Case 1

A 35-year-old man with a history of osteoarthritis, hyperlipidemia, and gout presents to the dermatology clinic with complaints of a “white bump” on his right first toe near the nail fold. The nodule is not painful or pruritic, although clear discharge has been seen. The patient reports that he has not had any similar lesions. He has no significant dermatologic history and has not had change in his medications or trauma to the toe. He reports that he noticed the lesion 3 weeks ago and became concerned because it did not go away.

Can you diagnose the condition in Case 1?

A. Verruca vulgaris
B. Epidermoid cyst
C. Heberden nodes
D. Digital mucous cysts

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This article originally appeared on Clinical Advisor