Back issues No.1 - 2002 / Resident Forum  

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A non-tender subcutaneous nodule of the finger web
Haw-Yueh Thong Tsen-Fang Tsai
Dermatol Sinica 20: 84-85, 2002

A 67-year-old Chinese veteran, consulted his physician because of a small, mildly pruritic, slowly progressing skin lesion on the right first finger web. (Fig. 1). The lesion was present for one week before the patient sought medical attention. On examination, the papule was well-defined, non-tender, elastic, slightly erythematous and measured approximately 0.5cm in diameter. There were no respiratory symptoms noted. He denied a travel history. Complete physical examination of the patient revealed no important physiopathological findings. The chest roentgenogram was negative. Laboratory investigations showed a normal hemogram with a leukocyte count of 4700μL-1, with 40.6% neutrophils, 49.4% lymphocytes, 7.2% monocytes and 1.9% eosinophils. Stool examination for parasite ova was unremarkable. Excisional biopsy was performed and the histopathology of the tissue specimen was shown as follow (Fig. 2). The patient recovered completely after the excisional biopsy.

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