An enlarging, ulcerated scalp nodule
Ladan Afifi, MS, Jeffrey P. North, MD, Kanade Shinkai, MD, PhD
JAAD Case Reports · 2018
doi:10.1016/j.jdcr.2017.02.026 (opens in a new tab)
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Abstract
A 77-year-old woman with no previous medical history presented with an 18-month history of an enlarging painless scalp nodule, intermittent fevers, fatigue, and 2-kg unintentional weight loss. The patient reported progressive enlargement and ulceration of the skin lesion despite 2 injections of intralesional triamcinolone. Her physical examination was notable for a 10-cm ulcerating occipital scalp nodule with multiple smaller adjacent dermal nodules (Fig 1). Bilateral anterior cervical and right supraclavicular lymphadenopathy was palpable.
Abstract licence: CC BY
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