Scottsdale 2012 Didactic Session VII Case Vignette 30

    35 year-old female with targetoid lesions on the trunk and proximal extremities.

    Conference: 

    Scottsdale 2012 Didactic Session V Case Vignette 15

     

    A 59 year-old Caucasian man with diabetes mellitus, type II, hypercholesterolemia and hypertension and who

    reported having a severe fall seven months prior to presentation. About three days after the fall, he reported 'bruiselike'

    areas involving his forearms and abdomen, which eventually faded and left behind the current skin

    lesions. Laboratory values for ANA, ANCA, antisclera-70, and anti-centromere were all negative. The patient's

    medications included insulin, glyburide, exenatide, cyclobenzaprine, flouxetine, metoprolol succinate and

    Session: 
    Conference: 

    Microscope Sessions: Faculty

    Session End: 
    04/21/2012 - 12:00

    Show and tell: Discussion of cases brought by faculty at the multiheaded microscope session

     

    Dr. Stephen Lyle

    Alopecia

    Dr. Michael Rabkin

    Grading and evaluation of melanocytic nevi

    Dr. Artur Zembowicz

    FISH and SAC in diagnosis of melanocytic lesions

    Dr. Cynthia Magro

    Medical Dermatopathology

    Dr. Nooshin Brinster

    Medical Dermatopathology

    A 28 years old woman with a 1.3 x 0.7 cm deeply pigmented lesion on the left neck.

     

    Clinical Findings: A 28 years old woman presented with a 1.3 x 0.7 cm darkly pigmented lesion on the left lateral side of neck. She recalled this lesion has been there since her birth. She did not feel any recent change in size or irritation symptoms. Dermatologist was suspicious of melanoma and a punch biopsy was performed.

    Conference: 

    A 45-year old man with a similar history

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    A 63-year old man with an erythematous ulcerated perianal lesion persisting for two years

    A 63-year old man initially presented with an erythematous pruritic perianal lesion, which did not respond to topical treatment. During a period of two years the lesion became partially ulcerated with irregular margins. Clinical, endoscopic and CT investigation have been found within normal limits.

    Conference: 

    A 42-year old woman with an erythematous severely pruritic perianal lesion

    A 42-year old woman with a chronic scratching in a single erythematous perianal plaque persisting for two years that resisted the topical treatment

    Conference: 

    FAADV 2012.1.5 Cavernous hemangioma or angioleiomyoma, cavernous type?

    A 54 years old woman has one aymptomatic lesion on her right thigh for several months. The clinical impression is dermatofibroma.

    FAADV 2012.1.3 dermatofibroma?

    A 39 years old woman has asymptomatic skin lesion on her abdomen for several years. The clinical impression is skin tumor, suspected hamartoma.

    FAADV 2012.1.2 granuloma in the superficial dermis

    A 68 years old woman has some asymptomatic rash on her neck for a few months

    FAADV 2012.1.1 EAC or LE (diagnostic pitfall in the superficial and deep infiltrate)

    A 27 year old woman has asymptomatic rash occurring gradually on her chin and upper arm. There is no good response to topical therapy prescribed by family physicians.

    Dr. Yu-Hung Wu's conference & AADV Dermaopathology Fellowship Training program

    Dr. Yu-Hung Wu is the director of international fellowship program of dermatopathology (http://www.mmh.org.tw/taitam/derma/english/education/international-fello...) at Mackay Memorial Hospital, Taipei, Taiwan. The program provides a comprehensive dermatopathology experience. Training includes daily slide reading, clinico-pathological and academic conferences, and access to a well-organized dermatopathology slide library.

    Contributor(s): 

    Cases associated with this conference:

  • FAADV 2012.1.5 Cavernous hemangioma or angioleiomyoma, cavernous type?
    Author: Dr. Yu-Hung Wu M.D.

  • FAADV 2012.1.4 Kaposi's sarcome or acroangiodermatitis of Mali?
    Author: Dr. Yu-Hung Wu M.D.

  • FAADV 2012.1.3 dermatofibroma?
    Author: Dr. Yu-Hung Wu M.D.

  • FAADV 2012.1.2 granuloma in the superficial dermis
    Author: Dr. Yu-Hung Wu M.D.

  • FAADV 2012.1.1 EAC or LE (diagnostic pitfall in the superficial and deep infiltrate)
    Author: Dr. Yu-Hung Wu M.D.

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