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Epidermoid cyst

A mobile, dome-shaped nodule with a central punctum, which may express cheesy, foul-smelling material, unlike the firm, fixed nature of a rheumatoid nodule.

Gouty tophi

Deposits of uric acid crystals that can be firm but may extrude a chalky, white material, often located on the helix of the ear or over joints in patients with a history of gout.

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