Sunday, November 16, 2008

Bump on the pelvis


30 y white man comes to the office complaining of multiple lesions on his pelvic region that have developed over the past few months. He denies any local or systemic symptoms. He has not significant PMH and is not on any medications. He acknowledges having more than 6 sexual partners since being sexually active as a teenager. On examination, he has multiple dome-shaped papules with an umbilicated center.

Which of the following is the most likely diagnosis?

A. Condyloma acuminata
B. Syringoma
C. Sebaceous hyperplasia
D. Molluscum contagiosum- ANSWER
E. Keratoacanthoma