Granuloma

You are asked to see a 14-year-old girl for recurrent, draining sores in the bilateral groin areas for over a year. She did not want to tell her parents, fearing what they might think, even though she was not sexually active.

Paraproteinemia and malignancies such as multiple myeloma are the two primary diagnostic criteria proposed for necrobiotic xanthogranuloma, according to a recent report.