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Symmetrical Nasal Bridge Nodules
Susan Bittenbender, MD;
Gladys H. Telang, MD;
Ernest A. Benedetto, MD
Allegheny University of the Health Sciences, Philadelphia, Pa
Arch Dermatol. 2001;137:1647-1652.
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REPORT OF A CASE
A 73-year-old white man with a history of hypertension, coronary artery disease, rheumatoid arthritis, and prostate cancer presented for treatment of tender nodules of 3 to 4 months' duration on both sides of his nose. The lesions were slowly increasing in size, interfering with the use of his eyeglasses.
On physical examination, he had tender, firm, flesh-colored, exophytic nodules over the bony prominences of the nasal bridge bilaterally (Figure 1). There was no central punctum or discharge, and there were no significant epidermal surface changes.
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Figure 1.
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An excisional biopsy specimen was obtained (Figure 2 and Figure 3).
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Figure 2.
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Figure 3.
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What is your diagnosis?
Diagnosis: Rheumatoid nodule.
The excisional biopsy specimen revealed a normal-appearing epidermis. Within the deep dermis, there were several irregularly demarcated areas of fibrinoid degeneration of the collagen surrounded by a proliferation of . . . [Full Text of this Article]
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ABSTRACT
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