Dermatopathology

Dermpath Diagnosis

Asymptomatic Papules on the Neck

Author:

Jill Wieser, MD

Elise Keshock, BS

Timothy Chang, MD

Bethany Rohr, MD

A 70-year-old woman with a history of osteoporosis and breast cancer presented for evaluation of asymptomatic, 2- to 3-mm, white to flesh-colored...

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Article

Multiple Painless Whitish Papules on the Vulva and Perianal Region

Author:

Moatasem Hussein Al-janabi, MD

Yara Melhem, MD

Rana Issa, MD, PhD

Fouz Hasan, MD, PhD

A 21-year-old woman presented with a chronic eruption in the anogenital
region of 4 years’ duration.

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Photo Challenge

Purpuric Lesions on the Leg

Author:

Pelin Sagut, MD, MSCR

Emily Gaster, MD

Dirk M. Elston, MD

A 74-year-old woman who frequently traveled abroad presented to the dermatology department with retiform purpura of the lower leg along with...

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Case Letter

Inspection of Deep Tumor Margins for Accurate Cutaneous Squamous Cell Carcinoma Staging

Author:

Jeffrey Chen, BA

Kevin T. Savage, MD

Melissa A. Pugliano-Mauro, MD

Ji Won Ahn, MD

To the Editor:

Histopathologic analysis of debulk specimens in Mohs micrographic surgery (MMS) may augment identification of high-risk...

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Case Letter

Transient Eruption of Verrucous Keratoses During Encorafenib Therapy: Adverse Event or Paraneoplastic Phenomenon?

Author:

Alex A. Marti, BA

Melissa A. Willis, MD

Vincent Liu, MD

To the Editor:

Mutations of the BRAF protein kinase gene are implicated in a variety of malignancies.¹ BRAF...

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Case Letter

Rare Case of Photodistributed Hyperpigmentation Linked to Kratom Consumption

Author:

Isha Gandhi, BS

Xuan Wang, MD

Steven Fishman, MD

To the Editor:

Kratom (Mitragyna speciosa) is an evergreen tree native to Southeast Asia.¹ Its leaves contain psychoactive...

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Dermpath Diagnosis

Acute Tender Papules on the Arms and Legs

Author:

Benjamin Freemyer, MD

Steven Mays, MD

Ronald Rapini, MD

A 66-year-old man presented with new tender erythematous papules scattered over the arms and legs. A biopsy of a lesion on the left thigh was...

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Photo Challenge

Necrotic Papules in a Pediatric Patient

Author:

Youngsun J. Kim, MS

Elizabeth L. Nieman, MD

Paul B. Googe, MD

Jayson Miedema, MD

A 7-year-old boy was referred to the dermatology clinic for evaluation of a diffuse pruritic rash of 3 months’ duration. The rash began as scant...

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Photo Challenge

Scarring Head Wound

Author:

Sophie Gart, MS

Alfredo Siller Jr, MD

Corey Georgesen, MD

A 60-year-old man presented to a dermatology clinic with a wound on the scalp that had persisted for 11 months. The lesion started as a small...

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Photo Challenge

Painful Plaque on the Forearm

Author:

Nadine Essam Elkady, MD

Saira Alvi, BA

Victoria Shi, BA

Fahd Malik, MD

Isadore S. Tarantino, MD

Anand Rajpara, MD

A 30-year-old woman presented to the dermatology clinic with lesions on the right forearm of 2 years’ duration. She reported working as a chef and...

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Dermpath Diagnosis

Slowly Enlarging Nodule on the Neck

Author:

Stacey Pun, MD

Wonwoo Shon, DO

A 74-year-old man presented with an asymptomatic nodule on the left neck measuring approximately 2 cm. An excisional biopsy was obtained for...

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