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May 2002

Red Nodule on the Finger of an Immunosuppressed Woman

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Arch Dermatol. 2002;138(5):689-694. doi:10.1001/archderm.138.5.689

A 59-year-old white woman presented with a 1-week history of a red nodule on her right index finger. She had recently had a paper cut in the same area and had handled thorny roses that had been soaking in slimy water. The lesion, which was not tender, did not resolve spontaneously. She denied fever, chills, weight loss, sweats, cough, arthritis, and other skin lesions. She had a 2-year history of stage II ductal breast cancer that had been treated with a modified radical mastectomy and had undergone an autologous bone marrow transplantation 7 months before presentation. She also had a history of disseminated Fusarium infection as well as Clostridium difficile colitis in the past year. Current medications included tamoxifen, ketorolac, erythropoietin, nadolol, nortriptyline, and ergotamine tartrate.

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