.jaad.2009.07.012 Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 A and B, Indurated and ulcerated plaque with irregular brown-black borders affecting the ungueal matrix of the toe. Journal of the American Academy of Dermatology 2010 62, 1076-1078DOI: (10.1016/j.jaad.2009.07.012) Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 A, Neoplastic infiltrate involving the entire dermis with an overlying ulcerated epidermis. B and C, Dermal infiltrate composed of large cells with pleomorphic nuclei, prominent nucleoli, and granular eosinophilic cytoplasm. D, Strong expression of CD138 establishes the plasmacyte lineage of the cells. (A-C, Hematoxylin–eosin stain; D, CD138 stain; original magnifications: A, ×25; B, ×50; C, ×100; D, ×50.) Journal of the American Academy of Dermatology 2010 62, 1076-1078DOI: (10.1016/j.jaad.2009.07.012) Copyright © 2010 American Academy of Dermatology, Inc. Terms and Conditions