case_images: PMC9834793_01
case_images: Forehead haemangiomas. Multiple 0.2-0.4-cm red nodules were observed on the
  patient's forehead.
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case_images: PMC9834793_01_10.1177_03000605221148410-fig1.jpg
case_images: fig1-03000605221148410
case_images: At the current clinic visit, physical examination showed normal vital signs, but she had several 0.2-0.4-cm red nodules on her forehead, chest, and abdominal wall (Figure 1).
case_images: Perioral hyperpigmentation.
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case_images: PMC9834793_01_10.1177_03000605221148410-fig2.jpg
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case_images: The patient also had perioral hyperpigmentation (Figure 2) and enlarged lymph nodes in the axillary areas, but her heart and lung examinations were unremarkable.
case_images: Computed tomography scan shows multiple sclerotic bones with increased
  densities.. (a) Sternum bone density shadow and (b) sacrum and ilium bone density
  shadow.
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case_images: Table 1. The patient also exhibited the following: signs of nerve damage; slowed nervous transmission; IgG lambda type M protein positivity; numerous sclerotic bones with increased densities (Figure 3); VEGF level of 1595 pg/ml; multiple lymph node swellings.
case_images: Axillary lymph node biopsy shows clustered plasma cells.
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case_images: An axillary lymph node biopsy showed clustered plasma cells (Figure 4).