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A Rapidly Growing Lesion on the Lip—Quiz Case
Fabio Francesconi, MD;
Marco Antônio Rocha, MD;
Luis Federico Bonilla, MD;
Leônidas Alves da Silva, MD;
Valeska Albuquerque Francesconi, MD
Fundação Centro de Controle de Oncologia do Amazonas (Drs F. Francesconi, Rocha, Bonilla, and Alves da Silva), and Universidade do Estado do Amazonas (Dr V. A. Francesconi), Amazonas, Brazil
Arch Dermatol. 2009;145(11):1325-1330.
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REPORT OF A CASE
A 32-year-old Brazilian man infected with human immunodeficiency virus (HIV) presented with a 6-month history of a rapidly growing lesion in his lower and upper lip, associated with weight loss of 12 kg. He reported no history of trauma, tobacco smoking, heavydrinking, or any work that dealt with soil. The patient had always lived in Santarém, a city located in the Amazon region in Brazil.
Physical examination revealed an asymptomatic ulcerous vegetating lesion affecting the lower and upper gums and lips (Figure 1 and Figure 2). No regional lymphadenopathy was noticed. A skin biopsy specimen was obtained and stained with hematoxylin-eosin and periodic acid–Schiff (Figure 3).
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What is your diagnosis?
SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD; SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; VINCENT LIU, MD
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A Rapidly Growing Lesion on the Lip—Diagnosis
Arch Dermatol. 2009;145(11):1325-1330.
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