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February 1988

Flesh-Colored Nodule on the Forearm

Author Affiliations

Mount Sinai School of Medicine, New York

Arch Dermatol. 1988;124(2):263-264. doi:10.1001/archderm.1988.01670020081023

REPORT OF A CASE  A 62-year-old woman was referred to the Mount Sinai Medical Center Dermatology Clinic with a two-month history of two flesh-colored nodules on her left forearm. The lesions were not painful or pruritic, nor did she complain of any other symptoms.The patient's medical history was remarkable for esophageal webs, aspergilloma, and advanced sarcoidosis, for which she was receiving oral prednisone therapy (5 mg every other day). Recent laboratory examination had revealed normal complete blood cell count and SMA-12 results.Physical examination revealed a severely emaciated woman. On her left forearm were two approximately 1.0- to 1.5-cm oval, slightly erythematous nodules, which felt cystic to palpation (Fig 1). Lymph nodes were nonpalpable and the remainder of the physical examination was normal.A biopsy specimen showed fronds of delicate connective tissue lined by a single layer of endothelium. An adjacent thick-walled medium-caliber blood vessel showed luminal occlusion (Figs

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