A 70-year-old former smoker presented with a history of several weeks of multiple painless cutaneous nodules on his chest wall. He also reported fatigue, weight loss, and cough with blood-tinged sputum.
More than 30 subcutaneous nodules were identified on physical examination. There was no clubbing, peripheral edema, or joint deformity. The respiratory examination was otherwise normal.
What is the most likely diagnosis?
B. Acute myelogenous leukemia
C. Disseminated leishmaniasis
D. Acquired immunodeficiency syndrome
E. Small-cell lung cancer
Answer to be disclosed shortly!
The present case has been reported in NEJM