Photo Challenge

Firm Abdominal Papule

A 53-year-old woman with a history of melanoma on the right thigh, stage II Hodgkin lymphoma, and stage IIIB gastric adenocarcinoma treated with a...


Dermpath Diagnosis

Spiky Papules on the Dorsal Feet

A 54-year-old man who was otherwise healthy presented with asymptomatic, discrete, rough, red-brown, hyperkeratotic papules on the dorsal aspects...

Case Letter

Cutaneous Collagenous Vasculopathy

Cutaneous collagenous vasculopathy (CCV) should be in the differential diagnosis of widespread telangiectases. Biopsy is needed to differentiate...

Photo Challenge

Smooth Papules on the Left Hand

A 41-year-old man presented to the outpatient dermatology clinic with multiple 1- to 3-mm, dome-shaped, translucent to flesh-colored papules on...

Dermpath Diagnosis

Distinct Violaceous Plaques in Conjunction With Blisters

A 72-year-old woman presented to our dermatology clinic with a rash of several months' duration that began as itchy bumps on the wrists and spread...

Photo Challenge

Friable Scalp Nodule

A 75-year-old woman presented with an enlarging plaque on the scalp of 5 years' duration. Physical examination revealed a 5.6.2 ×2.9-cm, tan-...

Dermpath Diagnosis

Ulcerated Nodule on the Scalp

A 66-year-old woman presented to the dermatology clinic with a rapidly enlarging, draining lesion on the scalp. The lesion seemed to enlarge over...

Photo Challenge

Numerous Flesh-Colored Nodules on the Trunk

A 33-year-old woman presented with numerous firm, noncompressible, flesh-colored nodules that measured 3 to 4 mm and were distributed across the...

Photo Challenge

Widespread Skin Thickening

A 62-year-old woman presented with widespread skin thickening and tightness that progressed over 2 months. Physical examination showed generalized...