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82-year-old male presented with ulceronodular plaques on the dorsal fingers
The patient presented with several weeks of recurrent, painful, ulceronodular plaques on the bilateral dorsal fingers, and the forearms. New lesions occurred at sites of minor trauma. He denied significant past medical history and no new exposures. Review of systems was notable for weight loss, diarrhea and malaise.
On examination, large, boggy and friable, violaceous plaques with a gun-metal gray border covered the dorsal aspect of the second and fourth fingers. Erythematous, atrophic plaques were notable on the dorsal hand at sites of prior lesions.
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