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Multiple Hyperkeratotic Nodules on the Arms—Quiz Case
Michael M. Todd, MD;
Christie T. Ammirati, MD;
Elizabeth M. Billingsley, MD;
Jeffrey J. Miller, MD;
Klaus F. Helm, MD
Penn State College of Medicine, Hershey, Pa
Arch Dermatol. 2003;139:1363-1368.
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REPORT OF A CASE
A 47-year-old Hispanic man first noticed an asymptomatic growth on the extensor surface of his left forearm 5 years before presentation. He subsequently had similar growths on his hands and forearms. His medical history was notable for keratinizing squamous cell carcinoma of the bladder 4 years earlier. The tumor was completely resected, and there was no pathologic evidence of metastasis. Generally, the patient was in good health, and a review of systems revealed no abnormalities. His occupational history included chicken processing and work with cement, paint, and tobacco. He had no known exposure to cutting oils or tar.
On presentation to our institution, the patient had more than 25 hyperkeratotic dome-shaped nodules, measuring 5 mm to 2.5 cm, scattered on the extensor surfaces of both forearms and on the dorsal . . . [Full Text of this Article]
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Multiple Hyperkeratotic Nodules on the Arms—Diagnosis
Arch Dermatol. 2003;139(10):1363-1368.
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