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Off-Center Fold
Oct 2011

Hard, Pink Nodules on the Upper Extremities —Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2011;147(10):1215-1220. doi:10.1001/archdermatol.2011.287-a

A 54-year-old woman with a history of breast cancer that had been treated with bilateral mastectomy and silicone implant reconstruction 6 years earlier presented with dozens of 2- to 5-mm, asymptomatic, hard, pink papules and nodules on her forearms and the dorsal aspect of her hands (Figure 1). Her left breast implant had ruptured several months before the skin lesions developed. Routine hematoxylin-eosin –stained sections of a papule on the forearm were sent for evaluation (Figure 2 and Figure 3).

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