Diagnosis: Insect bite reaction
Description: Red papule from which comes a brown-black elongate body
Morphology: Papules,black
Site: Back
Sex: M
Age: 50
Type: Clinical
Submitted By: Ted Rosen
Differential DiagnosisHistory:
Gentleman concerned about itchy papule he can't quite see on his back. Worried that this was a new skin cancer (note scars from prior excisions of SCCA, BCC and melanoma). The new lesion arose shortly after a hunting trip into the forest. Close examination revealed thatt his was nothing more than a tick burrrowed into the skin. It was removed by deep shave.