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[Clinical Picture] Scleromyxoedema

A 76-year-old woman with a history of type 2 diabetes, chronic obstructive pulmonary disease, myocardial infarction, and successfully treated rectal carcinoma presented to the dermatology outpatient clinic in January, 2016, with a 2-year history of prominent skin changes. On examination we saw asymptomatic symmetrical skin-coloured flat papules of 2–3 mm diameter arranged in a linear pattern on the extensor surface of all fingers and the back of both ear helices (figure), and in the nasolabial folds (appendix).