Acne keloidalis

Scars

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non-frame version

Apocrine hidrocystoma (1)

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"Rodent Ulcer" Basal Cell

Carcinoma

These lesions are moist ulcers which may not have the characteristic rolled,
translucent border of a nodular BCC. Often, they are much larger than the
pre-auricular lesion seen here, and represent neglected lesions.

Pigmented Basal Cell Carcinoma

A small, pigmented BCC of the chin. Pigmented basal cell carcinomas may
be mistaken for melanoma, but often there is a hint of translucency in some
areas of the tumor. Their biological behavior bears no resemblance to
melanoma; they are not among the most aggressive BCCs.
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Basosquamous Carcinoma of the Temple

This large, crusted tumor on the temple has clinical features of both
squamous cell carcinoma (scaly crust), and basal cell carcinoma
(translucency in some areas). Histologically, it also has features of both,
hence the name basosquamous. These lesions have a biological
aggressiveness intermediate between basal cell and squamous cell
carcinomas. They are also called keratotic basal cell carcinoma, squamous
cell carcinoma with basaloid differentiation, or "collision tumors."

non-frame

Bateman's purpura
These are extremely common lesions, particularly in the elderly. They result
from very minor trauma which the patient may not even remember. The one
depicted here is very dark. Lesions are ecchymoses (essentially bruises), and
can be any shade from blue to black, depending upon the age of the lesion.
Often, many are present on each arm, the characteristic location. They heal
with a whitish, irregularly shaped scar, called a stellate pseudoscar.

Bowen's disease

The image is of a plaque on the small finger. Bowen's disease is an intra-

epidemal form of squamous cell carcinoma. Usually these lesions have a
sharp border, are somewhat erythematous, and scaly. This is the hand of an
elderly dentist who long ago took many X-rays without protecting his hand.
.He has lost his long finger to squamous cell carcinoma

Bullous pempigoid
(1)

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Bullous pempigoid, Oral

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Candidiasis (1)
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Candidiasis in an infant, "diaper rash" distribution.

Cavernous
hemangioma (1)
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Cherry angiomas of the trunk

Cherry angiomas are bright red, small (usually 1-4 mm), papules commonly
seen on the trunk of adults. Larger, older lesions can be more of a purple or
blue color. These lesions are medically insignificant.

Contact dermatitis (Neomycin)

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Contact dermatitis
(Nail Adhesive)
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Contact dermatitis to artificial nail adhesive.

Coumadin necrosis (1)

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Coumadin necrosis
(3)

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Cutaneous horn (3), close-up
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Cutaneous larva migrans

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Cutaneous larva migrans. Note the serpingnious wanderings of the

.nematode in the skin
Darier's disease
(2)

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 Darier's disease, inframammary location. The lesions are usually crusted,
.skin-colored paules, most commonly seen on the sternal area

Dermatofibrosarcoma protuberans (DFSP)

after Mohs Surgery

This is the defect resulting after treatment by Mohs surgery. Two stages
were required. Note how much larger the defect is compared to the visible
lesion.
 Recurrent
Dermatofibrosarcoma
protuberans (following
Mohs Surgery)

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Recurrent DFSP (dermatofibrosarcoma protuberans), nasolabial fold. This is

the defect resulting after achieving a histologically tumor-free plane by
.Mohs surgery

Discoid lupus
erythematosis (1)

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 Discoid lupus
erythematosis (2)

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 Dysplastic nevus-trunk

These lesions are usually less well-circumscribed than intradermal nevi.

Often, the pigment "bleeds" into the surrounding skin as seen in this lesion.
Dysplastic nevus syndrome is a debated clinical entity in which a large
number of dysplastic nevi are present. Dysplastic nevus syndrome is also
called B-K mole syndrome, atypical mole syndrome, and familial atypical
mole-melanoma syndrome. There is evidence that these patients are at
.higher risk for developing melanoma
 Eczema herpeticum

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 Eczema, dyshidrotic (1)

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Ehlers-Danlos syndrome (1)

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Ehlers-Danlos syndrome (2)
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Marked extensibility of the neck skin seen in Ehlers-Danlos Syndrome.

Ehlers-Danlos
syndrome (3)
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.Ehlers-Danlos syndrome, marked hyperextensibility of the shoulders

Epidermal Cyst
(1)
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This one is somewhat inflamed at the time this image was taken. Note what
appears to be a small pore on the lower right portion of the lesion. This is a
characteristic of epidermoid cysts, which are also called epidermal inclusion
cysts.

Erythema
multiforme (1)
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Erythroderma (1)
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Erythroderma. Differential diagnosis includes: psoriasis, eczema, drug

reaction, pityriasis rubra pilaris (PRP), seborrheic dermatitis, lymphoma,
mycosis fungoides, and other der

Flat warts of the face

These warts are often difficult to see because they are not verrucous, but are
actually rather flat, only slightly raised non-colored or
.matoses

Gout of the Elbow

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Large, very firm gouty tophus at elbow. The great toe is the most
.characteristic location

Graft-vs-host reaction (1)

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Herpes zoster (1)

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Hives (1)
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Keratoacanthoma of the
Nose
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Keratoacanthoma, nose, illustrating how elevated these lesions can become.

.The lesion arose from "a pimple" over a three week period

Keratosis Pilaris (1)

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Melanoma
of the Back

This large, macular darkly pigmented lesion arose rapidly from within the
more lightly pigmented lesion which surrounds it. The lesion is
asymmetrical, has an irregular border, very dark and irregular color, and was
much larger than 6 mm in diameter. It had a thickness greater than 2 mm in
depth. Although not a very accurate predictor of metastasis, thickness is the
single most accurate parameter we have. 5-year survival rates with respect
to melanoma depth: <0.76mm: 95-99% 0.76-1.49mm: 80-95% 1.50-
4.00mm: 60-75% >4mm: <50%
Pityriasis alba (1)

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Plantar warts (1)

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Plantar warts. Plantar refers to plantar (ala palmar for hand) surface of the
foot, rather than anything to do with planting.

Protein C deficiency (1)

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Psoriasis (1)
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Psoriasis, plaque type. The characteristic silery scale is not present--scale is

quickly lost after the lesions are occluded or treated (particularly with
.(topical steroid treatment

Rheumatoid Nodule of the Elbow

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"Ring wart"

This annular (ringed) lesion on the dorsal hand has resulted from treatment
by cryosurgery. Recurrence of a wart as a ring wart is an uncommon sequela
.of cryosurgical treatment

Excision of skin
tag
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Excision of skin tag. The lesion is excised with an iris scissor while being
elevated from the surrounding skin.

Skin Tag
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Spider Veins of the Leg

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Strawberry
hemangioma of the Face
(1)
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Stye of the Lower

Eyelid
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Stye, lower eyelid. These uncomfortable, rapidly evolving lesions often

cause a scratchy sensation on the eye.

Wart of the hand

Rough, verrucous, skin-colored papules on the hands. Warts are caused by
human papillomavirus. They are commonly treated by topical keratolytics
and cryosurgery.

Xanthalesma (1)
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Xanthomas
(Eruptive)
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