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Leandro Califano, MD; Serafinella P. Cannavò, MD; Giovanna Malara, MD
Policlinico Universitario–Gazzi, Messina, Italy

Arch Dermatol. 1998;134:365-370.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 21-year-old white man presented with a small, reddish brown nodule on the thumb of his right hand. Three months earlier, he had noticed the appearance of an edematous area, 2 mm in diameter, that progressively softened, discharging small amounts of serous secretion. The lesion subsequently became nodular and verrucous. There was moderate pain intermittently, but no pruritus. Some small, pink nodules had also developed on the right forearm. The medical and family history were both unremarkable.

Cutaneous examination revealed a poorly circumscribed lesion with a central verrucous area and an erythematous-edematous peripheral halo on the upper distal phalanx of the right thumb (Figure 1). Three sporotrichoid nodules were noted on the volar region of the forearm (Figure 2). There was no evidence of lymphadenopathy. The findings of routine laboratory studies were all within normal limits.

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