Cutaneous Pseudoepitheliomatous Hyperplasia from a Displaced Metallic Orthopedic Implant

While rare, cutaneous SCC in patients with darker Fitzpatrick skin types is essential to identify and investigate early and can have a myriad of clinical presentations. While clinical history-taking of suspicious skin lesions is often symptom-driven, other key patient history components, such as sur...

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Main Authors: Franklin R. Blum, Logan S. D’Souza
Format: Article
Language:English
Published: Wiley 2022-01-01
Series:Case Reports in Dermatological Medicine
Online Access:http://dx.doi.org/10.1155/2022/9139213
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author Franklin R. Blum
Logan S. D’Souza
author_facet Franklin R. Blum
Logan S. D’Souza
author_sort Franklin R. Blum
collection DOAJ
description While rare, cutaneous SCC in patients with darker Fitzpatrick skin types is essential to identify and investigate early and can have a myriad of clinical presentations. While clinical history-taking of suspicious skin lesions is often symptom-driven, other key patient history components, such as surgical history, are often overlooked. Differentiating, prioritizing, and risk-stratifying hyperkeratotic, verrucous papules in patients with darker Fitzpatrick skin types is an essential clinical skill for clinicians to develop to serve an increasingly diverse patient population. This original report presents the case of a displaced orthopedic screw causing pseudoepitheliomatous hyperplasia that was initially misdiagnosed as squamous cell carcinoma. This case highlights the importance of careful consideration of surgical history, choice of biopsy method, and skin type when examining lesions concerning for squamous cell carcinoma.
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series Case Reports in Dermatological Medicine
spelling doaj-art-51fc7ce0a2b746258c2b266daca48e012025-08-20T02:05:42ZengWileyCase Reports in Dermatological Medicine2090-64712022-01-01202210.1155/2022/9139213Cutaneous Pseudoepitheliomatous Hyperplasia from a Displaced Metallic Orthopedic ImplantFranklin R. Blum0Logan S. D’Souza1UNC Chapel Hill School of MedicineUNC School of Medicine AshevilleWhile rare, cutaneous SCC in patients with darker Fitzpatrick skin types is essential to identify and investigate early and can have a myriad of clinical presentations. While clinical history-taking of suspicious skin lesions is often symptom-driven, other key patient history components, such as surgical history, are often overlooked. Differentiating, prioritizing, and risk-stratifying hyperkeratotic, verrucous papules in patients with darker Fitzpatrick skin types is an essential clinical skill for clinicians to develop to serve an increasingly diverse patient population. This original report presents the case of a displaced orthopedic screw causing pseudoepitheliomatous hyperplasia that was initially misdiagnosed as squamous cell carcinoma. This case highlights the importance of careful consideration of surgical history, choice of biopsy method, and skin type when examining lesions concerning for squamous cell carcinoma.http://dx.doi.org/10.1155/2022/9139213
spellingShingle Franklin R. Blum
Logan S. D’Souza
Cutaneous Pseudoepitheliomatous Hyperplasia from a Displaced Metallic Orthopedic Implant
Case Reports in Dermatological Medicine
title Cutaneous Pseudoepitheliomatous Hyperplasia from a Displaced Metallic Orthopedic Implant
title_full Cutaneous Pseudoepitheliomatous Hyperplasia from a Displaced Metallic Orthopedic Implant
title_fullStr Cutaneous Pseudoepitheliomatous Hyperplasia from a Displaced Metallic Orthopedic Implant
title_full_unstemmed Cutaneous Pseudoepitheliomatous Hyperplasia from a Displaced Metallic Orthopedic Implant
title_short Cutaneous Pseudoepitheliomatous Hyperplasia from a Displaced Metallic Orthopedic Implant
title_sort cutaneous pseudoepitheliomatous hyperplasia from a displaced metallic orthopedic implant
url http://dx.doi.org/10.1155/2022/9139213
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AT logansdsouza cutaneouspseudoepitheliomatoushyperplasiafromadisplacedmetallicorthopedicimplant