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A 34-year-old female community nurse in her first trimester of pregnancy presented with a 2-week history of a tender, swollen and hyperkeratotic lesion on her chest with no history of trauma. The lesion started as a red ‘spot’, became crusted, pustular and formed an eschar. A generous incisional biopsy was taken.
Review the high-quality, interactive digital Aperio slide at http://virtualacp.com/JCPCases/jclinpath-2017-204459 and consider your diagnosis.
What is your diagnosis?
Pseudocowpox (Milker’s nodule)
The correct answer is after the discussion.
Histopathology shows superficial ulceration, …
Handling editor Iskander Chaudhry.
Competing interests None declared.
Provenance and peer review Commissioned; internally peer reviewed.
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