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Kainz, JT; Hofmann-Wellenhof, R.
Trivial injury to the sole of the foot.
Hautarzt. 2011; 62(12):943-946
Doi: 10.1007/s00105-011-2272-0
(- Case Report)
Web of Science
PubMed
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- Leading authors Med Uni Graz
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Hofmann-Wellenhof Rainer
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- Abstract:
- A 67-year-old male patient noticed a foreign body sensation following a trivial trauma to the sole of the left foot approximately 4 months before presentation. The existing skin alteration had been self-treated with pumice stone and an unidentifiable wart tincture. The examination revealed an approximately 2 cm in diameter macula on the left heel with a zonal construction. The periphery was formed by a polycyclic dark brown ring which enclosed a reddish skin colored macula with several minute erosions. Dermatoscopy revealed an unspecific pattern with polymorphic vessels in the center. The peripheral ring showed radially running streaks as well as a parallel track-like pattern in one region. Histology revealed this to be an acral melanoma. A melanoma should always be included in the differential diagnostic considerations of atypical acral lesions. A biopsy should always be carried by unclear clinical and light microscopical findings out to enable a final diagnosis.
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Aged -
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Diagnosis, Differential -
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Foot Dermatoses - pathology
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Foot Injuries - pathology
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Humans -
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Male -
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Melanoma - pathology
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Skin Neoplasms - pathology
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Acral melanoma
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Dermatoscopy
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Acral skin alteration
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Injury
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Sole of the foot