A 70-year-old African American woman was seen in our clinic with a 3- to 4-month history of alesion that appeared quite abruptly and then remained stable in size. The lesion bled easily when manipulated but caused no pain or pruritus. She had no history of skin cancer or exposure to radiation and no immunosuppression. Physical examination showed a 5-mm smooth, brown, firm, dome-shaped papule on the right nasal sidewall (Figure 1).
Brown GE, Madray MM, Greene JF, Fiala KH. Atypical Fibroxanthoma in an African American Woman. Arch Dermatol. 2010;146(9):1045-1047. doi:10.1001/archdermatol.2010.238