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Painful Linear Nodules
Heidi M. Crane, MD, MPH;
James G. Dinulos, MD;
Mary W. Meckler, MD;
Philip Kirby, MD
Washington University School of Medicine, St Louis, Mo (Dr Crane),
and University of Washington, Seattle (Drs Dinulos, Meckler, and Kirby)
Arch Dermatol. 2002;138:973-978.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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REPORT OF A CASE
A 38-year-old man presented with a 2-year history of painful nodules
on his left shoulder. The first lesion developed at the base of his neck,
and subsequent nodules appeared progressively toward the apex of the left
shoulder. The nodules grew slowly and became both tender and spontaneously
painful. There was no history of trauma or exposure to radiation, nor was
there a family history of similar complaints. The patient was otherwise healthy,
except for poorly controlled hypertension. Physical examination showed six
1- to 2-cm discrete, tender, firm nodules that were palpable in a linear distribution
on the left shoulder (Figure 1).
A skin biopsy specimen was obtained (Figure
2 and Figure 3).
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Figure 1.
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Figure 2.
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Figure 3.
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What is your diagnosis?
Diagnosis: Multiple linear eccrine spiradenoma.
Microscopic examination revealed a dermal tumor composed of . . . [Full Text of this Article]
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ABSTRACT
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