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A 53-year-old male patient was admitted for further diagnostic evaluation of fatigue and weight loss (>10%) during the previous semester. In the previous 2 months, the patient developed multiple nodules in the extremities. His history was unremarkable.
Physical examination was normal except for the presence of multiple flesh-coloured deeply seated mildly tender nodules in the extremities with higher predominance in the forearms (figure 1). The chest X-ray demonstrated bilateral hilar lymphadenopathy and a …
Contributors DP collected the medical data and drafted the manuscript. KK provided the CT imaging figure. GDK and CS critically reviewed the manuscript. All the authors were actively implicated in the care of the patient. CS is the guarantor.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
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