
Purpuric Nodule on the ShoulderQuiz Case
Jeannette L. Hudgens, BS;
Shelley L. Fleet, MD;
Loretta S. Davis, MD
Medical College of Georgia, Augusta
Arch Dermatol. 2006;142:1351-1356.
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REPORT OF A CASE
A 34-year-old healthy white man presented with an enlarging lesion on his shoulder. He had a 2- to 3-year history of a nontender, purple nodule that would occasionally swell and pulsate for 1 to 2 weeks and then regress. He had not recently traumatized the lesion.
Physical examination showed a 1.5-cm, purple, compressible nodule with a purpuric rim on the patient's shoulder (Figure 1). The lesion was excised 2 weeks after partially regressing (Figure 2) and submitted for histologic analysis (Figure 3 and Figure 4).
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What is your diagnosis?
SECTION EDITOR: MICHAEL E. MING, MD
RELATED ARTICLE
Purpuric Nodule on the ShoulderDiagnosis
Arch Dermatol. 2006;142(10):1351-1356.
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