Access Dermatology

History

A 35-year-old woman presented with painful papules and nodules located on her left leg and arm. The lesions had started 21 years ago. The lesions were painful and the pain was aggravated on exposure to cold. She had had a subtotal hysterectomy 10 years before for dysfunctional uterine bleeding associated with uterine leiomyomas. The patient's family history revealed similar cutaneous and uterine leiomyomas, breast carcinoma in a maternal cousin, and renal carcinoma without any associated leiomyomas in her brother.