·¬ΗΡΙηΗψ

Make the Diagnosis: Can You Diagnose This Painful, Tingling Lesion?

·¬ΗΡΙηΗψ MedicalToday

Presentation

A 55-year-old man visited his doctor for a growth that developed on his right leg, at the site of previous surgery, 2 months prior. The patient mentioned that the lesion was painful and that he experienced a tingling sensation in that area. On examination, a solitary, brownish-red smooth papule was seen on the center of a scar. The patient appeared well and had no systemic symptoms. A shave biopsy revealed irregularly arranged nerve fascicles and fibrosis between nerve fascicles. Can you diagnose the patient?


to use the Differential Builder in VisualDx to help you.

127% a) Cutaneous neuroma

23% b) Schwannoma

57% c) Neurofibroma

33% d) Connective tissue nevus

Learnings

Learn more about this diagnosis on the VisualDx site: .

If you are not a VisualDx subscriber, .

VisualDx is a great way to save time and engage your patients at the point of care from your computer or mobile device.


240 Votes