Sporotrichoid Lesions. Presented by Irving D. Ehrenfeld, MD.
A 35-year-old man had an erythematous, tender, swollen area on the dorsal surface of the left third finger for about six weeks. He thought it began following a paper cut. For several weeks, several erythematous nodules appeared on the dorsal surface of the left hand and on the extensor surface of the left forearm.A small amount of a white liquid was obtained on needle puncture. This was placed on DTM agar, and a small black growth has been obtained.He began taking 10 drops of a saturated solution of potassium iodide four times daily. Since then, no new lesions have appeared, but several of those already present have grown larger.He is a school teacher who does not do any gardening.
Abraham J. Orfuss, MD: I do not feel that a diagnosis has been definitely established. The lesions have some
Cohen HJ. DERMATOLOGIC SOCIETY OF GREATER NEW YORK. Arch Dermatol. 1973;108(6):849-850. doi:10.1001/archderm.1973.01620270069022