title: A skin lesion found by serendipity.
abstract: A 77-year-old retired postal worker presented with symptoms of recurrent aspiration pneumonia, for which he had last been seen one month earlier. Oropharyngeal dysfunction, presumably caused by previous strokes, was demonstrated by video-esophagoscopy, and a percutaneous gastrostomy tube was placed at that time.
authors.affiliation: University of South Florida, James A. Haley Veterans Hospital, USA.
authors.forename: J Y
authors.initials: JY
authors.lastname: Leland
authors.forename: R P
authors.initials: RP
authors.lastname: Shah
authors.forename: H M
authors.initials: HM
authors.lastname: Adelman
mesh_terms: D000368:Aged; D015266:Carcinoma, Merkel Cell / Q000150:complications / Q000175:diagnosis* / Q000401:mortality; D003937:Diagnosis, Differential; D006801:Humans; D008297:Male; D008875:Middle Aged; D011015:Pneumonia, Aspiration / Q000150:complications*; D011379:Prognosis; D012878:Skin Neoplasms / Q000150:complications / Q000175:diagnosis* / Q000401:mortality