Unknown

What are your thoughts?The Pathology Report: ATYPICAL LYMPHOID HYPEPLASIA"Superficial and deep, nodular and diffuse lymphohistiocytic infiltrate forming follicular germinal centers consistent with atypical lymphoid hyperplasia. NOTE : Immunostaining reveals a mixture of T-cells (CD3) and B-cells (CD-20). No clonal proliferation is seen on Kappa and Lambda staining. No CD-30 positive cells are noted. These findings are supportive of a lymphoid hyperplasia....

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“NAILING DOWN A DIAGNOSIS”

Presented by Brian T. Maurer, Enfield, ConnecticutD.S. is a 72-year-old left-handed male with a three-year history of periungual inflammation coupled with periodic cracking, separation and nail loss on the 3rd, 4th and 5th fingers of the left hand. The pads of these fingers also appear erythematous and swollen with dry cracked skin.Initially, a local dermatologist prescribed topical Lamisil without effect. A subsequent month-long course of oral...

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Digital Tumor

This 61 yo man presented with a 30 year history of an annoying tumor of his right index finger. It interferes with his writing in that it abuts on the area in contact with a pen or pencil. He has pared it down on numerous occasions and it has been unsuccessfully treated with cryotherapy in the past. The clinical picture is that of an acquired digital fifrokeratoma (see reference below). An excisional biopsy is scheduled.Dupre A, Christol B, Bories...

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Interesting Tumor

This 48 yo woman presented with a 2 year history of a tumor of the upper lip.She has type III skin. The lesion in question is 6 mm in diameter.A biopsy was done. This looks like a pigmented sclerotic basal cell.She has a sick child and delayed her dermatology visit because she must take son to physicians often.It's a three hour trip for him. He is 15 years old and has had polycythema rubra vera and essential thrombocythemia since age eig...

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