UPMC Dermatopathology "Case of the Month" Presentations
UPP - Department of Dermatology, Dermatopathology Unit
Case Authors: Timothy Patton, DO; Grace Lee, MD, Drazen Jukic, MD
FEBRUARY 2004 CASE OF THE MONTH
CLINICAL FINDINGS
CLINICAL HISTORY:A 79 year old male was sent to our
dermatology clinic for a lesion that was found on a routine physical exam. The
lesion was located on the upper abdomen, had been present for approximately
one or two years, and was completely asymptomatic. He denied any significant
changes in size or appearance in the lesion since it was first noted. The patient
was otherwise healthy, on no systemic medications, and without any other skin
rashes or lesions.
Physical exam revealed a healthy white male. On his left upper abdomen was a
slightly elevated, non-indurated 7cm white plaque with a wrinkled surface and
mild follicular accentuation (Figure 1).
A punch biopsy was performed . Pathology revealed an atrophic epidermis with significant papillary dermal edema and homogenization of dermal collagen. A patchy lichenoid infiltrate was present below the edematous dermis. (Figures 2 and 3)
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