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Necrobiotic Xanthogranuloma as the Presenting Manifestation of Smouldering Myeloma
Nayani Makkar1, Vettakkara Kandy Muhammed Niyas1, Satish Swain1
1Department of Medicine, All India Institute of Medical Sciences, New Delhi.
Abstract:
Necrobiotic xanthogranuloma is a rare dermatological manifestation of underlying hematological malignancies, in particular, when associated with paraproteinemia. These patients who are clinically symptomatic with chronic papules, nodules or plaques which demonstrate a histopathological pattern suggestive of extensive and frequently confluent areas of necrobiosis with granulomatous infiltration, warrant evaluation for an underlying monoclonal gammopathy.
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