A fluorescing spot on the temple: a helpful reminder for a detailed history and physical exam

Dermatol Online J. 2019 Dec 15;25(12):13030/qt0kk4t8w2.

Abstract

We discuss a woman with a history of non-melanoma skin cancer who presented with a new erythematous macule on her right temple. On examination with Wood lamp the well-demarcated macule fluoresced pink making neoplasm unlikely. Further history and physical examination suggested an inadvertent ink stain and the patient was spared a biopsy highlighting the importance of eliciting a good history and performing a detailed physical examination with additional tools such as a Wood lamp when necessary.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Biopsy
  • Diagnosis, Differential
  • Face / pathology
  • Female
  • Fluorescence*
  • Fluorescent Dyes*
  • Humans
  • Medical History Taking
  • Middle Aged
  • Physical Examination*
  • Skin / pathology
  • Skin Neoplasms / pathology
  • Ultraviolet Rays*

Substances

  • Fluorescent Dyes