Atypical plaque on the hand

Submitted by Dr Henry Foong, Ipoh, MalaysiaAn 80-year-old retired goldsmith presented with 4-month history of an ulcerated plaque on the left hand. It had gradually increased in size. His past medical history included hypertension, diabetes mellitus, and ischemic heart disease. His medications included norvasc, zocor, ticlid and amaryl.Examination of the skin showed a localized ulcerated verrucous plaque 6 x 6 cm on the dorsum of the left hand. Closer...

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Annals of Puzzling Purpuras

Percussion Purpura -- Taiko PurpuraSubmitted by Trudi Shim, San Antonio, TexasHistory: The patient is a 63 year-old Japanese-Hawaiian woman who plays Taiko drums as a hobby. She has a past history of porphyria cutanea tarda (PCT) from estrogens which is now quiescent. A few years back, she developed tendonitis of her wrists and received cortisone injections near each wrist from two different physicians. When she developed a hypopigmented patch...

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