Dermatopathology
Thursday, March 6, 2008, 7:30 PM
Convention Center 201
“Atypical” Lymphoid Infiltrates
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Moderator:
BRUCE SMOLLER University of Arkansas for Medical Sciences Little Rock, AR
Clinical histories are displayed below.
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Case 1
Submitted by: Victor G. Prieto
Clinical Summary: 51-year-old white woman who developed red, indurated nodules involving her bilateral inner thighs. Clinical diagnosis: Panniculitis / abscess.
Case 2
Submitted by: Victor G. Prieto
Clinical Summary: 20-yo woman with a several-month history of subcutaneous nodules on the proximal arms and legs. Clinical diagnosis: r/o lymphoma.
Case 3
Submitted by: Soon Bahrami
Clinical Summary: 69 year-old male with 6 week history of a firm, somewhat linear plaque on right flank.
Patient has a history of rheumatoid arthritis and receives methotrexate and infliximab injections.
Case 4
Submitted by: Soon Bahrami
Clinical Summary: 15 year-old female with 4-week history of a rapidly appearing nodule on left lower eyelid.
Patient recalls a spider in her bed before the nodule appeared.
Patient has a history of ulcerative colitis s/p colon resection with stable disease on 6-mercaptopurine.
Case 5
Submitted by: Alexander Lazar
Clinical Summary: Female age 52 with a 1 cm pruritic papule on right breast present for at least 2 months. The raised surface is smooth and erythematous. Clinical assessment was an "infiltrative process."
Case 6
Submitted by: Alexander Lazar
Clinical Summary: Female age 36 with an erythematous nodule on the shoulder present for "some months". The clinical assessment was possible pyogenic granuloma.
Case 7
Submitted by: Kim M. Hiatt
Clinical Summary: An 87 year old man with gout began taking allopurinol 3 months prior to presentation. At presentation he has blanchable, erythematous macules coalescing into patches over trunck and extremities. The clinical impression is drug hypersensitivity vs CTCL.
Case 8
Submitted by: Kim M. Hiatt
Clinical Summary: A 38 year old man returns to the dermatologist for the third time for evaluation of a nodule on the face. The previous biopsy showed cutaneous lymphoid hyperplasia.
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copies of the handout will not be available at the meeting. However, we will provide a booklet at the
meeting which will have a page for each Specialty Conference, listing the names of speakers and space for the important "take home messages".
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