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November 2003

Solitary Hemorrhagic Nodule on the Great Toe—Quiz Case

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Copyright 2003 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2003

Arch Dermatol. 2003;139(11):1497-1502. doi:10.1001/archderm.139.11.1497-a

A 64-year-old African American woman with a history of pancreatic cancer that had been previously treated with Whipple surgery, chemotherapy, and irradiation presented with a 10-month history of an enlarging lesion on the ventral surface of her right great toe.

Physical examination revealed an ambulatory woman with a 2.5 × 2.0-cm exophytic, hemorrhagic nodule on the ventral surface of the right great toe (Figure 1). A shave biopsy specimen was obtained (Figure 2 and Figure 3).