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Blue nodule on the finger

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1 Blue nodule on the finger
Manabu Suwa, MD, Akane Minagawa, MD, PhD, Tasuku Sano, MD, Ryuhei Okuyama, MD, PhD  JAAD Case Reports  Volume 5, Issue 5, Pages (May 2019) DOI: /j.jdcr Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

2 Fig 1 Clinical image of the pencil-core granuloma on the right second finger. JAAD Case Reports 2019 5, DOI: ( /j.jdcr ) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

3 Fig 2 Dermoscopic image of the pencil-core granuloma on the right second finger. Arrows indicate dotted vessels. (Original magnification: ×10.) JAAD Case Reports 2019 5, DOI: ( /j.jdcr ) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions

4 Fig 3 Histopathologic features of the pencil-core granuloma. A, a nodular eosinophilic structureless material is located in the middle dermis and subcutaneous tissue. The eosinophilic material is stained dark brown by the von Kossa reaction (not shown). The number of microvessels in the papillary dermis was increased. B, deposition of black substances (graphite) and infiltration of multinucleated giant cells admixed with lymphocytes are observed at the periphery of the nodule. (A and B, Hematoxylin-eosin stain; original magnifications: A, ×20; B, ×400.) JAAD Case Reports 2019 5, DOI: ( /j.jdcr ) Copyright © 2019 American Academy of Dermatology, Inc. Terms and Conditions


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