Multiple confluent reddish nodules

Multiple confluent reddish nodules

A 48-year-old fisherman from Amazonas (north of Brazil) developed a small papule on the anterior left leg after a traumatic injury with a piece of wood 20 years ago. Over the course of years, multiple large, confluent, reddish to brownish nodules with eventual ulceration came into being on the left leg and extended to the left thigh. There was a solitary, domed-shaped nodule on the right arm (F...

Multiple firm, reddish-brown papules and nodules on shoulder and arm

A young man with multiple reddish papules and nodules on the trunk and extremities

A 23-year old man was presented with multiple papules andnodules (25 lesions) on the trunk and proximal extremities(Figure 1). Two or three lesions were appeared at childhood andincreased to 25 lesions in early adulthood. There were variationsin size from several millimeters to 2 cm with spontaneous andinducible pain especially in exposure to the cold environment.Same lesions were present in hi...

Multiple scalp nodules Case

A 45-year-old man presented with multiple ulcerated and erythematous nodules on his scalp. The first lesion appeared on his vertex as an erythematous plaque five years ago and there was gradual increase in size and number of the lesions ever since. He was otherwise healthy. Physical examination showed multiple erythematous nodules, some were crusted, on the vertex (Fig.1). No lymphadenopathy wa...

CASE: Multiple painful nodules on the back

A 43-year-old middle-eastern woman was visited with a 15-year history of multiple painful cutaneous nodules on her back. The first lesion appeared on her back when she was 28 years old. As she aged, the lesions became larger, more numerous, and more painful with cold or physical contact. Her medical history was not significant. The patient’s medications included naproxen, calcium-D, and vitamin...