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Possible Sporotrichosis. Presented by Donald R. Shasky, MD.
A 54-year-old woman developed a red nodule on her left index fingertip three months ago. Two weeks later, many similar lesions appeared on her left arm. She admitted that she had worked in her garden around thorny plants, but she was unaware of a specific thorn prick.A physical examination showed that there were erythematous nodules, both firm and fluctuant, in a circling band around hhe left arm, a single lesion on the left wrist, and another lesion on the right thigh.The laboratory findings were as follows: No organisms grew from Sabouraud medium. A bacterial culture (at 30 and 37 C) yielded no growth. A biopsy specimen showed acute inflammation and necrosis, a nondiagnostic picture. The complete blood cell count was normal. The blood chemistry studies using an automated multiple analyses system showed that there was a slight elevation in the
McCleary JE. THE METROPOLITAN DERMATOLOGICAL SOCIETY OF LOS ANGELES. Arch Dermatol. 1974;109(5):749. doi:10.1001/archderm.1974.01630050075034