Dr. Fatemeh Kourkinejadover 5 years ago
Please let me know the DDX
A 65 year old male with a perulent wound refered by ophtalmologist to infectious disease clinic. The would has happened from 1 year ago. It was a blister at beginning and after manipulation it becomes a black base wound. The zygomatic bone in the effected area has been destructed. No history of trauma. History of bites unknown.
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over 5 years ago
Can it involve skin directly without involving mucous membranes?
over 5 years ago
Classic signs and symptoms of a non-melanoma skin cancer. I lean towards squamous cell carcinoma, characterized by rapid growth and normally started by a blister or pimple type lesion. Fairly common to metastasize, recommend biopsy to diagnose then refer for Mohs surgery, concur with plastics/ENT surgeon. Radiation likely needed as well
