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CASE 1: CYSTIC LUMP CAUSED BY A BLACKTHORN GRANULOMA
A 47 year old man presented with a 2x1 cm size mobile, tender, cystic lump over the dorsum of the left hand. He had a minor injury two weeks previously while pruning. The lump was explored and removed in total as he showed no improvement to a prolonged course of anti-staphylococcal antibiotic therapy. Histopathological examination showed a small organised abscess, granulation tissue, chronic inflammatory infiltrates with a piece of blackthorn. His postoperative period was uneventful.
CASE 2: BLACKTHORN SYNOVITIS WITH DIGITAL NERVE ENTRAPMENT
A 53 year old woman presented with a swollen, tender right index finger at the level of proximal interphalangeal (PIP) joint. She gave a history of cutting hedges a week ago. A small piece of blackthorn with reactive synovium was removed on exploration. She remained asymptomatic for few months period before re-attending the clinic because of the appearance of an exquisitely tender lump...