POEMS Syndrome: Skin Lesions Bringing the Jigsaw Puzzle Together.

A 47-year-old man presented to the outpatient department with multiple asymptomatic, erythematous and violaceous, soft, dome-shaped papulonodular lesions that had been present for 3 years. The lesions were vascular and were about 1 cm in diameter. They were present over the face, trunk, arms and legs (Figures 1 and 2). The patient gave history of recurrent ascites and progressive difficulty in walking for last two years.