Prurigo Nodularis with KA Like Lesions

Abstract:Abstract: 63 yo man with 10 month history of intense pruritus and excoriated papules and nodulesHPI:   This 63 yo retired radio announcer presents with a 10 month history of intense pruritus and excoriated papules and nodules. He is in reasonable health.  Medications include Welbutrin (bupropion) and occasional prednisone for his itching.  He's tried topical steroids and anti-histamines without relief.  Smokes...

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Changing Nevus

Presented by:Dr. Salvatore DonatelloDermatologica e Venereologia. Catania, Sicilia Abstract:  44 year old man with changing naevusHPI:  The patient was seen in July of 2012 for a general cutaneous exam. He has Type IV skin. A naevus was noted on his right shoulder.  Dermatoscopic exam was felt to be not particularly worrisome but he was asked to return to have the lesion rechecked in six months.  He returned 18 months later. ...

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Periodic Shedding of the Nails

Abstract:  2 year old girl with seven month history of nail sheddingHPI:  This otherwise healthy 2 year-old girl has been losing nails since about 18 months of age.  By history, the nails turn black and then are shed.  The patient's father says his small toe nail sheds periodicaly and his father may have a nail dystrophy, also.  This grandfather has a muscular disorder.OE:  There are six or seven nails with which...

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Desmoplastic Melanoma

Abstract: 83 yo man with a mixed desmoplastic melanoma of the scalp   HPI: In August 2013, this 83 yo man was seen with an 8 mm diameter nodule on the left parietal scalp present for  4 – 5 months and growing rapidly.  He had a history of two thin melanomas excised from the left forhead and left temple from 2009 – 2011.  In reviewing the biopsy reports, it can not be determined if they were both the same lesion...

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Atypical Spitz Nevus

Presented by: Hamish Dunwoodie, M.D.Northern Dermatology AssociatesFlin Flon, Manitoba, Canada Abstract: 8 yo boy with few months history of erythematous papule right calfHPI: This 8 yo boy was originally seen in August 2013 for a lesion on the right calf whih had been present for 2 months.  Clinically, it looked like a pyogenic granuloma.  It was shave excised and the base cauterized.  A specimen was sent for pathology, but the report...

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Nail Dystrophy x 3 Years

Abstract:  52 yo woman with 3 year history of a nail dystrophyHPI:  The patient has had this problem for three years.  She works out a lot and recalls trauma to the toe,O/E:  The left great toe nail is dystrophic,  The nail is quite short and there is brownish green discoloration under the abnormal nail.  There is some hemorrhage under the proximal nail fold.   Clinical Photos: Dermatoscopiic ImageLab:  KOH...

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Vellus Hair Cysts

Abstract: 17 yo boy with scores of papules on abdomen, chest, neckHPI:  This 17 yo boy has had 2 - 3 mm papules on chest, abdomen and neck slowly progressive since age 10.  Occasionally the lesions become iflamed.OE: Scores of 2 - 3 mm somewhat cystic lesions in above areas.  Some are slightly greyishClinical Photo: Pathology: (Photomicrographs taken by Dr. Deon Wolpowitz, Department of Dermatopathology, Boston University...

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