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What are these papules on a boy’s knuckles?

What are these papules on a boy’s knuckles?

 

Case 1:
The mother of a 10-year-old boy brings him in for evaluation of his moles (which are all benign). During the visit, the mother asks about the lesions on the first 2 knuckles of his right hand; she initially noticed them several months earlier. The boy is otherwise healthy.

1101ConDC1_Trauma2.tif

(Answer on next page.)

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