[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.205.108.212. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Off-Center Fold
January 2010

Ulcerated Facial Nodules in a Renal Transplant Recipient—Quiz Case

Author Affiliations
 

MARY S.STONEMDSOONBAHRAMIMDCARRIE ANN R.CUSACKMDSENAIT W.DYSONMDMOLLY A.HINSHAWMDVINCENTLIUMD

Arch Dermatol. 2010;146(1):81-86. doi:10.1001/archdermatol.2009.333-a

An 83-year-old male renal transplant recipient who had undergone excision of an in situ squamous cell carcinoma 3 months previously presented with nonhealing ulcerating nodules near his surgical site on the left preauricular cheek (Figure 1). He had no history of travel outside of northern Vermont. Findings from a physical examination revealed 1.5- to 2-cm, deeply seated, fluctuant nodules with ulceration. He had no lymphadenopathy. Medications included tacrolimus and prednisone. Results from a complete blood cell count and a chest radiograph were within reference range. A biopsy specimen obtained from a nonnecrotic area was sent for histologic examination (Figure 2 and Figure 3).

First Page Preview View Large
First page PDF preview
First page PDF preview
×