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An 82-year-old African man with an 8-year history of a recurrent, slow-growing tumor on his face was seen at our consult service. The original tumor was locally excised 5 years previously in Nigeria, with gradual recurrence following the procedure. On review of systems, the patient reported a moderate amount of weight loss during the past year. The patient's medical history included treated syphilis, hypertension, hyperlipidemia, atrial fibrillation, and a recent stroke. Physical examination revealed a 4.5 × 5.0-cm pearly, erythematous plaque on the left temple, approximately 5 mm from the left lateral canthus (Figure 1). No lymphadenopathy was present on examination of the head and neck. Computed tomography of the chest revealed a 6-mm pleural density in the right lower lobe. A skin biopsy specimen from the left temple was obtained for histologic examination (Figure 2 and Figure 3).
Nosrati N, Maender JL, Coleman NM, Hsu S, CARRIE ANN RC, SENAIT WD, JACQUELINE MJ, VINCENT L, KARLA SR. Asymptomatic Plaque on the Face—Quiz Case. Arch Dermatol. 2008;144(10):1383-1388. doi:10.1001/archderm.144.10.1383-b