Abstract:A 65-year-old man with multiple myeloma was admitted for autologous stem cell transplant. He felt well on admission. A physical exam was remarkable for a 1-centimeter erythematous indurated lesion on his right flank at the site of an "insect bite" sustained 4 days before admission. After tolerating melphan conditioning, he received stem cell infusion. Four days later, the lesion developed into a 6-centimeter indurated erythematous ovoid rash with central clearing and a punctate area in the middle (Fig. 1) whic… Show more
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