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A 70-year-old former smoker presented with a history of several weeks of multiple painless cutaneous nodules on his chest wall. He also reported fatigue, weight loss, and cough with blood-tinged sputum. More than 30 subcutaneous nodules were identified on physical examination (Panel A). There was no clubbing, peripheral edema, or joint deformity. The respiratory examination was otherwise normal. Radiography and computed tomography (Panel B) of the chest revealed a mass in the right lower lobe, mediastinal lymph nodes, and multiple cutaneous nodules (arrows). The results of laboratory tests were negative. Levels of rheumatoid factor, complement, antineutrophil cytoplasmic autoantibodies, and carcinoembryogenic . . . [Full Text of this Article] |
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