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The skin eruption on a patient with a history of cancer was not nearly as innocuous
as she assumed. When a 54-year-old woman from Mexico presented with a 1-month history
of erythematous, nontender, nonpruritic papules and nodules on the right side of her
chest wall, she attributed the skin lesions to a spider bite. On examination, the
largest of the lesions exhibited a well-circumscribed border and central ulceration
(Figures 1 and 2). A review of systems was otherwise negative.
Figure 1The patient had erythematous papules and nodules along the chest wall at the site
of a prior mastectomy incision. Note that the largest of the lesions exhibits central
ulceration.
