This Article  • Full text  • PDF  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Similar articles in this journal  Social Bookmarking   What's this?

Jay Y. Park, MD; Edward L. Parry, MD
Louisiana State University School of Medicine, New Orleans

Arch Dermatol. 1999;135:707-712.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

REPORT OF A CASE

A 74-year-old white woman presented with a slowly growing tender plaque on her left palm. Despite repeated examinations by multiple physicians over the course of 10 years, a diagnosis was never made. Topical treatments with antifungal agents and steroid creams were ineffective. After complaining of intermittent bleeding and increasing pain and tenderness, the patient presented to the dermatology clinic, where a biopsy was performed. She had no history of irradiation, arsenic exposure, or repeated trauma to her palms. Furthermore, there was no family history of basal cell nevus syndrome.

On physical examination, the patient was found to have a 2.5 x 1.6-cm erythematous, hyperkeratotic, pearly, well-demarcated plaque on her left palm (Figure 1). The plaque was tender and indurated but was not bound down to the underlying subcutaneous tissue. A hematoxylin-eosin–stained specimen from a Mohs micrographic surgical frozen section is . . . [Full Text of this Article]

CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?