Recurrent BCC with Perineural Invasion

The patient is a 56 yo woman who had micrographic surgery for a BCC on the tip of the nose in August of 2008. The initial typing could not be done b/c the specimen was a superficial shave and deeper component could not be appreciated.She presented in March 2012 with a subtle area of hypopigmentation at the site of the tumor. Because of the firmness of the nasal tip, induration could not be appreciated. The patient was worried that this might be...

Read More

A 61 year-old disabled mason was seen for evaluation of bugs which had been burrowing into his skin for the past six months. He was an anxious-appearing man with fresh and resolving excoriations on his arms, legs and torso. His medications included lisinopril, oxycodone 60 mg three times a day, oxycodone 15 mg as needed for breakthrough pain, diazepam, montelukast, and various vitamins. Elaborately wrapped samples of the insects were presented for...

Read More

Central Centrifugal Cicatricial Alopecia (CCCA)

Abstract: 46 year old Ghanaian woman with scarring alopeciaHPI: The patient is a 46 yo woman from Ghana with 3 - 4 mo history of progressive alopecia. She has lived in the U.S. for ten years, takes no medications p.o. and has used hot combs only infrequently in the past.The Examination shows patchy areas of complete hair loss on frontal, parietal and vertex areas of the scalp.Clinical Photos:Pathology: (Photomicrographs courtesy of Marjan Mirzabeigi,...

Read More