A 60-year-old man from a sub-Himalayan village of India presented with multiple nodular outgrowths on the dorsum of the radial three digits of both hands, both ankles, the left sole, and the fourth toe of the left foot (Fig. 1). The nodules developed over 5 years, progressively increasing in size. They were painless throughout the course until he injured his left ankle 5 months before, after which the nodules over the left ankle and sole became painful on weightbearing.