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Ossama Abbas, MD; Samer Ghosn, MD; Adele Chedraoui, MD; Abdul Ghani Kibbi, MD
American University of Beirut Medical Center, Beirut, Lebanon

Arch Dermatol. 2009;145(5):589-594.

	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 34-year-old man presented with a 6-month history of an asymptomatic rapidly enlarging mass on the left axillary area that was occasionally bleeding (Figure 1). The patient was otherwise healthy, and findings from a review of systems were negative. In particular, he had no constitutional symptoms and no neurological complaints. Physical examination revealed a 15-cm, foul-smelling and bleeding multinodular beefy red tumor in the left axillary area with eroded surface and overlying hemorrhagic crust. In addition, there were enlarged left axillary lymph nodes and a 3-cm ulcerated plaque with indurated borders involving the web space between the left second and third fingers (Figure 2). On investigation, he reported first noticing the latter lesion 6 years ago. A skin biopsy at the time revealed granuloma annulare. Since then, the patient never sought medical attention . . . [Full Text of this Article]

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Arch Dermatol. 2009;145(5):589-594.
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