Recurrent erythematous papules and nodules on the back of right lower leg

Presenter: Richard Winkelmann, DO; Jessica Hoy, DO; Kylee Sacksteder, DO; Gabriella Maloney, DO; Alyson Ridpath, DO
Dermatology Program: OhioHealth Dermatology Columbus, OH
Program Director: Dawn Sammons, DO
Submitted on: May 5, 2017

CHIEF COMPLAINT:  Recurrent bumps on back of right lower leg

CLINICAL HISTORY:

Signs and symptoms:  A 64-year-old immunocompetent female presented with a seven-month history of recurrent erythematous papules and nodules on the back of her right lower leg. She reported that the nodules were tender, nonpruritic, and, at times, had a clear exudate. The patient denied any trauma to the area and initially attributed the eruption to mosquito bites.

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