Cutaneous B-cell lymphoma

QUESTION 56

A 47-year-old woman presents to the dermatology clinic as a referral from her primary care physician for evaluation of skin lesions on her forehead. They have been present for 8–9 months. Prior treatments with topical corticosteroids and topical antimicrobial washes have proven ineffective in eradicating the lesions. The lesions have been relatively asymptomatic throughout their course, but she does not like the appearance of the lesions. She does not note any other areas of involvement. On examination, there are multiple red-brown papules and nodules on the left forehead with no overlying skin changes (56). No lymphadenopathy was noted and the remainder of the physical examination was unremarkable. On review of systems, the patient denied weight loss, fatigue, malaise, fever or chills. A biopsy was performed to confirm the diagnosis.