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Verrucous nodules on the ankle

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The scaly nodules appeared over the staple sites of a previous surgery. But did one have anything to do with the other?


 

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A 56-year-old woman came into our medical center complaining of multiple pruritic, slowly growing scaly nodules over her right ankle (FIGURE 1A AND 1B). She indicated that the lesions started as small pink “bumps” at the staple sites of an open reduction and internal fixation surgery of her talus that she’d had 8 years ago.

There were no lesions elsewhere on her body and her past medical history was otherwise unremarkable.

FIGURE 1
Multiple pruritic, scaly nodules

The 56-year-old patient had multiple verrucous nodules on her right ankle. They appeared on the staple sites of an open reduction and internal fixation surgery of her talus.

What is your diagnosis?
How would you manage this condition?

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