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Hi All
Can anyone identify what this very soft fluctuant interdigital swelling is?
Afro-Caribbean lady 58 yrs old, no medical history admitted. slightly over weight, non smoker, no sign of PAD/PVD. No local wounds or trauma reported, no signs or symptoms of infection, not painful no pain at all in local area. Normal skin cover, not translucent, no odour or discharge. Onset 4 months and has grown steadily since then to present size.
No fluid could be aspirated or expressed from the mass but the largest syringe needle I have in surgery is 27 gauge so it wouldn't draw up synovial fluid anyway but then again this felt too soft to be synovial fluid.
I have referred to GP to be cautious but I haven't seen a lump quite like this before and can find no reference like it in my Dermatology manuals
Cheers Dave