Tickborne melanoma?

BMJ 1994; 309 doi: (Published 24 December 1994) Cite this as: BMJ 1994;309:1693
  1. Saul M Halpern, registrara,
  2. Dowling D Munro, consultanta
  1. a Department of Dermatology, St Bartholomew's Hospital, London EC1A 7BE
  1. Correspondence to: Dr Halpern.

    Public awareness of skin tumours and especially melanoma has increased after media coverage and health education campaigns. Exposure to sunshine is recognised as a major risk factor, and patients are increasingly nervous about any changing or new pigmented lesions. We have recently seen two patients who noticed new pigmented lesions on return from their summer holidays which they believed could be melanomas but in fact were ticks.

    Case reports

    Case 1—An active 78 year old woman noticed an asymptomatic black lesion on her upper right thigh on her return from a touring holiday to France, Switzerland, and Germany, where she had been walking in fields. She covered it with a plaster and after two weeks the top of the lesion appeared to separate. She had a history of malignant melanoma excised 20 years before and was concerned that this was a second melanoma. …

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