title: Multiple finger nodules and an erythematous rash - a case study.
abstract: A previously well male, 18 years ofÂ age, from a rural community, presentedÂ with three painful, itchy nodules onÂ the fingers of his left hand, which hadÂ been present for 1 week. He had beenÂ prescribed amoxicillin clavulanate butÂ presented again when there was noÂ improvement after 4 days of takingÂ antibiotics. Examination revealed threeÂ erythematous and umbilicated nodulesÂ without any halo, but with a centralÂ depression with exudate (Figure 1a). NoÂ specific treatment was instituted at thisÂ visit. One week later the patient re-presentedÂ with new erythematous lesions on the palms and dorsum of his hands. The original three lesions had improved andÂ were drier than previously (Figure 1b,Â c). The new lesions disappeared afterÂ 2 weeks and the original lesions after 4Â weeks, without any other treatment.
authors.affiliation: Department of Dermatology, San Cecilio University Hospital, Granada, Spain. jacinto_orgaz@hotmail.com
authors.forename: Jacinto
authors.initials: J
authors.lastname: Orgaz-Molina
authors.forename: Maria
authors.initials: M
authors.lastname: Salazar-Nievas
authors.forename: Maria Carmen
authors.initials: MC
authors.lastname: Orgaz-Molina
authors.forename: Salvador
authors.initials: S
authors.lastname: Arias-Santiago
mesh_terms: D000293:Adolescent; D004474:Ecthyma, Contagious / Q000150:complications / Q000175:diagnosis* / Q000821:virology; D004892:Erythema Multiforme / Q000150:complications / Q000821:virology*; D006229:Hand Dermatoses / Q000821:virology*; D006801:Humans; D008297:Male; D009923:Orf virus