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A Nodule on the Forearm of a Patient With Hodgkin Disease
Maria Concetta Fargnoli, MD;
Ketty Peris, MD;
Lorenzo Cerroni, MD;
Domenico Piccolo, MD;
Sergio Chimenti, MD
University of L'Aquila, L'Aquila, Italy (Drs Fargnoli, Peris, Piccolo, and Chimenti), and University of Graz, Graz, Austria (Dr Cerroni)
Arch Dermatol. 2001;137:85-90.
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REPORT OF A CASE
A 36-year-old Italian man with a 10-year-history of lymph nodal Hodgkin disease (stage IIb, nodular sclerosis type) presented with a solitary nodule of 6 months' duration on the right upper extremity. The patient had been treated with systemic chemotherapy (doxorubicin, bleomycin, vinblastine, and dacarbazine, every 15 days for 5 cycles), followed by radiation therapy, with complete remission of the disease for 9 years.
Physical examination revealed an erythematous, painless, nonpruritic, firm 1-cm nodule with sharply defined borders and tiny telangiectasias on the surface; the nodule was located on the extensor surface of the right forearm (Figure 1). There was no history of previous trauma to the area or systemic symptoms. Lymphadenopathy and hepatosplenomegaly were not detected. The complete blood cell count, erythrocyte sedimentation rate, blood chemistry analysis, urinalysis, electrocardiogram, and chest x-ray . . . [Full Text of this Article]
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