case_images: PMC1266363_01
case_images: Intraabdominal picture of a leiomyoma. Intraabdominal picture taken on endoscopic laparoscopy, showing a pedunculated tumor on the bowels (large white arrows indicate the "head" and small white arrows indicate the "trunk" of the leiomyoma).
case_images: 1471-230X-5-33-1.jpg
case_images: PMC1266363_01_1471-230X-5-33-1.jpg
case_images: F1
case_images: During an abdominal gynecological laparatomy -conducted because of recurrent abdominal pain and dysmenorrhoe- multiple polypoid pedunculated lesions on the large bowels were seen (see Figure 1), biopsy was not carried out because the lesions were well vascularized.
case_images: Skin lesions. Right lower extremity with multiple itching nodules, excoriations from scratching and general lichenification of the skin (inset: enlarged lesion with excoriation and reddish halo).
case_images: 1471-230X-5-33-2.jpg
case_images: PMC1266363_01_1471-230X-5-33-2.jpg
case_images: F2
case_images: Other recorded medical conditions include Raynaud's disease (diagnosed at the age of 19), Prurigo nodularis with lichenification of the skin (onset of symptoms in adolescence, see Figure 2) and recently diagnosed postural orthostatic tachycardia syndrome (diagnosed at age 44). Inspection of the skin revealed dry lichenificated skin on all extremities with prominent itching nodules (see Figure 2).
case_images: PMC1266363_02