Lesions on the neck

Presenter: John Stoner, D.O.

Dermatology Program: PCOM

Program Director: Tanya Ermolovich

Submitted on: September 2, 2011

CHIEF COMPLAINT: Asymptomatic persistent “rash” on the neck and axillae

CLINICAL HISTORY: The patient presented to our office complaining of an asymptomatic “rash” on the neck and axillae that has been present for a few years. The lesions do not wax or wane. No itching, burning, or bleeding. The lesions are getting more red. No previous treatment.

PHYSICAL EXAM:
Multiple pink to flesh-colored papules coalescing into a plaque across the front and sides of the neck and bilateral anterior axillae.

LABORATORY TESTS: N/A

DERMATOHISTOPATHOLOGY:

Right neck: “Multiple basaloid proliferations arranged in nests and comma-shaped configurations, localized to the upper dermis, with no connection to the epidermis.”