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David K. Murdock, MD; Mack Sexton, MD; James G. Marks, Jr, MD

Arch Dermatol. 1992;128(6):851-852.

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

REPORT OF A CASE

A 22-year-old man presented with a 3-year history of a solitary red nodule on the dorsal aspect of his left great toe. The nodule arose shortly after the patient injured himself on a nail in his attic. The nodule initially grew rapidly, but then remained relatively unchanged for over 2 years. It was slightly tender and occasionally bled when traumatized. One year before he presented to us, he underwent treatment with an injection of a corticosteroid, which initially reduced the size of the lesion. However, the lesion quickly regrew.

Examination of the patient's left great toe revealed a 1.8x1.2-cm dark red, slightly crusted and friable nodule containing a few small sinus tracts (Fig 1). A skin punch biopsy specimen revealed noncaseating dermal granulomas (Fig 2) and was negative for organisms with acid-fast bacilli and fungal stains. Tissue cultures for bacteria, fungi, and mycobacteria were also negative. . . . [Full Text PDF of this Article]

Author Affiliations
The Pennsylvania State University College of Medicine, The Milton S. Hershey Medical Center, Hershey

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