Abstract: 67-year-old man with a 3-month history of pigmented papules on the face and torso.
HPI: The patient is a 67-year-old man with a 3-month history of pigmented papules on the face and torso. He has past medical history of enucleation over 19 years ago for ocular melanoma. Since enucleation, he has been fairly healthy and staying active with his life. He has not noticed any recent weight loss, fatigue, and other associated constitutional symptoms.
O/E: The skin examination showed a pleasant and outgoing man with ~ 50 well defined 2-4 mm multiple scattered purple to blue-black firm papules on the face and torso. No lymphadenopathy noted.
Follow-up: Many attempts were made to contact the patient and get him back for a follow-up discussion; but he never answered his phone or returned letters. He died ~ 5 months later. We hope he payed a few rounds of golf over the summer and suspect that his life was easier without futile attempts at palliation.
1. Progression of ocular melanoma metastasis to the liver: the 2012 Zimmerman lecture.
JAMA Ophthalmol. 2013 Apr;131(4):462-9.