How Would You Diagnose These Nodules on an Older Woman’s Feet?

AUTHORS:
Jasmine K. Malhi • Corina Rusu, MD • Barbara B. Wilson, MD

AFFILIATION:
Department of Dermatology, University of Virginia, Charlottesville, Virginia

CITATION:
Malhi JK, Rusu C, Wilson BB. How would you diagnose these nodules on an older woman’s feet? Consultant. 2022;62(5):e11-e12. doi:10.25270/con.2021.08.00011

Received April 1, 2021. Accepted April 13, 2021. Published online August 25, 2021.

DISCLOSURES:
The authors report no relevant financial relationships.

CORRESPONDENCE:
Jasmine K. Malhi, University of Virginia, 1221 Lee Street 3rd Floor, Charlottesville, VA 22903 (jm3ws@virginia.edu)

A 63-year-old woman presented for evaluation of painless nodules on her feet. With questioning, she was also found to have similar lesions on one of her palms.

A physical examination revealed well-circumscribed subcutaneous nodules on the bilateral insteps (Figure) and right palm that appeared to be attached to the underlying tendon of the bilateral soles and palmar aspect of the 4th digit. They have been present for at least 3 years and have been slowly growing.

Answer and discussion on next page.