Case of the Month

June 2021

A 50+ year old female presented with worsening hyperpigmentation on her face, progressing over the last 8-10 years. She started using an unknown topical product from her home country in Africa, ingredients unknown.  There was a significant language barrier, limiting a more thorough history.  Her exam also revealed post-inflammatory hyperpigmentation on her arms and acanthosis around her neck. She requested a biopsy; pathology and clinical photos below. More

Past Cases

May 2021

She has tried treating at home with alcohol, shea butter, Vaseline and peroxide without improvement. She has daily pitting edema of the lower legs, but has never been diagnosed with lymphedema. Her lower leg skin has become hypertrophic, scaly and hyperpigmented over the course of many years. Her medical history includes hypertension, arthritis, eczema and seasonal allergies. More

April 2021

The patient is a 20+ – year-old female of Mexican descent with a 3-month history of an eruption on her nose. She developed a painful oozing pruritic crusted plaque studded with pustules and papules. She initially declined a biopsy and was treated with doxycycline, trimethoprim-sulfamethoxazole, topical mupirocin ointment, triamcinolone, prednisone, soolantra, and clindamycin gel. More

March 2021

An 80+ year old male presented to clinic with a large, painful, ulcerated 2.5 cm nodule on his left conchal bowl.  On further questioning he reported the growth present and enlarging for over a year.  Biopsy was performed; pathology shown below. More

February 2021

The histopathologic findings in the biopsy from the nodule show a tumor composed of closely packed glandular structures with central pink (colloid) secretion.  The cells lining the glandular structures are cuboidal with dark-staining round nuclei with inconspicuous nucleoli.  These glandular structures are actually thyroid follicles. More