The skin examination revealed 1-to 2-cm nonerythematous, firm, subcutaneous nodules on the head, neck, chest, back, groin, and bilateral upper and lower extremities (Fig 1). The skin overlying these nodules was nonulcerated and freely mobile. Generalized adenopathy (2-to 3-cm firm, nontender nodes) was also present. The lungs and heart were normal. The liver was palpable 4 cm below the right costal margin. The
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