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A 28-year- old HIV-negative male patient presented with a 2-month history of painful inflamed nodules on the tip of his left index and right third finger (figure 1). A biopsy showed an inflammatory infiltrate with plasma cells; immunohistochemistry revealed abundant spirochetes in a mixed perivascular and intercellular pattern (figure 1). Rapid …
Handling editor Anna Maria Geretti
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.