RT Journal
A1 Qiao J, Fang H
T1 CUtaneous nodule in a young man
JF JAMA
JO JAMA
YR 2012
FD August 22
VO 308
IS 8
SP 812
OP 813
DO 10.1001/jama.2012.9637
UL http://dx.doi.org/10.1001/jama.2012.9637
AB 
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 1). Gastrointestinal endoscopy shows multiple ulcers on the gastric fundus and gastric corpus.