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Eduardo Tejada, MD; Colleen M. Parker, MD

Arch Dermatol. 1994;130(2):247-248.

	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 44-year-old white man presented with a 1-year history of a nonhealing lesion on his right ring finger and hand. A variety of topical steroid creams had been used without benefit. The patient was known to enjoy ''crabfishing by hand'' at a river close to his residence.

His history was significant for end-stage kidney disease. He had successfully received a cadaveric kidney transplant and was taking azathioprine (Imuran) and systemic corticosteroids. Following his kidney transplant, a spontaneous perforation of the descending colon with abscess formation developed. A splenectomy was required during surgery. His kidney function improved, but, shortly before this admission, secondary hyperparathyroidism developed that was treated with partial parathyroidectomy.

The patient had normal vital signs and was in no acute distress. Laboratory tests disclosed the following values: glucose, 6.1 mmol/L (110 mg/dL) (normal, 3.6 to 6.1 mmol/L [65 to 110 mg/dL]); creatinine, 100µmol/L (1.3 mg/dL) . . . [Full Text PDF of this Article]

Author Affiliations
Indiana University Medical School, Indianapolis, and Veterans Administration Medical Center, Indianapolis

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