Cactus spine granuloma.
We describe the case of a 45-year-old woman with a 2-week history of painful erythematous papules on the palmar aspect of the fingertips of her right hand, resulting from contact with a cholla cactus 3 weeks prior in Arizona. The patient initially was given clobetasol propionate ointment, resulting in some improvement; however, the lesions resolved only after punch biopsies were performed to confirm the diagnosis of cactus spine granuloma.
University of Maryland Medical Center, Baltimore, USA.
Vandana K
VK
Madkan
Tonya
T
Abraham
Jack L
JL
Lesher
D001706:Biopsy; D029421:Cactaceae / Q000009:adverse effects*; D005260:Female; D015743:Giant Cells, Foreign-Body / Q000473:pathology; D015745:Granuloma, Foreign-Body / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D012871:Skin Diseases / Q000209:etiology* / Q000473:pathology