#DiagnosticDilemma: What is your take on this case?
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A 63-year-old woman presented with an 8-week history of nodules on her arms. She recalled cutting her thumbs while cleaning fish that she had purchased at a seafood market in preparation for a meal, and the lesions began to develop 6 weeks later. A biopsy was performed and demonstrated multiple granulomas. What is the diagnosis?

Source: NEJM
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