Abstract
We report a 25-year-old pregnant female immigrant from Somalia with nodular, indolent progressive swelling of the right distal-medial lower leg and multiple nodular changes on the fingers of both hands (Figs. 1 & 2). Material from a lesion above the right medial malleolus obtained by sample excision tested negative for mycobacteria by conventional microbiology and specific PCR. A postpartum MRI of the right lower leg showed the radiographic
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