Solve exciting clinical cases specific to your field of interest via Docplexus clinical case challenge. In today’s ‘Infectious Disease Case Challenge’ join your fellow doctors to discuss and answer an interesting quiz. A 47-year-old male patient, who is a fisherman, presents for evaluation of numerous lesions, which have been slowly spreading up his hand. He is in good health and denies systemic symptoms or other complaints.
The joints of the affected finger are slightly tender when he closes his fingers into a fist; no other joints are affected. The lesions are slightly tender to palpation The first lesions developed nearly two months ago; he has slowly developed new lesions in the interim On examination, the patient has nodules over his right index finger, dorsal hand, and some extending onto his wrist. The joints are not inflamed, but the lesion over the dorsal finger somewhat limits…