Derm lesion

65 year old diabetic with a scab on the fourth toe for many years. The scab falls off and then grows back shortly after. No contributing medical history.

Diagnosis added by author

Diagnosis: Squamous cell carcinoma

The author made an update to this case

Update 1

Pt underwent mohs surgery with clean margins. Now healed.

Similar cases

57yo smoker with COPD and OSA.

L dorsal forearm ecchymosis and scab for 3 days. No known cause. Same type of rash for the last year since moving to Texas from Arizona. Occurs consistently up to two times per wk.

Usually occurs on L>R forearm but has had an outbreak or two on left shoulder. It starts as a few red dots, then turns into a confluent 2-5cm ecchymosis with smaller scabs. After 3-4 days it resolves.

There is no pain, itch, irritation.

74 female multiple comorbidities, Breast cancer history, Pad, Pvd. 3 year history of having these wound that have purulence open drain scab then do it all over again. Tissue has multiple open areas suggestive of abcess. Punch biopsy shows severe acute and chronic inflammation. Negative for fungus, plasma cells and neutrophils in dermis with focal micro abcess and palisading histiocytes. With biopsy central lesion above healed well. 3 rounds of abx- doxy, augmentin, and keflex no change, topical bacitracin provided no benefit.

Looking for any ideas to help heal.

Mole on 37 year old's back. Was checked out by dermatologist in 2024. Mole was reported to not be of concern by visual inspection. Patient reports further scabbing to the lesion. Does this warrant a second opinion?

89+ year old patient with chronic venous insufficiency treated with class 2 compression stockings. She keeps having those yellowish translucent ‘scabs’ on the dorsum of the foot. Also fragile skin with recurrent small wounds. Any thoughts on the ‘scabs’?

Trending now

A 52-year-old man presented with a 20-minute history of chest pain radiating to the left shoulder and neck, associated with dyspnea and diaphoresis. He had a history of hypertension, long-term smoking, and a sedentary lifestyle. On physical examination, bibasilar crackles were noted on lung auscultation. An electrocardiogram (ECG) was performed in the primary care setting, and the patient was promptly referred to the emergency department.

A 28-year-old woman presented with a 3-day history of intense pruritus over the lower back. She reported no recent travel or exposure to new environments. She cares for a small kennel with approximately eight dogs rescued from the streets. Physical examination revealed multiple small vesicles, some clustered and others scattered, predominantly involving the lumbar region and the left gluteal area.

A 4-month-old male infant presented with skin lesions localized to the chin for the past 3 days. Physical examination revealed multiple small pustules with surrounding inflammatory signs on the chin, along with a few scattered papules on the chest.

Patient in late teens presenting after a collapse, no chest pain, no previous cardiac history, no history of sudden death in family, are there any features in this ekg that would warrant further work-up or is this just a pediatric ekg?