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September 1982

Resident's Page

Arch Dermatol. 1982;118(9):692-694. doi:10.1001/archderm.1982.01650210072023


University of California School of Medicine, San Diego

PATHOLOGY QUIZ CASE 1  Eric W. Baum, MD, University of Alabama Medical Center, BirminghamA 58-year-old man was seen for treatment of multiple actinic keratoses on his arms, ears, and face. The patient had a history of Parkinson's disease, orthostatic hypotension, and partial resection of the transverse colon caused by an abscess. He had experienced a seizure six months previously. A brain scan, EEG, computed tomography scan, and results of a lumbar puncture were all normal. Further history showed that the patient had had a scalp lesion for the past five years; it had increased in size but had not caused him any discomfort. No other family member had any similar lesions. On physical examination, a 3 × 2.5-cm, smooth, nodular lesion with superficial telangiectasias was noted on the occipital area of his scalp (Fig 1). Excisional