Arch Dermatol -- Archives of Dermatology Clinical Challenge

Fleshy Facial Lesion in an 80-Year-Old Dayak Woman

REPORT OF A CASE

An 80-year-old Dayak (the indigenous people of Borneo) woman with hypertension and no other significant medical history presented with a 2-month history of an enlarging growth on her right cheek (Figure 1). She had no family history of any malignant neoplasms and no bleeding, itching, pain, or systemic symptoms.

Physical examination revealed a 1.5-cm-diameter, pink, multilobulated nodule with central cavitation and prominent telangiectasia. The lesion had rolled, pearly edges. No cervical lymph nodes were palpable. Skin biopsy findings are shown in Figure 2 and Figure 3.

What is your diagnosis?

Figure 1.
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Figure 2.
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Figure 3.
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Please e-mail your diagnosis to dermquiz{at}ama-assn.org. You must include your full name, mailing address, and institutional affiliation in the initial e-mail to be eligible to enter the quiz. The first correct respondent will be acknowledged on this site next month and in print in Archives of Dermatology and will also receive a free copy of The Art of JAMA II.

For a complete presentation of this case and an in-depth discussion of the entity, please see next month's edition of the Archives.

Congratulations to the winner of our September quiz, Abhijit R. Chougule, MD, Department of Dermatology, Christian Medical College, Vellore, India.

The correct answer to our September challenge was common blue nevus with sattelitosis.

For a complete discussion of this case, see the Off-Center Fold section in the October Archives (Knopp E, Diette K, Ko C, Lazova R. Multiple blue macules and papules on the scalp. Arch Dermatol. 2009;145[10]:1183-1188).

Next month's quiz will be available on November 16, 2009, at 3 pm Central time.

Vol 145, No 10, October 2009

Archives Clinical Challenge: You Make the Diagnosis


	Vol 145, No 10, October 2009 Archives Clinical Challenge: You Make the Diagnosis Fleshy Facial Lesion in an 80-Year-Old Dayak Woman REPORT OF A CASE An 80-year-old Dayak (the indigenous people of Borneo) woman with hypertension and no other significant medical history presented with a 2-month history of an enlarging growth on her right cheek (Figure 1). She had no family history of any malignant neoplasms and no bleeding, itching, pain, or systemic symptoms. Physical examination revealed a 1.5-cm-diameter, pink, multilobulated nodule with central cavitation and prominent telangiectasia. The lesion had rolled, pearly edges. No cervical lymph nodes were palpable. Skin biopsy findings are shown in Figure 2 and Figure 3. What is your diagnosis? Figure 1. View a larger version of Figure 1 Figure 2. View a larger version of Figure 2 Figure 3. View a larger version of Figure 3 Please e-mail your diagnosis to dermquiz{at}ama-assn.org. You must include your full name, mailing address, and institutional affiliation in the initial e-mail to be eligible to enter the quiz. The first correct respondent will be acknowledged on this site next month and in print in Archives of Dermatology and will also receive a free copy of The Art of JAMA II. For a complete presentation of this case and an in-depth discussion of the entity, please see next month's edition of the Archives. Congratulations to the winner of our September quiz, Abhijit R. Chougule, MD, Department of Dermatology, Christian Medical College, Vellore, India. The correct answer to our September challenge was common blue nevus with sattelitosis. For a complete discussion of this case, see the Off-Center Fold section in the October Archives (Knopp E, Diette K, Ko C, Lazova R. Multiple blue macules and papules on the scalp. Arch Dermatol. 2009;145[10]:1183-1188). Next month's quiz will be available on November 16, 2009, at 3 pm Central time.