DermAtlas: Online Dermatology Image Library dermatology image,carcinoma, breast,carcinoma, metastatic,follicular mucinosis,ataxia-telangiectasia,purpura, autoimmune thrombocytopenic,immunodeficiency, hereditary,keratosis pilaris,hemangioma,lupus erythematosus,nevus, Spitz,nevus, spindle and epithelial cell,psoriasis

© 2001-2009, DermAtlas	*Image Name:*	breastca_2_020714	*File Type:*	jpg
	*Diagnosis:*	CARCINOMA, BREAST / CARCINOMA, METASTATIC	*Category:*	neoplasm, malignant / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	cheek	*Age:*	51 years
	*Contributor:*	Carmen Coombs, MD
	*Description:*	Neoplastic cells forming gland-like structures are seen invading the reticfular dermis.
	*Comments:*	Note that the neoplastic cells have the characteristic large, pleiomorphic, hyperchromatic nuclei typical of breast carcinoma.
	*Related Images:*	All related Images breastca_1_020613 breastca_2_020613 breastca_3_020613 breastca_4_020613 breastca_1_020714 breastca_3_020714

© 2001-2009, DermAtlas	*Image Name:*	mucinosis_1_020606	*File Type:*	jpg
	*Diagnosis:*	FOLLICULAR MUCINOSIS	*Category:*	lumps & bumps (plaques, nodules, tumors) / reactive erythema
	*Body Site:*	cheek / face forehead	*Age:*	35 years
	*Contributor:*	Eric Ehrsam, MD
	*Description:*	symmetric edematous red urticaria-like papules and plaques
	*Comments:*	A 35 year old woman developed a pruritic eruption of edematous red papules on the face. A skin biopsy showed deposits of mucinous material and a peripilar lymphohistiocytic infiltrate. This is a case of urticaria-like follicular mucinosis which should be distinguished from the other variants of follicular mucinosis. In urticaria-like follicular mucinosis there is no alopecia and the prognosis is good. Disease may be worsened by sun exposure. Crovato F. Dermatologica 1985; 170 (3): 133-5 Enjolras 0. Ann Dermatol Venereol 1980;107:491-495
	*Related Images:*	All related Images mucinosis_5_020606 mucinosis_4_020606 mucinosis_3_020606 mucinosis_2_020606

© 2001-2009, DermAtlas	*Image Name:*	mucinosis_3_020606	*File Type:*	jpg
	*Diagnosis:*	FOLLICULAR MUCINOSIS	*Category:*	lumps & bumps (plaques, nodules, tumors) / reactive erythema
	*Body Site:*	cheek / face forehead	*Age:*	35 years
	*Contributor:*	Eric Ehrsam, MD
	*Description:*	symmetric edematous red urticaria-like papules and plaques
	*Comments:*	A 35 year old woman developed a pruritic eruption of edematous red papules on the face. A skin biopsy showed deposits of mucinous material and a peripilar lymphohistiocytic infiltrate. This is a case of urticaria-like follicular mucinosis which should be distinguished from the other variants of follicular mucinosis. In urticaria-like follicular mucinosis there is no alopecia and the prognosis is good. Disease may be worsened by sun exposure. Crovato F. Dermatologica 1985; 170 (3): 133-5 Enjolras 0. Ann Dermatol Venereol 1980;107:491-495
	*Related Images:*	All related Images mucinosis_5_020606 mucinosis_4_020606 mucinosis_2_020606 mucinosis_1_020606

© 2001-2009, DermAtlas	*Image Name:*	mucinosis_5_020606	*File Type:*	jpg
	*Diagnosis:*	FOLLICULAR MUCINOSIS	*Category:*	lumps & bumps (plaques, nodules, tumors) / reactive erythema
	*Body Site:*	cheek / face nose	*Age:*	35 years
	*Contributor:*	Eric Ehrsam, MD
	*Description:*	symmetric edematous red urticaria-like papules and plaques
	*Comments:*	A 35 year old woman developed a pruritic eruption of edematous red papules on the face. A skin biopsy showed deposits of mucinous material and a peripilar lymphohistiocytic infiltrate. This is a case of urticaria-like follicular mucinosis which should be distinguished from the other variants of follicular mucinosis. In urticaria-like follicular mucinosis there is no alopecia and the prognosis is good. Disease may be worsened by sun exposure. Crovato F. Dermatologica 1985; 170 (3): 133-5 Enjolras 0. Ann Dermatol Venereol 1980;107:491-495
	*Related Images:*	All related Images mucinosis_4_020606 mucinosis_3_020606 mucinosis_2_020606 mucinosis_1_020606

