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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 …
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