A 58-year-old gardener suffered many deep scratches while tending to his backyard rose bushes. Several weeks later he developed multiple, indurated, slightly scaly, deep dermal-to-subcutaneous nodules on the hand (Figure). He also noted gradual tender swelling in the ipsilateral axilla. Overall review of systems was benign, as was the past medical and family history. The patient was not taking any medications. His wife and a young adult child still living at home were free of similar findings.
Which of the following interventions is considered the treatment of choice for this patient’s condition?
A. Oral griseofulvin(Drug information on griseofulvin)
B. Cryosurgery
C. Oral ketoconaozle
D. Oral itraconaozle
E. Intravenous amphotericin-B
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ConsultantLive.com.
Dermclinic
What Culprit Hidden in this Gardener's Back Yard Caused These Deep, Scaly Nodules?
By Ted Rosen, MD |
December 16, 2011
Dr Rosen is Professor of Dermatology at Baylor College of Medicine and Chief of the Dermatology Service at the Veterans Affairs Medical Center, both in Houston, Texas.
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