Robert P. Blereau, MD

May 01, 2007

The lesion is a hypertrophied papilla--an enlarged teat-like structure that may develop in an anal crypt. Treatment options include surgical excision, electrodesiccation, or cryotherapy.

April 15, 2007

A medium-sized brown pigmented lesion had been present on the right temple of a 61-year-old man since birth. The patient complained that during the last several months the lesion had formed a fine scale and begun to itch. Actinic keratoses and inclusion cysts were also noted on his face.

April 01, 2007

During week 28 of her pregnancy, a 28-year-old woman presented with a gingival hemangioma between the right upper central incisor and canine tooth. The asymptomatic lesion arose during the thirteenth week of her pregnancy; it gradually enlarged and bled occasionally with minor trauma.

January 01, 2007

The lesion on this 6-year-old boy occupies almost the entire left side of his nose. The mother attributed it to an injury her son had sustained 2½ weeks earlier, when he was hit in the face by a baseball.

December 31, 2006

A 7-year-old girl presents for evaluation of a pink, polypoid, 2 x 2-mm lesionon her inner lower lip, which has been present for several weeks. The child isasymptomatic and denies any trauma to the mouth.

December 31, 2006

A 1 X 0.5-cm hemorrhagic, polypoid lesion that had been present for 2 monthson a 13-year-old boy’s left anterior chest was excised. Pathologic examinationconfirmed the diagnosis of pyogenic granuloma.

October 01, 2006

An 80-year-old man has had an asymptomatic, flesh-colored swelling on his right ear for 4 to 5 months. In the center is a 1-mm white scab pointing downward from the helix. At times, the patient shaves a white spicule that grows in this crusted area. He sleeps on his right side and does not use a cell phone.

February 01, 2006

For 3 years, a 23-year-old man has had this asymptomatic, 0.75-cm, polypoid lesion on his left wrist.

November 01, 2005

Telltale skin lesions of syphilis, gonorrhea, human papillomavirus infection, and Haemophilus ducreyi infection.

November 01, 2005

These pinpoint pustules, some with excoriations, and surrounding erythema appeared on the posterior trunk and outer arms of a 15-year-old boy after he had wrapped his upper body in a wool blanket. These lesions were occasionally pruritic, especially on the arms, where most of the excoriations were noted.