A 33-Year-Old with New, Painful ‘Lumps’ on Her Legs

A 33-year-old female presents with painful “lumps” on her legs that developed over the past few days. She decided to seek care when some of them began to drain pus.  She had no trauma and feels well. Her past medical history is significant for type 2 diabetes mellitus. On examination she is afebrile, with scattered tender nodules, some with purulent drainage, on the legs.

View the image taken and consider what your diagnosis and next steps would be. Resolution of the case is described on the next page.