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Lucia Pozo, MD; Enrique Jorquera, MD; Salvador J. Diaz-Cano, MD
St Bartholomew's and the Royal London School of Medicine and Dentistry, London, England (Drs Pozo and Diaz-Cano), and Clinica Sagrado Corazon, Seville, Spain (Dr Jorquera)

Arch Dermatol. 2002;138:1509-1514.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 56-year-old woman presented with an asymptomatic abdominal nodule. She stated that the lesion had originally appeared after trauma to the site long ago but that it had been growing slowly since then. Her medical history was remarkable for diabetes, which she controlled with oral medication.

Physical examination of the lower part of her abdomen showed a 3-cm soft skin-colored nodule with a nonulcerated and multilobated surface (Figure 1 and Figure 2). No peripheral lymphadenopathy was palpable. The lesion was excised (Figure 3 and Figure 4).

Figure 1.

Figure 2.

Figure 3.

Figure 4.

What is your diagnosis?

Diagnosis: Subcutaneous spherulocystic disease.

Gross examination of the specimen revealed a multicystic mass with a "Swiss cheese" appearance in the dermis and subcutaneous soft tissue. On microscopic examination, the lesion showed a mixed granulomatous inflammation surrounding cystic spaces that appeared to be . . . [Full Text of this Article]

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