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An Ulcerating Nodule on the Arm
Malinee Saxena, BA;
Ellen B. Rest, MD
University of Minnesota, Minneapolis
Arch Dermatol. 1998;134:1279-1284.
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REPORT OF A CASE
A 27-year-old white woman presented to the student health clinic with a 2-week history of an enlarging ulcerated nodule on the dorsum of her left wrist. In the weeks preceding the visit, she had worked in her garden and had traveled to the West Indies. There was no history of trauma to the area, and she denied generalized symptoms. She was otherwise well. The lesion started as a pinpoint red papule that ulcerated as it expanded in depth and width. The erythematous surrounding tissue was mildly painful. Also, within the prior 2 weeks, the patient had noted the appearance of several palpable nodules on the upper part of her left arm.
On examination, the patient was afebrile. A 2.5-cm-diameter nodule with a 1-cm deep ulceration was located on the dorsum of the left wrist. A curvilinear erythematous patch extended from the nodule radially . . . [Full Text of this Article]
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