Dermpath Board Review Young Dermatologists’ Forum Joshua M. Schulman, MD Format
• 15 cases • 30 seconds per question • Review of answers at the end Questions 1 10x 40x
1. This biopsy displays changes that were most likely induced by which virus? a. HSV1 b. HSV2 c. HPV1 d. HPV5 e. HPV16
2 10x
2. What is the best diagnosis? a. Bullous lupus erythematosus b. Porphyria cutanea tarda c. Bullous pemphigoid d. Bullous solar elastosis e. Staphylococcal scalded skin syndrome
3 2x 40x
3. What is the best diagnosis? a. Epithelioid cell histiocytoma b. Epithelioid hemangioendothelioma c. Nodular Kaposi sarcoma d. Superficial dermatofibrosarcoma protuberans e. Atypical fibroxanthoma 4 2x
4. What is the best diagnosis? a. Cylindroma b. Spiradenoma c. Syringocystadenoma papilliferum d. Glomangioma e. Hidradenoma papilliferum 5 20x 10x
5. What is the best diagnosis? a. Acantholytic squamous cell carcinoma in situ b. Pemphigus foliaceus c. Pemphigus vulgaris d. Darier’s disease e. Hailey-Hailey disease 6 2x 10x
6. What is the best diagnosis? a. Lipodermatosclerosis b. Lupus panniculitis c. Pancreatic panniculitis d. Subcutaneous fat necrosis of the newborn e. Reaction to poly-L-lactic acid injection 7 10x
7. This material was found in the superficial dermis. What is the best diagnosis? a. Gouty tophus b. Calcinosis cutis c. Nodular amyloid d. Colloid milium e. Cautery artifact 8 2x
8. What is the best diagnosis? a. Myrmecia b. Tungiasis c. Scabies d. Dystrophic onychomycosis e. Cysticercosis 9 4x 20x
9. What is the best diagnosis? a. Lichen planus b. Erythema multiforme c. Erythema migrans d. Fixed drug eruption e. Chronic graft-versus-host disease 10 4x 40x
10. What is the best diagnosis? a. Langerhans cell histiocytosis b. Compound melanocytic nevus c. Malignant melanoma d. Poroma e. Mastocytoma 11 4x 20x
11. What is the best diagnosis? a. Balloon cell melanocytic nevus b. Balloon cell melanoma c. Gout d. Eruptive xanthoma e. Nevus lipomatosus superficialis 12 4x 10x
12. What is the best diagnosis? a. Alopecia areata b. Lichen planopilaris c. Androgenetic alopecia d. Discoid lupus erythematosus e. Acne rosacea 13 20x 40x
13. What is the best diagnosis? a. Granular cell tumor b. Hibernoma c. Lipoblastoma d. Angiolipoma e. Liposarcoma 14 10x 40x
14. What is the best diagnosis? a. Interstitial granuloma annulare b. Metastatic breast carcinoma c. Angiosarcoma d. Bacillary angiomatosis e. Pyogenic granuloma 15 2x 10x
15. What is the best diagnosis? a. Nevus sebaceus b. Acne keloidalis nuchae c. Coccidioidomycosis d. Rhinosporidiosis e. Chromomycosis Case Review 10x 40x
1. This biopsy displays changes that were most likely induced by which virus? a. HSV1 b. HSV2 c. HPV1 d. HPV5 e. HPV16
HPV HSV/VZV “classic” subtypes 10x
2. What is the best diagnosis? a. Bullous lupus erythematosus b. Porphyria cutanea tarda c. Bullous pemphigoid d. Bullous solar elastosis e. Staphylococcal scalded skin syndrome
Bullous lupus Bullous pemphigoid
Neuts
Eos
Bullous solar elastosis Staph scalded skin 2x 40x
3. What is the best diagnosis? a. Epithelioid cell histiocytoma b. Epithelioid hemangioendothelioma c. Nodular Kaposi sarcoma d. Superficial dermatofibrosarcoma protuberans e. Atypical fibroxanthoma Epithelioid Kaposi sarcoma hemangioendothelioma
“Superficial” DFSP Atypical fibroxanthoma 2x
4. What is the best diagnosis? a. Cylindroma b. Spiradenoma c. Syringocystadenoma papilliferum d. Glomangioma e. Hidradenoma papilliferum Cylindroma Spiradenoma
Syringocystadenoma papilliferum Glomangioma 20x 10x
5. What is the best diagnosis? a. Acantholytic squamous cell carcinoma in situ b. Pemphigus foliaceus c. Pemphigus vulgaris d. Darier’s disease e. Hailey-Hailey disease Acantholytic SCC Pemphigus foliaceus
Pemphigus vulgaris Darier disease 2x 10x
6. What is the best diagnosis? a. Lipodermatosclerosis b. Lupus panniculitis c. Pancreatic panniculitis d. Subcutaneous fat necrosis of the newborn e. Reaction to poly-L-lactic acid injection Lipodermatosclerosis Lupus panniculitis
Subcutaneous fat necrosis of the newborn Sculptra granuloma 10x
7. This material was found in the superficial dermis. What is the best diagnosis? a. Gouty tophus b. Calcinosis cutis c. Nodular amyloid d. Colloid milium e. Cautery artifact Gout Calcinosis cutis
Nodular amyloid Cautery artifact 2x
8. What is the best diagnosis? a. Myrmecia b. Tungiasis c. Scabies d. Dystrophic onychomycosis e. Cysticercosis Myrmecia Scabies
Nail plate Cysticercosis 4x 20x
9. What is the best diagnosis? a. Lichen planus b. Erythema multiforme c. Erythema migrans d. Fixed drug eruption e. Chronic graft-versus-host disease Lichen planus Erythema multiforme
Erythema migrans Chronic GVHD 4x 40x
10. What is the best diagnosis? a. Langerhans cell histiocytosis b. Compound melanocytic nevus c. Malignant melanoma d. Poroma e. Mastocytoma LCH Compound melanocytic nevus
Melanoma Poroma 4x 20x
11. What is the best diagnosis? a. Balloon cell melanocytic nevus b. Balloon cell melanoma c. Gout d. Eruptive xanthoma e. Nevus lipomatosus superficialis Balloon cell nevus Balloon cell melanoma
Gout Nevus lipomatosus 4x 10x
12. What is the best diagnosis? a. Alopecia areata b. Lichen planopilaris c. Androgenetic alopecia d. Discoid lupus erythematosus e. Acne rosacea Lichen planopilaris Androgenetic alopecia
Discoid lupus Acne rosacea 20x 40x
13. What is the best diagnosis? a. Granular cell tumor b. Hibernoma c. Lipoblastoma d. Angiolipoma e. Liposarcoma Granular cell tumor Lipoblastoma
Angiolipoma Liposarcoma 10x 40x
14. What is the best diagnosis? a. Interstitial granuloma annulare b. Metastatic breast carcinoma c. Angiosarcoma d. Bacillary angiomatosis e. Pyogenic granuloma Interstitial GA Metastatic breast cancer
Bacillary angiomatosis Pyogenic granuloma 2x 10x
15. What is the best diagnosis? a. Nevus sebaceus b. Acne keloidalis nuchae c. Coccidioidomycosis d. Rhinosporidiosis e. Chromomycosis Nevus sebaceus Coccidioidomycosis
Rhinosporidiosis Chromomycosis Good luck!