Chance favors the prepared mind: How incidental findings of asymptomatic pink papules led to the diagnosis of Reed syndrome

A 66-year-old female was referred to dermatology for melanonychia, which was later identified as a splinter hemorrhage on examination. Incidentally, she was found to have two 4-mm asymptomatic firm smooth pink papules on the upper forehead and multiple similar lesions on the posterior neck and upper back. Further history revealed that the patient had suffered from severe uterine fibroids requiring hysterectomy at age 34. The patient ’s mother, two daughters, and maternal aunt also had severe uterine fibroids requiring hysterectomy, and her mother, daughter, and maternal cousin had similar skin lesions.
Source: Journal of the American Academy of Dermatology - Category: Dermatology Source Type: research