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Multiple asymptomatic nodules in a middle-aged patient
Correspondence Address:
Vidya Kharkar
Department of Dermatology, Seth GS Medical College and KEM Hospital, Mumbai - 400 012
India
How to cite this article: Kharkar V, Kembre P, Mahajan S, Khopkar U. Multiple asymptomatic nodules in a middle-aged patient. Indian J Dermatol Venereol Leprol 2007;73:369-370 |
Figure 4: Histopathology of the nodule (H and E, X100) |
Figure 4: Histopathology of the nodule (H and E, X100) |
Figure 3: Fine needle aspiration cytology of the nodule (X400) |
Figure 3: Fine needle aspiration cytology of the nodule (X400) |
Figure 2: Asymptomatic nodule on the elbow |
Figure 2: Asymptomatic nodule on the elbow |
Figure 1: Asymptomatic nodules on the dorsum of the hand |
Figure 1: Asymptomatic nodules on the dorsum of the hand |
A 42-year-old diabetic male, a chronic alcoholic and hypertensive, presented with history of multiple asymptomatic skin-colored nodules on the hands, feet and the right elbow since 1 month [Figure - 1],[Figure - 2]. He had history of recurrent episodes of painful swelling over left foot since 2 years.
Local examination revealed nontender skin-colored to erythematous, firm nodules on dorsae of hands, right elbow, left great toe, left lateral malleolus and Achilles tendon. Some of the lesions showed central softening. Systemic examination was normal. X rays of left knee, left 1 st toe, both hands and wrists showed osseous destruction. Fine needle aspiration cytology [Figure - 3] and skin biopsy [Figure - 4] of the nodule were conclusive of the diagnosis.
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