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July 2012

Nonhealing Ulcer of the Left Fifth Finger—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. 2012;148(7):849. doi:10.1001/archderm.148.7.849-c
REPORT OF A CASE

A 29-year-old otherwise healthy man presented with a 12-month history of a slowly progressive nonhealing ulcer on his left fifth finger. He reported occasional pain in the finger but otherwise felt well. Physical examination revealed a 1.5-cm ulceration with surrounding erythema on the dorsal aspect of the left fifth finger (Figure 1). Two sterile punch biopsy specimens were sent for culture and histopathologic examination, respectively. Routine hematoxylin-eosin–stained sections are shown in Figure 2 and Figure 3).

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