Clinical Case Challenge: Nodules on Hands and Feet

Case 2

A 32-year-old man with a history of eczema presents to the dermatology clinic with a cluster of “hard, rough bumps” on his right index finger. On physical examination, the lesion appears hyperkeratotic and whitish-yellow with multiple black dots. The patient reports that the nodule is not painful but become slightly tender if scratched. Other than eczema, the patient has no significant dermatologic history, and he has had no change in his medications or trauma to the finger. The patient notes that 2 of his friends have similar lesions.

Can you diagnose the condition in Case 2?

A. Verruca vulgaris
B. Digital mucous cysts
C. Molluscum contagiosum
D. Seborrheic keratosis

Click to the next page for the answer. 

This article originally appeared on Clinical Advisor

From the September 2020 Issue of Medical Bag