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Year : 2008  |  Volume : 74  |  Issue : 5  |  Page : 551

Nodules and bullae on the back of the hand with axillary spread


1 Department of Dermatology, Mazandaran University of Medical Sciences, Pasdaran Boulevard, Boo-Ali Hospital, Sari, Iran
2 Department of Pathology, Mazandaran University of Medical Sciences, Pasdaran Boulevard, Boo-Ali Hospital, Sari, Iran

Correspondence Address:
M Golpour
Department of Dermatology, Pasdaran Boulevard, BooAli-Sina Hospital, Mazandaran University of Medical Science, Sari
Iran
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DOI: 10.4103/0378-6323.44342

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How to cite this article:
Golpour M, Ghasemi M. Nodules and bullae on the back of the hand with axillary spread. Indian J Dermatol Venereol Leprol 2008;74:551

How to cite this URL:
Golpour M, Ghasemi M. Nodules and bullae on the back of the hand with axillary spread. Indian J Dermatol Venereol Leprol [serial online] 2008 [cited 2014 Oct 24];74:551. Available from: http://www.ijdvl.com/text.asp?2008/74/5/551/44342


A 16 year-old aquarium worker presented with nodules and bulls on the back of the right hand since one year. The nodules first appeared on the hand and then over the forearm and the right axilla. The nodules became larger and developed a bulla on top which then ruptured and formed an ulcer [Figure 1]. The Mantoux test was 22 mm (normal range<5mm). Chest X-ray was normal. Histopathology of the lesion on hand is shown in [Figure 2] and [Figure 3].


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1.Cassetty CT, Sanchez M. Mycobacterium marinum infection. Dermatol Online J 2004;10:21.   Back to cited text no. 1    
2.Ang P, Rattana-Apiromyakij N, Goh CL. Retrospective study of Mycobacterium marinum skin infections. Int J Dermatol 2000;39:343-7.  Back to cited text no. 2    
3.Freedberg IM, Elsen AZ. Fitzpatrick's Dermatology in general medicine. Vol. 2. 2004. p. 1946-7.  Back to cited text no. 3    
4.Palenque E. Skin disease and nontuberculous atypical mycobacteria. Int J Dermatol 2000;39:659-66.  Back to cited text no. 4    
5.Habif T. Clinical dermatology. 4 th ed. Mosby; 2004. p. 303.  Back to cited text no. 5    
6.Gawkerodger DJ. Mycobacerium infection. Rook/Willkinson/Ebling. Text book of Dermatology. Vol. 2. Blackwell Science; 1998. p. 1207-8.  Back to cited text no. 6    
7.Higgins EM, Lawrence CM. Sporotrichoid spread of M. chelonei. Clin Exp Dermatol 1988;13:234-60.  Back to cited text no. 7    
8.Edelstein H. Mycobacterium marinum skin infections: Report of 31 cases and review of literature. Arch Intern Med 1994;154:1359-64.  Back to cited text no. 8    
9.Cosma CL, Sherman DR, Ramakrishna L. The secret lives of the pathogenic mycobacterium. Annu Rev Microbiol 2003;57:641-76.  Back to cited text no. 9    
10.Chollins CH, Grange JM, Noble WC, Yates MD . Mycobacterium marinum infections in man. J Hyg (Lond) 1985;94:135-49.  Back to cited text no. 10    


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This article has been cited by
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