August/September 2008

Fig.1

Fig.2

History:  A 84 year old female initially presented with a erythematous plaque with a central eschar on left inner wrist on October of 2007, Biopsied at that time suggested squamous cell carcinoma and she subsequently underwent Mohs surgery (Fig.1).  She then presented with a purple plaque with central necrosis on her flank three months later (Fig.2).

Physical examination: one 1.3 cm purple plaque with central necrosis on right flank.

Past medical history:  hypertension

Medication:  Verapamil, Aspirin, Fishoil, Calcium supplement

Click here for the diagnosis