Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
A 62-year-old man presented with a 2-year history of an annular lesion encircling the anterior aspect of his chest and neck in a necklace distribution. He had received no prior treatment of this lesion and denied trauma to the region. His medical history was remarkable for the excision of a melanoma from both the right submandibular area (Clark level II) and the right temple (Clark level IV), hypertension, proteinuria, degenerative joint disease, gastroesophageal reflux disease, tobacco and alcohol abuse, and hypercholesterolemia.
Physical examination revealed an erythematous annular plaque with a distinct 1- to 2-mm raised border, central atrophy, and surrounding telangiectasias. The lesion encircled the anterior chest area and extended onto his posterior neck area and into the hairline bilaterally. There was no overlying scale (Figure 1). The findings of his skin examination were also remarkable for extensive sun damage. There was no evidence of recurrence of melanoma at the sites of excision, and there were no other suspicious lesions. A biopsy specimen obtained from the annular portion of the lesion was stained with hematoxylin-eosin (Figure 2) and Verhoeff elastic stain (Figure 3).
What is your diagnosis?
Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature
Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal
Instructions
Comments are moderated and will appear on the site at the discretion of the Archives of Dermatology editors. Comments should not exceed 500 words of text and 10 references.
Do not submit personal medical questions or information that could identify a specific patient, questions about a particular case, or general inquiries to an author. Only content that has not been published, posted, or submitted elsewhere should be submitted. By submitting this Comment, you and any coauthors transfer copyright to the journal if your Comment is posted.
* = Required Field
Disclosure of Any Conflicts of Interest* Indicate all relevant conflicts of interest of each author below, including all relevant financial interests, activities, and relationships within the past 3 years including, but not limited to, employment, affiliation, grants or funding, consultancies, honoraria or payment, speakers’ bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued. If all authors have none, check "No potential conflicts or relevant financial interests" in the box below. Please also indicate any funding received in support of this work. The information will be posted with your response.
Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more
Subscribe for full-text access to content from 1998 forward and a host of useful features
Activate your current subscription (AMA members and current subscribers)
Some tools below are only available to our subscribers or users with an online account.
Download citation file:
Customize your page view by dragging & repositioning the boxes below.
and access these and other features:
Register Now
Enter your username and email address. We'll send you a reminder to the email address on record.
Athens and Shibboleth are access management services that provide single sign-on to protected resources. They replace the multiple user names and passwords necessary to access subscription-based content with a single user name and password that can be entered once per session. It operates independently of a user's location or IP address. If your institution uses Athens or Shibboleth authentication, please contact your site administrator to receive your user name and password.