September 2021 - Case of the Month
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
This 73 year old man presented with numerous lesions on his trunk that developed over a matter of weeks. There was no other relevant history.
Multiple red-purple smooth tumid nodules.
What is the differential diagnosis?
An urgent incisional biopsy of two of the lesions was consistent with diffuse large B-cell lymphoma.
It is rarely possible to make a clinical diagnosis of multiple red-purple nodules. However, such a presentation should give cause for concern as the differential includes granulomatous conditions (eg sarcoid and mycobacterial infection), and lymphoma. Patients presenting in this way should be referred urgently.
For more information refer to the chapter on Lymphoma and leukaemia - cutaneous presentations.
A 24-year-old woman presented with a several year history of evolving 'lumps' especially on the central chest. The lady had mild facial acne and was otherwise well.
A 52 year old man presented with a one year history of skin lesions predominantly on his hands, ears and scalp. He was also complaining of painful swollen fingers associated with morning stiffness. There was no family history of skin or joint problem...
A 72 year old man was referred with a rash, predominantly on the legs. The patient was systemically well and the lesions were only mildly symptomatic. The lesions presented as one to several at a time lasting several weeks. They had not res...
Welcome back to the new look PCDS website, and our first case. This lady was referred as a 2-week wait with a changing lesion on the right temple.
A 15 year old lady was referred for a diagnostic opinion for skin changes presenting in birth, affecting the right upper back, shoulder, antecubital fossa and dorsal wrist. The patient was asymptomatic and otherwise well.
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