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Nodules on the Arm of a Diabetic Patient—Quiz Case
Monica Schadlow, MD;
Pairote Laochumroonvorapong, MD, PhD;
Lauren Burack, MD;
Hong Wu, MD, PhD;
Animesh A. Sinha, MD, PhD
New York Weill Cornell Medical College and New York Presbyterian Hospital, New York, NY
Arch Dermatol. 2003;139:93-98.
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REPORT OF A CASE
A 60-year-old Hispanic man with a history of insulin-dependent type 2 diabetes mellitus presented with tender nodules on his right forearm. The symptoms had begun 4 months earlier, when the patient first noted a small red lump on his right arm. Over time, he developed multiple nodules on the same arm and became concerned when the lesions began to drain clear fluid. He admitted to self-administering insulin injections on the right arm in the area of the lesions, but could not recall sustaining any other trauma to the area. Also, he denied gardening, owning a fish tank, and handling fish or meats.
Physical examination revealed multiple erythematous, slightly tender crusted nodules on the right forearm that were arranged in a linear configuration (Figure 1). Nontender epitrochlear lymphadenopathy was also . . . [Full Text of this Article]
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