Kyle W. Mahoney, MD, Jules B. Lipoff, MD, Bennett W. Clark, MD

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Presentation transcript:

Unmasking a Hidden Cause of Persistent Facial Ulceration: The Relevancy of a Neurologic Examination Kyle W. Mahoney, MD, Jules B. Lipoff, MD, Bennett W. Clark, MD The American Journal of Medicine Volume 129, Issue 11, Pages e273-e275 (November 2016) DOI: 10.1016/j.amjmed.2016.04.028 Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 1 Photograph of the ulcer extending outward from the left nasal ala. The American Journal of Medicine 2016 129, e273-e275DOI: (10.1016/j.amjmed.2016.04.028) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 2 Biopsy of the ulcer at 10× magnification reveals evidence of mild chronic inflammation with granulation tissue, dermal fibrosis, and fat necrosis, but no evidence of infection or malignancy. The American Journal of Medicine 2016 129, e273-e275DOI: (10.1016/j.amjmed.2016.04.028) Copyright © 2016 Elsevier Inc. Terms and Conditions

Figure 3 Magnetic resonance image with apparent diffusion coefficient sequencing demonstrates an acute stroke in the lateral medulla, red arrow. Magnetic resonance angiogram on the right reveals occlusion of the left vertebral artery and left posterior inferior cerebellar artery, red arrow. The American Journal of Medicine 2016 129, e273-e275DOI: (10.1016/j.amjmed.2016.04.028) Copyright © 2016 Elsevier Inc. Terms and Conditions