ABSTRACT
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Subject(s)
Humans , Male , Aged , Dermatofibrosarcoma/surgery , Skin Neoplasms/surgery , Mohs Surgery/methods , Surgical Flaps/surgery , Abdominal Wall/surgery , Thigh/surgery , Treatment Outcome , Reproducibility of ResultsABSTRACT
The presence of a subcutaneous foreign body may not be easily suspected after the initial history and exploration of the patient. The authors report a 54-year-old male who came to the Department of Dermatology, Hospital Universitario de Fuenlabrada, Madrid, Spain with a firm plaque, fixed to deep structures, which showed several draining orifices over the costal grid. After several tests, the authors performed an ultrasonography that revealed the presence of a fistula from a foreign body secondary to a previously untreated costal fracture that occurred several years before. The authors believe ultrasonography is a readily available and useful tool that may help dermatologists in daily clinical practice, with the advantage of being a noninvasive test.
Subject(s)
Foreign Bodies/diagnostic imaging , Thorax , Ultrasonography , Humans , Male , Middle Aged , Rib Fractures/blood , Rib Fractures/complicationsABSTRACT
Dermoscopy in acquired acral melanocytic nevi has been widely studied. This is in contrast with the little information about the dermoscopic characteristics in congenital acral melanocytic nevi. We report a 46-year-old man who was referred due to a lesion on his right sole present since childhood corresponding to an acral congenital nevus. Dermoscopy showed a homogeneous blue pattern not previously described in acral benign tumors. The homogeneous blue pattern has previously been associated with blue nevus and skin metastasis of melanoma. The recognition of this pattern in benign acral congenital nevi is relevant in the clinical decision making concerning acral tumors.
