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A Solitary Nodule on the Finger—Quiz Case
Brian L. Swick, MD;
Scott M. DeBates, MD
University of Iowa, Iowa City, Iowa (Dr Swick); and Methodist Physicians Clinic, Omaha, Nebraska (Dr DeBates)
Arch Dermatol. 2009;145(3):321-326.
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REPORT OF A CASE
A 22-year-old Arabian man presented with a 3- to 4-week history of a painful lesion on his left second finger. The nodule arose 2-weeks after the patient nicked his finger on a knife while slaughtering a lamb during Eid al-Adha, the annual Islamic Feast of Sacrifice.
Physical examination revealed a 1.5-cm, edematous, erythematous nodule on the dorsal distal interphalangeal joint of the left second finger (Figure 1). There was a central overlying yellow crust with associated black dots. There was no lymphangitis or lymphadenopathy, nor were there any additional cutaneous findings. A biopsy specimen was obtained (Figure 2 and Figure 3).
Figure appears in full text version.
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Figure appears in full text version.
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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
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A Solitary Nodule on the Finger—Diagnosis
Arch Dermatol. 2009;145(3):321-326.
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