@mccalmo

Consultant dermatopathologist. Dad / granddad. NYTCW addict. C8H10N4O2 lover. You should be on KiKo. https://xitter.cf/t.co/ErgoznSmT9

 Walnut Creek and SF, CA
goldenstatedermatology.com/dermatopathology
Joined March 2009
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Bio-art of the finest sort. Klimt has nothing on Mother Nature.
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The easy diagnosis is two tree trunks. But is that the only diagnosis?
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This . . . CK20 . . . immunostaining . . . pattern . . . helped . . . establish . . . the . . . diagnosis . . . of . . . Merkel . . . cell . . . carcinoma . . . status . . . post . . . hepatic . . . transplantation . . . . . . It happens. Not often.
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This is more of a question than an answer. Balloon cell change in an SK? Weird stuff. Just to pre-answer a potential loose end, the included SOX10 immunostain confirms that the fluffy stuff is non-melanocytic.
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This is a public secret message to ⁦@HENRYY_MD⁩ kikoxp.com/posts/13994

KiKo XP | BCC of the 'superclear' type

A diagnosis that can knock you off your game is what I’ll call ‘solid’ syringoma.

kikoxp.com
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It's what we call the Leaning Tower of Trichoepithleliomas
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A little more detail for those who care. Brooke disease seems likely but the full clinical setting was not provided.
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Cause and effect in action...
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This BCC is looking forward to the weekend.
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The mesmerizing labyrinthine wonderfulness of ripple pattern basal cell carcinoma
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Reexcision of melanoma with a pigmented surprise
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Wound-Seal: it’s baaaaaack!
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Use PAS-D to turn a splinter into a MOMA masterpiece
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I didn’t really know it existed and then it just showed up. Plaque type trichilemmoma
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Fifth Dimension dermpath: Up-up and away in my beautiful balloon — my beautiful ALK-fused pigmented Spitz nevus with ballon cell change, that is…
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Oscar Levant said there’s a fine line between genius and insanity. There’s also a fine (pink) line between making the dx of CNH and not making the dx of CNH
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Ouch!
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World's tiniest (2 mm) verruciform xanthoma -- go figure. It was on the cheek -- go figure. He was 90 -- go figure.
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Gold medalist (truly) at the Recanalizing Hemangioma World Championships. Hematoidin division.
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Perfect pigmented porokeratosis
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Bad bad bad becomes worse worse worse: metastatic clear cell renal cell carcinoma with sarcomatoid dedifferentiation
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