This is a common histopathologic pattern of a patchy lichenoid inflammatory cell infiltrate. The clinical diagnosis is rule out basal cell carcinoma. What histopathologic clues should lead one to consider getting deeper levels on a case?
Test your diagnostic acumen with this review of interesting cases from this past week's signout.
These two punch biopsies dramatically illustrate this disease. The biopsy on the right is from lesional skin while the biopsy on the left is from perilesional skin.
