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Giovambattista De Aloe, MD; Sara Poggiali, MD; Pietro Rubegni, MD; Clelia Miracco; Michele Fimiani, MD
University of Siena, Siena, Italy

Arch Dermatol. 2007;143(3):417-422.

	Since this article does not have an abstract, we have provided the first 148 words of the full text and any section headings.

REPORT OF A CASE

An 11-year-old boy presented with a 3-month history of a slow-growing asymptomatic nodule on his back. His adoptive mother reported that the lesion, which was initially thought to be an insect bite, did not respond to treatment with topical steroids or antibiotics. The patient had been adopted from the Ukraine Republic when he was 5 years old. Since the adoption, his medical history had been unremarkable and he was otherwise healthy. Physical examination showed a 3-cm reddish purple nodular lesion surrounded by a whitish halo in the right scapular region (Figure 1). There was no adenopathy or other skin lesions. A cutaneous punch biopsy specimen was obtained from the erythematous portion of the lesion (Figure 2 and Figure 3).

Figure appears in full text version. Figure 1.

Figure appears in full text version. Figure 2.

Figure appears in full text version. Figure 3.

What is your diagnosis?

SECTION EDITOR: MICHAEL E. MING, MD

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A Nodule on a Boy’s Back—Diagnosis
Arch Dermatol. 2007;143(3):417-422.
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