Adequate treatment of LM requires a comprehensive knowledge of the diagnostic features, histopathology, and treatment options. Surgical modalities with meticulous evaluation of tissue margins appears to offer the lowest rates of disease recurrence.

No abstract

Imiquimod appears to be an effective adjunctive treatment for LM but does not qualify as a replacement therapy for surgery.

No abstract

A 65-year-old male presented for skin examination and was incidentally noted to have discoloration of the fingernails. These findings were completely asymptomatic. The patient had been taking colloidal silver supplementation (Silverzone 140 ppm silver Gifts of Nature, St. George, UT, USA) for 2 years as therapy for diabetes. He first noticed the onset of nail discoloration 1 year ago. His past medical history included type II diabetes and hypertension. His current medications were metformin, glyburide, and benazepril. Physical examination revealed slate-gray discoloration involving the lunulae of the fingernails (Fig. 1). The skin, mucous membranes, and sclerae were unaffected.

No abstract

MMS defects of the ear are larger in nonvisible parts of the ear. As a group, MMS defects on the ear were larger than those on the nose.

Dynamic telepathology can be accomplished accurately and inexpensively by use of readily available consumer products and software.