0
We're unable to sign you in at this time. Please try again in a few minutes.
Retry
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
Retry
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......

JAMA Clinical Challenge

Cutaneous Nodule in a Young Man

Image of solitary nodule on the chest

Jianjun Qiao, MD, PhD
Hong Fang, MD
A 21-year-old male student presents with a nodule on his chest that has been progressively enlarging over 1 month. He also has a 1-month history of upper abdominal pain associated with diarrhea but without fever or chills. He was diagnosed with acute gastroenteritis and treated with oral omeprazole and ofloxacin without relief. He has lost 5 kg during the past half year. He denies any history of chronic illness or family history of cancer. Physical examination reveals left supraclavicular and cervical lymphadenopathy. A solitary asymptomatic, nontender, and indurated nodule is found on his chest (Figure). Gastrointestinal endoscopy shows multiple ulcers on the gastric fundus and gastric corpus.

See the full article for an explanation and discussion.

Author Affiliations: Drs Fang (fanghongzy@sina.com) and Qiao are affiliated with the Dermatology, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China.