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A correction has been published: N Engl J Med 1994;331(23):1599.

Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:181-187 July 21, 1994 Number 3
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Case 28-1994— A 51-Year-Old Man with a Nonhealing Finger Wound and Regional Lymphadenopathy
Alan M. Sugar, and Anthony R. Mattia

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Presentation of Case

A 51-year-old man was admitted to the hospital because of a nonhealing finger lesion with regional lymphadenopathy.

The patient had been well until one month earlier, when a splinter abraded the dorsal aspect of the proximal interphalangeal joint of the left third finger while he was chopping wood. Two weeks later he observed enlargement and ulceration of the wound and consulted a physician. Radiographs of the hand were reported to be normal, and the patient took an unknown antibiotic for seven days, without improvement. Nine days before admission, he came to the emergency department of this hospital, where examination showed . . . [Full Text of this Article]

Differential Diagnosis

Clinical Diagnosis

Dr. Alan M. Sugar's Diagnosis

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References




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