A man in the sixth decade of life consulted us for an evaluation of small rodlike nodules at the proximal nail fold on his left fifth finger in May 2012. Six months previously, he noticed a small rodlike nodule, and 3 months later, he noticed another near the first nodule. Because the nodules had progressively enlarged, he sought medical advice. He reported no history of trauma before the onset of the lesions. He had a history of brain infarction and had left-sided hemiplegia and hypoesthesia. No other significant cutaneous or systemic diseases were reported by the patient.