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Minerva

Widespread papules and skin tightening

BMJ 2024; 385 doi: https://doi.org/10.1136/bmj-2023-077947 (Published 27 June 2024) Cite this as: BMJ 2024;385:e077947
  1. Hanlin Yin, junior physician,
  2. Liangjing Lu, professor
  1. Department of Rheumatology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
  1. Correspondence to: L Lu lu_liangjing{at}163.com

This woman in her late 40s presented with widespread papules and tightening of the skin that had progressed over the past seven years (fig 1). Physical examination showed numerous 1-3 mm asymptomatic waxy, skin coloured papules on the face and neck, dorsal aspect of the hands, forearms, trunk, …

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