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JAMA Dermatology Clinicopathological Challenge
September 2016

Painful Cutaneous Nodule of the Jawline

Author Affiliations
  • 1Northeast Ohio Medical University, Rootstown
  • 2Dermatology, Summa Akron City Hospital, Akron, Ohio
JAMA Dermatol. 2016;152(9):1041-1042. doi:10.1001/jamadermatol.2016.1342

A woman in her 30s presented with a 3-year history of painful nodules on her lower extremities, neck, and jawline. Her medical history included seasonal allergies, and she did not take any prescription medications. She felt well and denied weight loss, night sweats, and any other systemic symptoms.

Physical examination revealed scattered skin-colored papules on the right neck, a solitary 8-mm skin-colored nodule on the right jawline, and three 2- to 3-cm pink firm nodules on the right thigh (Figure, A and B). A shave biopsy was obtained from the nodule on the right jawline (Figure, C), and the thigh nodules were excised.

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