© 2001-2009, DermAtlas	*Image Name:*	at_1_020527	*File Type:*	jpg
	*Diagnosis:*	ATAXIA-TELANGIECTASIA / TELANGIECTASIA / PURPURA, AUTOIMMUNE THROMBOCYTOPENIC / IMMUNODEFICIENCY, HEREDITARY	*Category:*	genodermatosis/genetic disorder / cutaneous sign of systemic disease
	*Body Site:*	face / conjunctiva eye / cheek	*Age:*	12 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	conjunctival telangiectasias and cutaneous petechiae
	*Comments:*	This 11 year old girl with ataxia-telangiectasia developed autoimmunt thrombocytopenic purpura. Note the conjunctival telangiectasias related to her genodermatosis and scattered petechiae related to thrombocytopenia.

© 2001-2009, DermAtlas	*Image Name:*	kp_1_020527	*File Type:*	jpg
	*Diagnosis:*	KERATOSIS PILARIS	*Category:*	papulosquamous eruptions / genodermatosis/genetic disorder
	*Body Site:*	face / cheek	*Age:*	13 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symetric red sand paper like follicular papules
	*Comments:*	This 13 year old girl was distressed by the persistent symmetric fine follicular papules on her cheeks. The papules became redder in the summer with increased physical activity and more prominent in the winter with cold dry weather.

© 2001-2009, DermAtlas	*Image Name:*	bald_2_020527	*File Type:*	jpg
	*Diagnosis:*	HEMANGIOMA	*Category:*	neonatal dermatology / lumps & bumps (plaques, nodules, tumors)
	*Body Site:*	face / nose cheek	*Age:*	6 months
	*Contributor:*	Bernard Cohen, MD
	*Description:*	large mid facial mass with superficial red plaque with central graying
	*Comments:*	This healthy 6 month old girl was born with a small hemangioma in her nose. The hemangioma grew quickly and began to impinge on the left orbit and nasal cartilage. She was started on a tapering course of oral prednisolone ( 3mg/kg/day) at 4 months of age when she was first evaluated. She responded quickly and at her 6 month visit the mass was smaller and there had been a dramatic shift in color from bright red to purple and gray over much of the hemangioma.
	*Related Images:*	All related Images bald_1_020527 bald_1_021116 bald_1_040407 bald_1_041114

© 2001-2009, DermAtlas	*Image Name:*	sle_1_020505	*File Type:*	jpg
	*Diagnosis:*	LUPUS ERYTHEMATOSUS	*Category:*	papulosquamous eruptions / photosensitivity, photoexacerbated
	*Body Site:*	face / nose cheek / forehead	*Age:*	10 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	symmetric scaly red plaques
	*Comments:*	This 10 year old girl with a history of well controlled systemic lupus erythematosus developed an itchy scaly facial rash after a visit to an amusement park with her class in the late spring. She had a history of photosensitivity and was Ro (ssA) and La (ssB) positive.

© 2001-2009, DermAtlas	*Image Name:*	spitz_1_011024	*File Type:*	jpg
	*Diagnosis:*	NEVUS, SPITZ / NEVUS, SPINDLE AND EPITHELIAL CELL	*Category:*	lumps & bumps (plaques, nodules, tumors) / hyperpigmentation
	*Body Site:*	cheek / face	*Age:*	9 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	10 mm X 4 mm reddish brown papule
	*Comments:*	This 8 year old girl developed a reddish brown papule on the left cheek 6 months earlier. After a brief period of rapid growth, the papule remained stable. A skin biopsy showed changes typical of a spindle cell nevus.

© 2001-2009, DermAtlas	*Image Name:*	psoriasis_2_020505	*File Type:*	jpg
	*Diagnosis:*	PSORIASIS	*Category:*	papulosquamous eruptions
	*Body Site:*	face / cheek	*Age:*	15 years
	*Contributor:*	Bernard Cohen, MD
	*Description:*	well defined red plaques with thick overlying silver scale
	*Comments:*	This adolescent had widepsread recalcitrant psoriasis. He cleared on weekly oral methotrexate and was maintained on PUVA (psoralen + long wavelength ultraviolet A light).