Abstract:patient showed early signs of arthritis and has recently evolved with subnephrotic proteinuria. Clinically, PNM presents as asymptomatic papulonodules that mostly appear on the trunk and upper extremities, although the face and other locations can also be affected. 2-5 The histological picture is dominated by marked dermal pallor, because of diffuse mucin deposition in the papillary and reticular dermis, and lacks the typical epidermal and interface changes of specific LE lesions. 2-4 The pathogenesis of PNM i… Show more
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