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- W2051267800 abstract "CASE SUMMARY History A 48-year-old woman presented in June 2001 with a 1-week history of erythema, pruritus, and small yellow-red papules localized to numerous striae on the abdomen. She also reported leakage of white fluid from the umbilicus in June 2000. Progressively worsening dyspnea precipitated a chest radiograph in December 2000 that identified a massive rightsided pleural effusion. The lung was drained of 2200 mL of fluid and was pleurodesed with doxycycline. In addition, computed tomography (CT) of the abdomen revealed ascites and spots on the liver. The patient subsequently underwent total abdominal hysterectomy and bilateral salpingooopherectomy for presumed ovarian cancer. A retroperitoneal abdominal mass biopsied at the time of operation revealed a lymphangioleiomyoma, but no malignant cells. She continued to have dyspnea, intermittent chyloptysis, and chyluria. In February 2001, she had a recurrence of her pleural effusion, and CT scan of her chest performed at that time was consistent with a diagnosis of lymphangioleiomyomatosis (LAM). In June 2001, she was referred to the National Institutes of Health (NIH) for further evaluation and treatment. Her concomitant medical conditions included obesity, hypertriglyceridemia, type 2 diabetes mellitus, and a history of anemia and ovarian cysts. Current medications were alendronate, furosemide, modafinil, fluoxetine, albuterol inhaler, fluticasone/" @default.
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- W2051267800 date "2004-07-01" @default.
- W2051267800 modified "2023-09-27" @default.
- W2051267800 title "Eruptive linear papules on the abdomen of a woman with ascites" @default.
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- W2051267800 doi "https://doi.org/10.1016/j.jaad.2003.12.026" @default.
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