Diagnosis & Disease Information

Derm Dx: Recurrent, ulcerating, perforating lesion on the nose

At the insistence of her daughter, a 72-year-old woman sought treatment for a deep nasal ulceration that had perforated the skin and cartilage and exposed her nasal septum. The lesion occasionally bled but otherwise caused minimal symptoms. The patient wore a large bandage whenever she was in public. Years earlier, she had had a nasal…

Newly developed brown papules

Newly developed brown papules

Two patients present with newly developed brown papules. The first patient, a 45-year-old man, presented with a new mole that continues to grow and is associated with occasional pruritus and bleeding. The second patient, a 47-year-old man, presented with a 6-month history of a brown, growing “mole.” Can you differentiate between the two?

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