On Mondays, we post our image challenge of the week. Look out for the answers on Friday of that same week.
Case: A 45-year old African-American woman presents to establish primary care. She is naive to the medical system. She complains of a 2-year history of gradually enlarging papules on her nose, cheek, forehead, and around her eyes (representative image shown below – image is not of the patient described here). They are violaceous, non-pruritic, non-photosensitive, and indurated. Her only other complaint is mild progressive dyspnea on exertion. Chest X-ray demonstrates hilar lymphadenopathy.
Question: What is the finding shown above? For which disease is it specific? Tune in Friday for the answer!