Epiluminescence microscopy (dermoscopy) versus visual inspection during Mohs microscopic surgery of infiltrative basal cell carcinoma.

Background: The initial stage of Mohs micrographic surgery (MMS) is usually outlined using visual inspection. Newer noninvasive models are available to the Mohs surgeon to determine initial margins before MMS.

Objective: To compare the final number of MMS stages performed using dermoscopy and visual inspection of infiltrative basal cell carcinoma (BCC).

An alternative approach for Mohs surgery using a combination of a flexible blade and the traditional scalpel.

Background: Mohs surgery is a specialized surgical and pathological technique used for the removal of high-risk neoplasms. Previous reports show the ability of using a flexible blade for Mohs surgery.

Method: We utilized a technique combining the traditional #15 blade and scalpel with a flexible blade to perform excisions for Mohs surgery.

Unusual case of pemphigus vulgaris mimicking localized pustular psoriasis of the hands and feet.

We report a case of a 70-year-old man with a history of chronic plaque psoriasis presenting with new-onset vesiculopustules of the hands and feet. Hematoxylin and eosin stain as well as direct and indirect immunofluorescence were all consistent with a diagnosis of pemphigus vulgaris. Unusual presentations of pemphigus vulgaris have been reported in the literature.