Hemangioma of Auricle

This 4 month infant girl was born with hemangiomas of the chin and left ear.The lesion on the chin (not pictured) measures 1 cm in diameter and is typical of a congenital hemangioma.The abnormality of the left ear involves the triangular fossa and the helix. I am concerned that as this involutes it could cause disfigurement. At the same time, I wonder if anyone has experience handling similar lesions in this site. A PubMed site found only a paucity...

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Nevus, Congenital

This 20 yo college student presented in consultation for removal of a congenital nevus.The lesion is located just distal to her left knee. She's been embarrassed about this since childhood and for the past six or seven years won't let anyone see it. Indeed she covers it at all times with bandaids.The lesion measures 5.2 cm in diameter.I have referred her to a surgeon for removal since I think that's better than psychotherapy. To minimize the scar...

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Imiquimod Side-Effect?

This 66 yo woman began topical imiquimod on July 27, 2005 for a biopsy proven superficial BCC of the right upper lip. One week later, she developed aphthous ulcers on the mucous membrane surface of the area just below the site treated. A literature search retrieved a reference to his occurence. This is another unexpected adverse effect. It is unclear how common this is.Aphthous ulcers associated with imiquimod and the treatment of actinic cheilitis.Chakrabarty...

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46 year old woman with indurated depressed lesion

A 46-year-old woman presented with 7 years history of depressed lesion just above the left side of mouth. It was asymptomatic. She has seen few dermatologists and a plastic surgeon but none really helped her lesion. She did not have polyarthalgia or other constitutional symptoms. Drug history was nil significance.Examination showed 2 areas of depression, almost tethered to the underlying dermis just above the left side of the mouth and another...

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Basal Carcinoma - Deconstructed

August 9, 2006.LATE BREAKING!! BIOPSY HERE SHOWED THE LESION TO BE AN INTRADERMAL NEVUS.I should have paid more attention to the history.MORE... The patient underwent an excision - and the final report was a Basal Cell + an intradermal nevus. Quite unusual. The initial clinical impression was more accurate that the incisional biopsy. This is sobering.This 57 yo man presented with an 8 mm in diameter papule that has bled since he started to wear...

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