Cases

Case of the Month

A 70+ year old female presents with a new eruption. 

HISTORY: A 70+ year old female presents with a new eruption.  She had a significant history of uncontrolled urticaria that had spontaneously disappeared 6 months prior. Patient feels as though her hives returned after gardening outdoors in the sunshine. She denies systemic symptoms, but states the lesions are tender and

More »

Past Cases

Elephantiasis Nostras Verrucosa ?

A 50+ year old morbidly obese African American female presents with a 6 month history of an isolated growing, verrucous, pruritic, weeping mass on the left shin that has recently developed a foul odor.

HISTORY: A 50+ year old morbidly obese African American female presents with a 6 month history of an isolated growing, verrucous, pruritic, weeping mass on the left shin that has recently developed a foul odor. She has tried treating at home with alcohol, shea butter, Vaseline and peroxide without improvement.

More »

Ulcerated nodule on his left conchal bowl

HISTORY: 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. Using the clinicopathologic correlation, what is your diagnosis?

More »
A 94 y.o. male presents a nodule on the right anterior neck, present for two years and growing

Metastatic thyroid cancer, follicular type

HISTORY: A 80+ year old male presents with a nodule on the right anterior neck, present for two years and growing. The patient reported a history of right thyroidectomy in 2010 and review of systems was otherwise negative. Exam showed a 1 cm, mobile, non-tender nodule. A biopsy was performed

More »