Case 22: Right Upper Arm Lesion

  • Dong-Lin XieEmail author
  • Emelia Farnsworth
  • Robert A. Norman
Part of the Clinical Cases in Dermatology book series (CLIDADE)


A 45 year old male with a history of herpes simplex, folliculitis, HIV, testicular, arm, and buttock lesions, and squamous cell carcinoma presented with a large, hypertrophic lesion on the right upper arm. Patient reported pruritus and pain associated with the site. According to the patient, the neoplasm had been present for 3 weeks and was slowly becoming larger.


Pseudoepitheliomatous hyperplasia Steiner stain Viral infection Granular cell tumor Blastomycosis Herpes infection 

Suggested Reading

  1. Chakrabarti S, Chakrabarti P, Agrawal D, Somanath S. Pseudoepitheliomatous hyperplasia: a clinical entity mistaken for squamous cell carcinoma. J Cutan Aesthet Surg. 2014;7(4):232. Scholar
  2. Elwood H., Christopher H. Skin—Nonmelanocytic tumors & other tumors of skin: dermatopathology patterns. Pathology Outlines. 2012. Accessed 22 Oct 2018.
  3. Ling Y, Zhu C, Wen S, Luo R, Li P, Cao Y, Rao H, Lin S, Cai M. Pseudoepitheliomatous hyperplasia mimicking invasive squamous cell carcinoma in extranodal natural killer/T-cell lymphoma: a report of 34 cases. Histopathology. 2015;67(3):404–9. Scholar
  4. Mcfaddin C, Sirohi D, Castro-Echeverry E, Fernandez MP. Desmoplastic trichoepithelioma with pseudocarcinomatous hyperplasia: a report of three cases. J Cutan Pathol. 2014;42(2):102–7. Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Dong-Lin Xie
    • 1
    Email author
  • Emelia Farnsworth
    • 2
  • Robert A. Norman
    • 3
    • 4
  1. 1.Ruffolo, Hooper & Associates, M.D, P.A.TampaUSA
  2. 2.MS1Nova Southeastern UniversityTampaUSA
  3. 3.Department of DermatologyNova Southeastern UniversityTampaUSA
  4. 4.Center for Geriatric Dermatology and Neuro-DermatologyTampaUSA

Personalised recommendations