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  Vol. 144 No. 8, August 2008 TABLE OF CONTENTS
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Nodule on the Toe After Traveling to Africa—Quiz Case

Sarvenaz Zand, MD; Christina D. Mumm, MD; Maxwell A. Fung, MD; Daniel B. Eisen, MD
School of Medicine, University of California, Davis, Sacramento

Arch Dermatol. 2008;144(8):1051-1056.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 17-year-old woman without a notable medical history presented with a lesion on the right second toe 2 weeks after returning from Uganda, Africa. During her visit, she worked briefly in a field wearing sandals on her feet. Several days later, a yellow callus developed on the tip of her right second toe. The callus became progressively thicker and brown in the center. She described it as mildly itchy and stingy but denied pain, drainage, or fever. She was not a runner and denied trauma or wearing tight-fitting shoes. On physical examination, the distal end of the patient's right second toe had a thickened yellow nodule that looked like a callus, with a brown center and covered by scant brown dried exudate and multiple tiny, loosely adherent white specks (Figure 1). Microscopic examination . . . [Full Text of this Article]



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