Violaceous and lichenoid papules on the trunk of a 61‐year‐old woman

A 61-year-old Brazilian woman presented with a 3-year history of pruritic papules. Physical examination revealed numerous flat-topped, infiltrated, violaceous, slightly scaly papules (Fig. 1a,b). Lesions were grouped in clusters on the arms, back, forehead and scalp. Cervical lymphadenopathy was present, and the patient also had bilateral eye hyperaemia. A tuberculin test was negative. Chest radiography showed bilateral hilar lymphadenopathy (Fig. 2a). Ophthalmological examination revealed uveitis in both eyes. Additional laboratory studies included urinalysis, peripheral blood count, blood chemistry and blood calcium level, which were all within normal ranges.