Presenter: Sarah Croft DO, Jill Salyards DO, Brandon Shutty DO
Dermatology Program: Nova Southeastern University/Largo Medical Center
Program Director: Richard Miller, DO
Submitted on: Jun 6, 2014
CHIEF COMPLAINT: A 52 year old Caucasian male presents for initial evaluation with multiple pruritic “bumps” on his back.
Signs and symptoms: A 52 year old Caucasian male presents for initial evaluation with multiple pruritic “bumps” on his back that seem to be increasing in number over 2 years time as well as new lesions on the cheeks that he cuts while shaving.
Previous Treatment: Topical emollients do not relieve symptoms.
Other information: Dermatologic history: actinic keratoses and non-melanoma skin cancer
Medical history: traumatic brain injury after MVA, seizure disorder, depression, bipolar disorder, asthma
Family history: mother with throat cancer, father with colon cancer
Social history: less than 1 pack per day smoker
Multiple flesh-colored, well circumscribed, umbilicated papules scattered on the back, abdomen, chest, and face.
Shave biopsy demonstrated a proliferation of sebaceous epithelium emanating from the epidermis. Mature sebaceous cells outnumber peripherally located germinative cells.
1. Basal Cell Carcinoma
2. Molluscum contagiosum
3. Epidermoid cyst
4. Sebaceous hyperplasia
5. Verruca vulgaris