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Please use this identifier to cite or link to this item: http://hdl.handle.net/1807/2101

Title: Quiz - Asymptomatic nodules over forearm and hand
Authors: Laxmisha, Chandrashekar
Thappa, Devinder Mohan
Pandian, Sathesh
Jayanthi, S.
Keywords: Dermatology
Issue Date: Nov-2003
Publisher: Medknow Publications on behalf of The Indian Association of Dermatologists, Venereologists and Leprologists (IADVL)
Citation: Indian Journal of Dermatology, Venereology and Leprology 69(6)
Abstract: A 30-year-old milkmaid had asymptomatic 1.5-2.0 cms crusted nodules over her left forearm, right index (Figure 1) and right middle finger of two and an half weeks duration. She gave a history of similar lesions occurring over the teats of her cows three weeks back. The lesions had initially started as papules, which turned vesicular in four days time and were followed by crusting a week later. There was no evidence of fever or lymphadenopathy. Histopathological examination of the skin nodule (over the finger) showed hyperkeratosis, marked parakeratosis and acanthosis. There was vacuolization of cells in the upper third of the stratum malpighi and the dermis showed vasodilatation and chronic inflammation (Figure 2). Higher magnification demonstrated eosinophilic inclusion bodies in the cytoplasm of vacuolated epidermal cells (Figure 3).
URI: http://bioline.utsc.utoronto.ca/archive/00001301/02/dv03084.pdf
Appears in Collections:Bioline International Legacy Collection

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