Morphea-like Basal Cell Epithelioma Arising at Site of Recurrent Herpes Simplex. Presented by DR. WILBUR B. HURLBUT.
History.—
A 72-year-old white woman had herpes simplex on the left side of the upper lip, recurrent every three to four months for 30 years. For the past ten years or more, at this site, a hard, indurated area has been increasing in size, and she has had no more herpetic lesions. She has had considerable sun exposure but no x-ray therapy. Since 1949 she has been taking Dicumarol to prevent thromboses of the leg veins.
Examination.—
Left of the philtrum is an ivorycolored, stony-hard, flat, button-like nodule 2 cm in greatest diameter. There is some surrounding induration, but it is not bound to the subcutaneous tissues. An old record indicates that the lesion was 7 mm in diameter in 1955. The face shows minimal actinic changes and no other epithelioma.
Laboratory Studies.—
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