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A 36-year-old patient was seen 6 months after developing a lesion on the tip of the
third finger (Figures 1A and 1B). Over the course of 3 months, the lesion had increased in size and become tender
to the touch. The lesion was 3 × 3 mm, firm, and fixed to bone and soft tissue. There
was no soft-tissue swelling or surrounding erythema.