Case 13: Skin of Right Wrist, R/O Foreign Object

  • Dong-Lin XieEmail author
  • Tam H. Nguyen
  • Robert A. Norman
Part of the Clinical Cases in Dermatology book series (CLIDADE)


An 80-year-old male presented with a tender nodule on his right wrist. He stated that one week ago, he was gardening when he was struck by a thorn in that location. Since that time, the nodule grew slowly every day. He denied any discharge or pruritis in the lesion. The patient did not experience any constitutional symptoms like fever or malaise. No other similar lesions were reported elsewhere on the body.


Tender nodule Wrist nodule Gardening PAS stain Fungal hyphae Polarizable Phaeohyphomycosis 

Suggested Reading

  1. Behera B, Thomas E, Kumari R, Thappa DM, Jinkala S. Polymorphous presentation of subcutaneous phaeohyphomycosis: a rare occurrence. Int J Dermatol. 2018;57(2):e1–3.CrossRefGoogle Scholar
  2. Jinkala SR, Basu D, Neelaiah S, Stephen N, Bheemanati Hanuman S, Singh R. Subcutaneous phaeohyphomycosis: a clinical mimic of skin and soft tissue neoplasms—A descriptive study from India. World J Surg. 2018;42:3861–6. Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Dong-Lin Xie
    • 1
    Email author
  • Tam H. Nguyen
    • 2
  • Robert A. Norman
    • 3
    • 4
  1. 1.Ruffolo, Hooper & Associates, M.D, P.A.TampaUSA
  2. 2.DO, PGY-1 Larkin Community HospitalMiamiUSA
  3. 3.Department of DermatologyNova Southeastern UniversityTampaUSA
  4. 4.Center for Geriatric Dermatology and Neuro-DermatologyTampaUSA

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