[Clinical Picture] Stewart–Treves syndrome: a rapidly fatal complication of breast cancer treatment

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A 76-year-old woman with a history of right-sided breast cancer 10 years ago, which had been treated with a mastectomy with axillary lymph node dissection followed by adjuvant radiotherapy and the subsequent development of lymphoedema 3 years ago, presented with progressive right arm pain and skin changes. 1 month previously, she had noticed a small ecchymotic lesion on the back of her right upper arm. The lesion rapidly progressed over several weeks into a confluence of violaceous erythematous vesicles with areas of necrosis that enveloped the entire right arm (figure) with associated burning and difficulty moving her arm.

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