Volume 5, Issue 5, Pages (May 2019)

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Volume 5, Issue 5, Pages 419-421 (May 2019) A few pink papules in an adult woman: Incidental finding leads to diagnosis of hereditary leiomyomatosis and renal cell cancer Kelly Z. Young, BA, Tom D. Raisanen, MD, Tobias Else, MD, PhD, Paul W. Harms, MD, PhD, Kelly B. Cha, MD, PhD JAAD Case Reports Volume 5, Issue 5, Pages 419-421 (May 2019) DOI: 10.1016/j.jdcr.2019.02.027 Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 1 Clinical presentation. A cluster of a few pink papules was noted on the dorsal right forearm within close proximity to a small scar and an incidental brown macule. The papule selected for biopsy is marked in purple. JAAD Case Reports 2019 5, 419-421DOI: (10.1016/j.jdcr.2019.02.027) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

Fig 2 A, Histopathologic analysis found intersecting fascicles of smooth muscle bundles with centrally located nuclei and elongated blunt ends. B, With fumarate hydratase staining, a vessel at top left reveals granular brown chromogen. Staining is absent within the smooth muscle bundles. (A, Hematoxylin-eosin stain; B, Fumarate hydratase stain. Original magnifications A and B, ×200.) JAAD Case Reports 2019 5, 419-421DOI: (10.1016/j.jdcr.2019.02.027) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions