Nodule: Or something else? Differential Diagnosis

Blood, hematopoietic organs – immune system (D50-D90).

Skin and subcutaneous (L00-L99).

  • Acne nodulocystica – form of acne characterized by the appearance of nodules and cysts.
  • Epidermal cyst – bulging elastic node in the area of the epidermis.
  • Erythema nodosum (nodular rose)
  • Histiocytoma (synonyms: nodulus cutaneus, dermatofibroma lenticulare) – benign (benign) reactive fibroblast (main cells of connective tissue) resembling hard fibroma. It is also called dermatofibroma.
  • Vasculitis nodularis – vascular wall inflammation of vessels in the deep cutis/fatty tissue.

Infectious and parasitic diseases (A00-B99).

  • Actinomycosis – infection with actinomycetes (ray fungus).
  • Leprosy
  • Lupus vulgaris – chronic skin tuberculosis.
  • Swimming pool granuloma
  • Syphilis (Lues)
  • Verruca (wart)

Musculoskeletal system and connective tissue (M00-M99)

  • Gouty tophi (sodium urattophi) – nodular thickening of cartilaginous tissue within or near affected joints.
  • Heberden’s nodes – growths as bone/cartilage localized on the extensor sides of the finger end links.
  • Polyarteritis nodosa – the classic form of polyarteritis nodosa (PAN) is a severe generalized disease (weight loss, fever, night sweats/nocturnal sweating, “chlorotic marasmus”) that is either insidious or post or parainfectious and is associated with systemic vasculitis.
  • Rheumatoid nodules (noduli rheumatici), subcutaneous (located under the skin), coarse, shifting nodules); develop in 20 to 30 percent of patients with rheumatoid arthritis

Neoplasms – tumor diseases (C00-D48).

  • Basal cell carcinoma (BCC; basal cell carcinoma
  • Dermatofibroma (histiocytoma) – benign (benign) neoplasm consisting of connective tissue of the dermis (liver skin).
  • Fibromas
  • Granuloma pyogenicum – hemangioma (blood sponge) originating from vessels of the capillary body.
  • Keratoacanthoma – benign (benign) epithelial proliferation with central horny plug.
  • Lipoma (fatty tumor)
  • Lymphoma (cancer of the lymph nodes)
  • Malignant melanoma (black skin cancer)
  • Merkel cell carcinoma – caused by Merkel cell polyoma virus (MCPyV or incorrectly MCV); fast-growing, solitary, cutaneous (“belonging to the skin”) or subcutaneous (“under the skin”) tumor; clinical presentation: red to bluish-purple nodus that is asymptomatic
  • Metastases (daughter tumors).
  • Squamous cell carcinoma – malignant neoplasm of skin / mucosa.

Ears – mastoid process (H60-H95)

  • Chondrodermatitis nodularis chronica helicis – up to pea-sized nodules with a wall-like edge on the auricle, occurring mainly in older men, which may enclose a horn cone

Other causes

  • Amyloid and calcium deposits
  • Xanthoma – skin lesion resulting from increased storage of plasma lipoproteins in the skin in the context of hyperlipoproteinemias.