Ryan Fischer

Indurated plaque on the trunk

r-old woman presented to the clinic with erythema and induration of the left back a An 83-yea nd chest. The induration had progressed over 3 years; however, the erythema started after she developed multiple sores within the area of induration about 3 months before her presentation. Her medical history was significant for a history of breast cancer status-post double mastectomy and chemotherapy. The physical examination revealed a red to purple firm indurated plaque over her left chest wrapping around the lateral thorax to involve a large portion of the left flank (Figs 1 and 2). A punch biopsy specimen was obtained to confirm the diagnosis (Fig 3). 1. What is the most likely diagnosis? A. Psoriasis B. Mycosis fungoides C. Herpes zoster D. Carcinoma en cuirasse E. Morphea

Slow-growing, pink, indurated plaque on the arm

A 73-year-old man with a history of erythrodermic psoriasis treated with cyclosporine and adalimumab presented for evaluation of a slowly growing lesion on the left arm. The physical examination revealed a solitary 18-cm 3 7-cm pink indurated plaque on the left antecubital fossa with scattered ulcerations (Fig 1). Punch biopsy specimens were obtained and sent for routine pathology and tissue culture. Periodic acid-Schiff stain was performed (Fig 2). A complete blood cell count and comprehensive metabolic panel were within normal limits, and an HIV assay was negative.

Erythematous blanchable patches and facial asymmetry with seizures

From the University of Kansas School of Medicine and the Divisions of Dermatology and Radiology, University of Kansas Medical Center. Funding sources: None. Conflicts of interest: None declared. Correspondence to: Ryan Fischer, MD, Division of Dermatology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160. E-mail: rfischer3@kumc.edu. J Am Acad Dermatol 2016;75:e5-6. 0190-9622/

Perifollicular erythematous papules on the scalp

36.00 a 2015 by the American Academy of Dermatology, Inc. http://dx.doi.org/10.1016/j.jaad.2015.10.028

Persistent hypopigmented macules and flat-topped papules

From the School of Medicine, Division of Pathology and Laboratory Medicine, and Division of Dermatology, University of Kansas Medical Center, Kansas City. Funding sources: None. Conflicts of interest: None declared. Correspondence to: Ryan Fischer, MD, Division of Dermatology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160. E-mail: rfischer3@kumc.edu. J Am Acad Dermatol 2016;74:e23-4. 0190-9622/

A family with multiple vascular lesions

36.00 a 2015 by the American Academy of Dermatology, Inc. http://dx.doi.org/10.1016/j.jaad.2015.08.066From the School of Medicine, Division of Pathology and Laboratory Medicine, and Division of Dermatology, University of Kansas Medical Center, Kansas City. Funding sources: None. Conflicts of interest: None declared. Correspondence to: Ryan Fischer, MD, Division of Dermatology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160. E-mail: rfischer3@kumc.edu. J Am Acad Dermatol 2016;74:e23-4. 0190-9622/

Kindler Syndrome: A Rare Genodermatosis Presenting in 2 Brothers

36.00 a 2015 by the American Academy of Dermatology, Inc. http://dx.doi.org/10.1016/j.jaad.2015.08.066

Chronic pruritic, hyperkeratotic eruption on the feet of a patient with end-stage renal disease.

From the Division of Dermatology and Department of Pathology, University of Kansas Medical Center, Kansas City. Funding sources: None. Conflicts of interest: None declared. Correspondence to: Brea Prindaville, MD, Division of Dermatology, University of Kansas Medical Center, 3901 Rainbow Blvd, Kansas City, KS 66160. E-mail: brea.prindaville@alum.dartmouth.org. J Am Acad Dermatol 2016;74:e89-90. 0190-9622/

Persistent, Nontender Lip Swelling in a Patient With HIV

36.00 a 2015 by the American Academy of Dermatology, Inc. http://dx.doi.org/10.1016/j.jaad.2015.10.018

Loss of CD30 Expression in Anaplastic Large Cell Lymphoma Following Brentuximab Therapy.

From C Fund Conf Corre U C A 5-year-old Hispanic female was referred to the dermatology department by her pediatrician for the evaluation of multiple birthmarks. The physical examination revealed a 15-cm violaceous patch with central telangiectasias and palpable pulsation on her back (Fig 1) and 7 oval, 1to 3-cm vascularappearing patches scattered on her trunk and extremities, several with blanched halos (Figs 2 and 3). The lesion on her back often felt warm to the touch, but otherwise the lesions were asymptomatic. A review of systems was otherwise negative. Her father, sister, brother, and aunts had similar lesions, but were also otherwise healthy. No workup had been done previously on this family.