This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Similar articles in this journal  Topic Collections  • Infectious Diseases, Other  • Diagnosis  • Dermatologic Disorders, Other  • Alert me on articles by topic

Anette Chrusciak-Talhari, MD; Carolina Talhari, MD; Mônica Nunes de Souza Santos, MsC; Luis Carlos Ferreira, PhD; Sinésio Talhari, PhD
Institute of Tropical Medicine of the Amazonas (Drs Chrusciak-Talhari, C. Talhari, Ferreira, and S. Talhari and Ms de Souza Santos) and State University of Amazonas (Dr C. Talhari and Ms de Souza Santos), Manaus, Brazil

Arch Dermatol. 2007;143(10):1323-1328.

	Since this article does not have an abstract, we have provided the first 131 words of the full text and any section headings.

REPORT OF A CASE

A healthy 66-year-old Brazilian man presented with a 10-year history of an asymptomatic mass of nodules affecting his left arm. The lesion had initially appeared as a papule and had been slowly enlarging since then. The patient reported pulling a tick out of the initial lesion. For many years he had been a rubber worker in the Amazon region.

Physical examination revealed 4 ill-defined, smooth, shiny, elastic nodules on the medial aspect of the right arm (Figure 1). A skin biopsy specimen was obtained and stained with hematoxylin-eosin (Figure 2) and Grocott methenamine–silver (GMS) (Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD, MSCE; ASSISTANT SECTION EDITORS: CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; JACQUELINE M. JUNKINS-HOPKINS, MD; VINCENT LIU, MD; KARLA S. ROSENMAN, MD

RELATED ARTICLE

Nodular Lesions on the Arm—Diagnosis
Arch Dermatol. 2007;143(10):1323-1328.
EXTRACT | FULL TEXT