[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.197.65.227. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Off-Center Fold
October 2009

Slowly Enlarging Nodule on a Finger—Quiz Case

Author Affiliations
 

MARY S.STONEMD

 

SOONBAHRAMIMDCARRIE ANN R.CUSACKMDSENAIT W.DYSONMDMOLLY A.HINSHAWMDVINCENTLIUMD

Arch Dermatol. 2009;145(10):1183-1188. doi:10.1001/archdermatol.2009.216-a

A 55-year-old man presented with a 4-month history of a slowly enlarging nodule on his right index finger. The nonhealing central portion of the nodule sporadically expressed minimal serosanguineous discharge. The patient reported intermittent pain but denied any trauma to the area. Overall, the patient was feeling well without any malaise, fatigue, or weight loss. Physical examination revealed a 1.5-cm boggy, nontender dermal nodule with a central 4-mm red, moist ulceration on the ulnar aspect of the right index finger distal phalanx (Figure 1). The patient demonstrated both active and passive range of motion without any pain or limitations. Examination of bilateral axillae revealed nontender, mobile, enlarged lymph nodes. A roentgenogram of the right hand revealed no bony involvement. A punch biopsy of the nodule was obtained for histological evaluation (Figure 2 and Figure 3) (hematoxylin-eosin, original magnification ×40 and ×400, respectively). The patient subsequently underwent further evaluation and definitive treatment.

First Page Preview View Large
First page PDF preview
First page PDF preview
×