Thank you for your opinions 🙂
I got a new idea for diagnosis!
Answers as follows:
1. Pachydermodactyly.X2
2. Soft tissue lesions are very unspecific. Should consider biopsy.
3. can be everything, even sarcoidosis
Paper related to pachydermodactyly from Brandao
doi.org/10.1155/2014/132854