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A Bonelike Protrusion on the Toe —Quiz Case

A Bonelike Protrusion on the Toe —Quiz Case Report of a case A 32-year-old man presented with a 6-month history of a nodular lesion with eroded surface on the second toe of his right foot. The patient was referred to our center after several courses of cryotherapy without improvement. He had no clinically significant previous trauma or medical history. The clinical impression at the initial visit was verruca vulgaris, and cryotherapy was again attempted. However, on follow-up, the lesion appeared to be inflamed with some discharge. After the inflammation had subsided with administration of oral antibiotics, a second session of cryotherapy was tried, but the lesion did not appear to improve. Instead, a hard, dermalnodule with a keratotic surface was revealed under it (Figure 1). A radiologic examination (Figure 2) and incisional biopsy were performed. Some histologic findings are shown in Figure 3. View LargeDownload Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. What is your diagnosis? http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Dermatology American Medical Association

A Bonelike Protrusion on the Toe —Quiz Case

A Bonelike Protrusion on the Toe —Quiz Case

Abstract

Report of a case A 32-year-old man presented with a 6-month history of a nodular lesion with eroded surface on the second toe of his right foot. The patient was referred to our center after several courses of cryotherapy without improvement. He had no clinically significant previous trauma or medical history. The clinical impression at the initial visit was verruca vulgaris, and cryotherapy was again attempted. However, on follow-up, the lesion appeared to be inflamed with some discharge....
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Publisher
American Medical Association
Copyright
Copyright © 2011 American Medical Association. All Rights Reserved.
ISSN
0003-987X
eISSN
1538-3652
DOI
10.1001/archdermatol.2011.195-a
Publisher site
See Article on Publisher Site

Abstract

Report of a case A 32-year-old man presented with a 6-month history of a nodular lesion with eroded surface on the second toe of his right foot. The patient was referred to our center after several courses of cryotherapy without improvement. He had no clinically significant previous trauma or medical history. The clinical impression at the initial visit was verruca vulgaris, and cryotherapy was again attempted. However, on follow-up, the lesion appeared to be inflamed with some discharge. After the inflammation had subsided with administration of oral antibiotics, a second session of cryotherapy was tried, but the lesion did not appear to improve. Instead, a hard, dermalnodule with a keratotic surface was revealed under it (Figure 1). A radiologic examination (Figure 2) and incisional biopsy were performed. Some histologic findings are shown in Figure 3. View LargeDownload Figure 1. View LargeDownload Figure 2. View LargeDownload Figure 3. What is your diagnosis?

Journal

Archives of DermatologyAmerican Medical Association

Published: Aug 1, 2011

Keywords: toes

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