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2017:83:1;133-135
doi: 10.4103/0378-6323.187092
PMID: 27506500

Chronic subcutaneous nodules, plaques and ulcers of the hand

Aylin Türel Ermertcan1 , Nuri Özkütük2 , Peyker Temiz3 , Cengiz Çavuşoğlu4 , Süheyla Sürücüoğlu2
1 Department of Dermatology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey
2 Department of Microbiology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey
3 Department of Pathology, Faculty of Medicine, Celal Bayar University, Manisa, Turkey
4 Department of Microbiology, Faculty of Medicine, Ege University, İzmir, Turkey

Correspondence Address:
Aylin Türel Ermertcan
Department of Dermatology, Faculty of Medicine, Celal Bayar University, 45010 Manisa
Turkey
How to cite this article:
Ermertcan AT, Özkütük N, Temiz P, Çavuşoğlu C, Sürücüoğlu S. Chronic subcutaneous nodules, plaques and ulcers of the hand. Indian J Dermatol Venereol Leprol 2017;83:133-135
Copyright: (C)2017 Indian Journal of Dermatology, Venereology, and Leprology

A 54-year-old man presented with multiple draining sinuses on the right hand for 2 years. Dermatological examination revealed erythematous nodules and pustules leading to draining abscesses localized on the dorsal aspect of the right hand [Figure - 1]. The infection had not responded to several courses of antibiotics. There was no history of trauma or foreign body. A punch biopsy was performed for histopathological, bacteriological, mycobacterial, parasitological and mycological examinations. Routine bacterial, fungal and parasitological cultures were negative. Histopathological examination revealed granulomas along with an infiltrate of lymphocytes. Areas of caseous necrosis surrounded by histiocytes and multinucleated giant cells were observed [Figure - 2].

Figure 1: Erythematous nodules and pustules leading to draining abscesses localized on the dorsal aspect of the right hand
Figure 2: (a) Granulomas with lymphocytic infiltrates in the soft tissue (H and E, ×100). (b) Caseous necrosis areas surrounded by histiocytes and multinucleated giant cells (H and E, ×100)

What Is Your Diagnosis?



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