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Violaceous discoloration around the eyes
Department of Dermatology, MH Shillong, Meghalaya-793 001
|How to cite this article:
Vasudevan B, Sawhney M. Violaceous discoloration around the eyes. Indian J Dermatol Venereol Leprol 2009;75:549-550
A 57-year-old male presented with dark pigmentation around the eyelids, of one-year duration. He also had joint pain and weight loss for the same duration. A general physical examination revealed pedal edema and pallor, while a systemic examination showed ascites, pleural effusion (right), and asterixis. A dermatological examination revealed violaceous pigmentation on both eyelids [Figure - 1]. The patient also had similar lesions on the neck, axilla, and upper chest. Macroglossia was present as was alopecia. Investigations revealed turbidity in the urine with proteinuria of 3+ and high 24-hour urinary protein levels. Blood urea and serum creatinine were raised. An X-ray of the skull showed multiple translucencies and that of the hips and spine showed osteosclerosis. Serum electrophoresis revealed M protein with gamma spike [Figure - 2]. Histopathological findings were as shown in [Figure - 3].
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