textbook
project N: the first box.
2008-03-06, 10:18:18
Certain things are hard to articulate, hard to swallow.
The people that tell you these certain things are usually the ones you need to know.
">Pig and Monkey
2008-02-19, 10:12:00
Paris Hilton Skin
2008-02-18, 22:04:05
Pesto Lasagna for One, Tomatoes for a Small Army
2007-09-06, 17:45:00
The patient is a pleasant outgoing woman who appears about her stated age. She has velvety hyperpigmentation of her skin folds.
In addition, she has developed around 10 verrucous tumors measuring 8 - 10 mm in diameter on arms and legs. One of these was biopsied.
A C.T. scan performed on the day of the dermatology visit revealed what appeared to be metastatic tumors in the peritoneum. The workup is in progress.
Most cases of acanthosis nigricans (AN) are benign and related to ethnicity, obesity or endocrinopathy. AN developing in an elderly individual should be a red light to pursue a work-up for malignancy. AN is an easy diagnosis to make and a four month delay in diagnosis is unfortunate. In all likelihood, this tumor had metastasized before the AN became manifest, but it seems unfortunate that the delay in diagnosis occurred.
A good review of AN can be found on eMedicine.">A Textbook Case
2007-07-26, 12:53:00
