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).
Kotcher L, Kimyai-Asadi A, Kamino H, Began D. Solitary Hemorrhagic Nodule on the Great Toe—Quiz Case. Arch Dermatol. 2003;139(11):1497–1502. doi:10.1001/archderm.139.11.1497-a