Presentation: A 93-year-old male presented to the dermatologist with multiple firm, deeply erythematous nodules covering the majority of the parietal scalp (Fig. 13.1). He stated that the nodules appeared rapidly, never bled, and were not painful. Punch biopsies were performed at two locations and both were shown to be consistent with Merkel cell carcinoma (MCC). His past medical history was notable for hypertension, hyperlipidemia, and coronary artery disease.
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