Retroauricular ulcer in a patient with a history of multiple skin cancers

Presenter: Tony Nakhla, D.O.
Dermatology Program: Western University/Pacific Hospital of Long Beach
Program Director: David C. Horowitz, D.O.
Submitted on: Sep 17, 2008

CHIEF COMPLAINT:  “I have a skin cancer behind my ear”


Signs and symptoms:  A 55 year old white male who presented to our clinic with a 2 week history of a painful sore on the right post auricular region.

Previous Treatment:  None

Other information:  The patient has a past medical history of multiple non-melanoma skin cancers including five squamous cell carcinoma and six basal cell carcinomas, three of which required Mohs. He reports no other significant past medical history and is on no medications. He smokes approximately one pack per day. The patient has no medical insurance and was concerned with procedural costs. He was willing to pay for a complete excision but did not want to pay for a biopsy, since due to his history, he was convinced it was another skin cancer which needed to be removed

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Blisters on arms and legs

Presenter: Aaron Bruce, D.O., Roger Sica, D.O., Lyubov Avshalumova, D.O., Johnny Gurgen, D.O., Risa Ross, D.O., Rachel Epstein, D.O., Jessica Flowers, D.O., David Judy, D.O.
Dermatology Program: Nova Southeastern, Largo Medical Center, Sun Coast Hospital
Program Director: Richard Miller DO, FAOCD
Submitted on: Aug 27, 2008

CHIEF COMPLAINT:  “Blisters on arms and legs”


Signs and symptoms:  We present a 50 y/o caucasian female with new onset of blisters on her thighs, arms and axilla. Pt has a known history of Churg-Strauss Syndrome and states that she developed these blisters while on a prednisone taper. Pt denies any previous history of skin disease. She does state that these blisters become very irritated and painful at times. Pt denies oral lesions and constitutional symptoms. She denies starting, changing dosages and frequency of any medications.

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Multiple excoriations and erosions of the extremities

Presenter: Jason Mazzurco, DO; David Cleaver, DO; Brian Stewart, DO: Brooke Bair, DO; Billie Casse, DO
Dermatology Program: St. Joseph Mercy Hospital Ann Arbor/MSUCOM
Program Director: Dr. Daniel Stewart, DO
Submitted on: Aug 9, 2008

CHIEF COMPLAINT:  “Itchy sores on hands and feet”


Signs and symptoms:  An 81 year old white male with a significant past medical history of chronic renal failure, bladder cancer and hemochromatosis presented with a three to four week history of “sores all over his body.” He complained of pruritus, scratching and picking at the lesions. He also complained of chronic decreased urine output and swelling in both feet.

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Large yellow plaque on the tongue

Presenter: Shaheen Oshtory, D.O., Charles Gropper, M.D., Cindy Hoffman, D.O.
Dermatology Program: Saint Barnabas Hospital
Program Director: Cindy Hoffman, D.O.
Submitted on: Jul 9, 2008

CHIEF COMPLAINT:  My tongue hurts


Signs and symptoms:  A 75 y/o female was admitted to St. Barnabas Hospital for metastatic malignant ascites secondary to vaginal cancer. On admission, she also complained of pain on her tongue and of a large, yellow plaque that had been present for several months.

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Sores on both hands

Presenter: Michelle Foley, DO, Brett Bender, DO, Joe Schneider, DO, John Coppola, DO, Brad Neuenschwander, DO, Derrick Adams, DO
Dermatology Program: Michigan State University POH Medical Center / Botsford Hospital
Program Director: Michael Mahon, DO
Submitted on: Jun 25, 2008

CHIEF COMPLAINT:  “Painful sores on both hands”


Signs and symptoms:  A 41 yo Caucasian male presented to our clinic with the above chief complaint stating the lesions began to develop after he sustained an abrasion to his right third finger while at work. He began to note multiple similar lesions developing shortly thereafter and was admitted to a local hospital for presumed cellulitis . Unable to tolerate IV vancomycin, he was started on a short course of oral antibiotics and was referred to our service by the infectious disease physician for evaluation to rule out presumed pyoderma gangrenosum.

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