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Diabetes Care 30:444-445, 2007
DOI: 10.2337/dc06-2251
© 2007 by the American Diabetes Association
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Letters: Observations
Letters: Observations

Malignant Melanoma Misdiagnosed as a Diabetic Foot Ulcer

Lee C. Rogers, DPM1, David G. Armstrong, DPM, PHD1, Andrew J.M. Boulton, MD, FRCPATH2, Anthony J. Freemont, MD, FRCP3 and Rayaz A. Malik, MB, CHB, MRCP, PHD2

1 Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin University of Medicine and Science, Chicago, Illinois
2 Divisions of Cardiovascular and Endocrine Science, University of Manchester, Manchester, U.K
3 Department of Regenerative Medicine, University of Manchester, Manchester, U.K

Address correspondence to Lee C. Rogers, DPM, Scholl’s Center for Lower Extremity Ambulatory Research (CLEAR), Rosalind Franklin University of Medicine, 3333 Green Bay Rd., North Chicago, IL 60064. E-mail: lee.rogers@rosalindfranklin.edu

The first 20% of the full text of this article appears below.

A male patient aged 48 years with type 2 diabetes presented with a painless nonhealing ulcer of 18 months duration under his right first metatarsal head. The ulcer was not a typical-appearing neuropathic foot ulcer and had mushrooming granulation tissue and areas of intact epidermis in a lenticular fashion over the wound bed (Fig. 1). The patient also complained of a "knot" in his right inguinal area. An incisional biopsy was taken from the foot lesion, which revealed a poorly differentiated melanoma covered by an intact epidermis and . . . [Full Text of this Article]


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Copyright © 2007 by the American Diabetes Association.