A Winding Rash After IV Therapy

A 58-year-old woman with cancer develops a linear, hyperpigmented Rash along the veins of her arms after IV therapy. What’s the diagnosis?

Serpentine supravenous hyperpigmentation


A 58-year-old woman with a history of metastatic uterine leiomyosarcoma presented with a 1-month history of a nonpruritic rash on her arms. On examination, hyperpigmented plaques were observed on the dorsa of both hands at the sites of previous intravenous access. The darkened skin extended up the arms in a linear pattern along the network of superficial veins; the lesions were palpable but non-tender. What is the most likely diagnosis?

What is the most likely diagnosis?

Bleomycin-induced flagellate erythema
Erythema ab igne
Phlegmasia cerulea dolens
Serpentine supravenous hyperpigmentation
Superficial thrombophlebitis

Chemotherapy Side Effects, Dermatology, Docetaxel, Hyperpigmentation, Serpentine supravenous hyperpigmentation

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