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Image Challenge These lesions appeared spontaneously in a patient with untreated multiple myeloma.

These lesions appeared spontaneously in a patient with untreated multiple myeloma.

image

Question

These lesions appeared spontaneously in a patient with untreated multiple myeloma. Coagulation studies were normal and platelet count was 80,000 per cubic millimeter. What is the diagnosis?

Orbital fracture

Disseminated intravascular coagulation

Tuberous sclerosis

Amyloid purpura

Horner's syndrome

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