Solve this exciting clinical case specific to your field of interest via Docplexus’ Case Challenge. Join your fellow doctors to discuss and answer today’s challenge. Case presentation A 53-year-old African American male visited the dermatology outpatient department for the treatment of a fungating mass on his left nasal sidewall.
The lesion had grown to the current size since its first appearance around 4-6 months ago. As the lesion grew, it presented with significant bleeding, eventually leading to shortness of breath with exertion and fatigue, which needed management of symptomatic anemia in the ICU. Medical history Chronic obstructive pulmonary disease (COPD) Active smoking (20 pack-years) Delay in the lesion treatment due to inaccurate diagnosis Clinical presentation A 10 cm fungating verrucous plaque on the left nasal sidewall; the plaque had central ulceration and other friable…
