August/September 2008







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



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