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Nodular Lesions on the Arm—Quiz Case
Anette Chrusciak-Talhari, MD;
Carolina Talhari, MD;
Mônica Nunes de Souza Santos, MsC;
Luis Carlos Ferreira, PhD;
Sinésio Talhari, PhD
Institute of Tropical Medicine of the Amazonas (Drs Chrusciak-Talhari, C. Talhari, Ferreira, and S. Talhari and Ms de Souza Santos) and State University of Amazonas (Dr C. Talhari and Ms de Souza Santos), Manaus, Brazil
Arch Dermatol. 2007;143(10):1323-1328.
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REPORT OF A CASE
A healthy 66-year-old Brazilian man presented with a 10-year history of an asymptomatic mass of nodules affecting his left arm. The lesion had initially appeared as a papule and had been slowly enlarging since then. The patient reported pulling a tick out of the initial lesion. For many years he had been a rubber worker in the Amazon region.
Physical examination revealed 4 ill-defined, smooth, shiny, elastic nodules on the medial aspect of the right arm (Figure 1). A skin biopsy specimen was obtained and stained with hematoxylin-eosin (Figure 2) and Grocott methenamine–silver (GMS) (Figure 3).
Figure appears in full text version.
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Figure appears in full text version.
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Figure appears in full text version.
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What is your diagnosis?
SECTION EDITOR: MICHAEL E. MING, MD, MSCE; ASSISTANT SECTION EDITORS: CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; JACQUELINE M. JUNKINS-HOPKINS, MD; VINCENT LIU, MD; KARLA S. ROSENMAN, MD
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Nodular Lesions on the Arm—Diagnosis
Arch Dermatol. 2007;143(10):1323-1328.
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