case_images: PMC6465707_01
case_images: Scleromyxedema with erythematous, confluent papules and waxy, thickened skin of the face.
case_images: cde-0011-0064-g01.jpg
case_images: PMC6465707_01_cde-0011-0064-g01.jpg
case_images: F1
case_images: Erythematous, confluent papules measuring 2-4 mm were most visible on the face and chest (Fig. 1).
case_images: Scleromyxedema with indurated, erythematous skin folds demonstrating the "Shar Pei sign" on the back (left) and bilateral legs (right).
case_images: cde-0011-0064-g02.jpg
case_images: PMC6465707_01_cde-0011-0064-g02.jpg
case_images: F2
case_images: Her back and thighs showed indurated skin folds consistent with the "Shar Pei sign" (Fig. 2).
case_images: PMC6465707_02
case_images: Discrete papular lichen myxedematosus presenting with firm, smooth, 2-mm whitish to skin-colored papules on the neck (left) and upper back (right).
case_images: cde-0011-0064-g03.jpg
case_images: PMC6465707_02_cde-0011-0064-g03.jpg
case_images: F3
case_images: At current presentation in 2018, physical examination showed asymptomatic, smooth, monomorphous, waxy, white 2-mm papules distributed on the chest, upper back, and left forearm (Fig. 3).