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prevention programs for youth. For example, black sexual minority males reported the highest prevalence of indoor tanning, a rate equivalent if not higher than white females. Clinicians working with sexual minority males, particularly males of color, should consider assessing use of indoor tanning during routine evaluations. Future research would benefit from exploring motivations to tan among diverse groups of adolescents, as varied motives may drive sexual minorities' use indoor tanning. For instance, appearance-based motives and the regulation of negative affect may be 2 prominent factors that predispose sexual minority youth to indoor tan. 6

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We report a case of new‐onset bullous pemphigoid manifesting concurrently with cutaneous Crohn disease in a 58‐year‐old woman. Cutaneous Crohn disease is an extraintestinal manifestation of Crohn disease characterized by non‐specific plaques or nodules. Bullous pemphigoid, a sub‐epidermal autoimmune blistering disorder, has been observed in the setting of inflammatory bowel disease. The patient presented with recurrent bullae on the abdomen, thighs, and buttocks of 1 year's duration. She was not on any immunosuppressive therapies and had been treated with infliximab and azathioprine for her Crohn disease, which were discontinued 8 years before the blistering commenced. Punch biopsy of lesional skin showed a sub‐epidermal blister with eosinophils. Sarcoidal and tuberculoid granulomas were present in the dermis. Direct immunofluorescence revealed linear 2+ IgG and 3+ C3 along the basement membrane. Indirect immunofluorescence was positive for BP180 and BP230 antibodies. These findings support the diagnosis of bullous pemphigoid with concomitant cutaneous Crohn disease. Both bullous pemphigoid and Crohn disease have been associated with an altered T‐cell response. The similarities in the pathogenesis of the underlying inflammatory milieu suggest a possible etiopathogenic connection. This is believed to be the first report of cutaneous Crohn disease presenting simultaneously with bullous pemphigoid on histopathological examination.

Dermatofibrosarcoma protuberans is an extremely rare, potentially malignant tumor type that usually presents on the trunk or proximal extremities. The clinical presentation includes a gradually enlarging painless plaque-like or nodular lesion of the skin with surrounding red to blue discoloration. The diagnosis is based on clinical presentation, computed tomography or magnetic resonance imaging, and biopsy with histologic analysis. An early and timely diagnosis improves chances of complete surgical resection thus improving prognosis. Herein, we present a rare case of dermatofibrosarcoma protuberans with the hopes that its addition to the literature will aid in the earlier recognition of future patients and help prevent this potentially curable disease from becoming deadly.

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