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A Caucasian woman in her twenties having asymptomatic papules on the hands for the past 6 months was referred by rheumatology for a skin biopsy. The patient had presented to rheumatologist for arthralgia. On physical examination, multiple, dull red, 2-5-mm papules were observed on her dorsal fingers, with most in the periungual regions.

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Digital Papillary Adenocarcinoma: A Case Presentation and Literature Review.

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November 2024

Prisma Health Orthopedics, Columbia, SC.

Digital papillary adenocarcinoma is a rare cutaneous tumor of eccrine origin that often presents as a papule or nodule on the dorsal aspect of a finger. It is challenging to diagnose because of its rarity, its benign appearance, and the lack of specific clinical or histological features. Excision is recommended, given the malignant nature and variable recurrence rates with metastases well documented in the literature.

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Granuloma Annulare of the Palms in a Patient on Ribociclib for Metastatic Breast Cancer.

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Dermatology, North Branch Dermatology, Chicago, USA.

Granuloma annulare (GA) is a benign inflammatory skin condition that most commonly presents on the dorsal surfaces of the hands and feet. The etiology of GA is unknown; however, it has been associated with multiple triggers, including malignancy and targeted cancer therapy drugs. This case report describes a 66-year-old female with metastatic breast cancer on ribociclib who presented with painful, erythematous papules on the palmar surfaces of the hands.

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Conventional versus daylight photodynamic therapy for recalcitrant hand warts: Efficacy, safety and recurrence.

Photodiagnosis Photodyn Ther

December 2024

Department of Clinical and Experimental Medicine, Section of Dermatology, University of Messina, Messina 98125, Italy. Electronic address:

Article Synopsis
  • Acral warts, common on hands and feet, can be treated with conventional photodynamic therapy (C-PDT), which has been effective and safe for both adults and children, but the efficacy of daylight photodynamic therapy (DL-PDT) is still unclear.
  • A study involving 68 patients aimed to compare the short- and long-term effects of C-PDT and DL-PDT using 10% aminolevulinic acid (ALA) on hand warts, with evaluations of responses occurring at 3 months and 1 year post-treatment.
  • Results showed that both treatments were generally effective and well-tolerated, with a majority of patients experiencing excellent responses; however, a notable percentage had warts relapse a year later
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