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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