Presenter: Amy D Adams, DO – PGY3
Dermatology Program: Midwestern University / Arizona Desert Dermatology – Kingman, AZ
Program Director: Don Anderson, DO
Submitted on: Jan 25, 2010
CHIEF COMPLAINT: “Eczema spot that won’t go away”
Signs and symptoms: Non pruritic erythematous patch on the patients right buttock that has been present for at least four years and was previously diagnosed and treated as Eczema. Reports minimal change over the last four years with no period of clearance.
Previous Treatment: Topical antifungal creams, Class I-VI topical corticosteroids and an intramuscular Triamcinolone injection. Pt reports slight benefit from the topical combination of Nystatin / Triamcinolone but denies any benefit from the other medications.
Other information: Pt works in a day care center. She is not taking oral prescription medications or herbal supplements.
A 62 year old Caucasian female with a 35 x 60mm patch of erythema on her right superior buttock. The lesion is non-tender and surrounding erythema blanches with diascopy. No palpable lymph nodes are present.
CBC with peripheral smear: Within Normal Limits
Complete Metabolic Panel: Within Normal Limits
See Photos Below
4. Mycosis Fungoides
5. Majocci Granuloma