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Tinea Capitis Masquerading as Basal Cell Carcinoma.
Hubert M Chodkiewicz1,2, Jennifer Song Ranario2, Richard Jahan-Tigh3
1From the Department of Dermatology, University of Texas-Houston Medical School; Hubert.M.Chodkiewicz@uth.tmc.edu.
Skinmed
|September 13, 2018
Summary
A patient with alcoholic cirrhosis presented with scalp bumps initially diagnosed as basal cell carcinoma. Further evaluation in a Mohs surgery clinic was sought for accurate diagnosis and treatment planning.
Area of Science:
- Dermatology
- Oncology
- Hepatology
Background:
- Alcoholic cirrhosis is a chronic liver disease associated with various complications.
- Cutaneous manifestations can occur in patients with advanced liver disease.
- Accurate diagnosis of scalp lesions is crucial for appropriate management.
Observation:
- A 52-year-old man with alcoholic cirrhosis presented with a month-long history of tender scalp bumps.
- Previous biopsies from an outside institution were interpreted as basal cell carcinoma and actinic keratosis.
- The patient was scheduled for extensive scalp excision based on these preliminary diagnoses.
Findings:
- The patient sought a second opinion at a Mohs surgery clinic due to the presumed diagnosis of multiple basal cell carcinoma nodules.
- The presentation prompted a need for definitive diagnostic confirmation and surgical planning.
Implications:
- This case highlights the importance of thorough evaluation for scalp lesions in patients with underlying systemic conditions like alcoholic cirrhosis.
- Accurate histopathological diagnosis is essential to avoid unnecessary extensive surgical procedures.
- Mohs surgery offers precise management for complex cutaneous oncological cases.
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