3 year-old with poor hair growth

Presenter: Kate Chilek, DO
Dermatology Program: Ohio University/O’Bleness Memorial Hospital
Program Director: Scott Drew, DO & Mary Beth Luca, DO
Submitted on: Apr 28, 2010

CHIEF COMPLAINT:  3 year-old female presented for the evaluation of “poor hair growth.”

CLINICAL HISTORY:

Signs and symptoms:  Born with dark blonde scalp hair, which fell out by 3 months of age. She re-grew some hair, but it was never substantial. Otherwise healthy, with normal growth and development.

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Perioral and genital lesions

Presenter: Chris Weyer, DO; Bo Rivera, DO; Jonathan Cleaver, DO
Dermatology Program: Northeast Regional Medical Center – Kirksville
Program Director: Lloyd J. Cleaver, DO
Submitted on: Mar 14, 2010

CHIEF COMPLAINT:  27 year old female presents with complaints of oral and genital lesions.

CLINICAL HISTORY:

Signs and symptoms:  27 year old female presents with at least a 1 year history of perioral lesions and greater than 3 year history of genital lesions. The genital lesions “itch” and “burn”. The lesions bleed if picked excessively. She also notes some burning and frequency of urination. Recent pap smears have been normal. Extensive questioning revealed decreased sweating by patient.

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Pruritic rash involving upper torso and extremities

Presenter: Scott Deckelbaum, DO
Dermatology Program: Western University/Pacific Hospital
Program Director: David Horowitz, DO
Submitted on: Feb 5, 2010

CHIEF COMPLAINT:  24 year old Hispanic male with complaint of a pruritic rash involving his upper torso and extremities. His symptoms have been slowly progressing over a 5 year period.

CLINICAL HISTORY:

Signs and symptoms:  Our patient reported diffuse pruritus without pain. His complete review of systems was otherwise negative including the presence of palpable masses.

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Rash on lower extremities

Presenter: Susun Bellew, DO; Grace K. Kim, DO; Saira Momin, DO; Brent Michaels DO
Dermatology Program: Valley Hospital Medical Center, Las Vegas, Nevada
Program Director: James Q. Del Rosso, D.O.
Submitted on: Jan 30, 2010

CHIEF COMPLAINT:  A 62-year-old Italian man presented to the office for evaluation of a “rash” that started on his lower extremities.

CLINICAL HISTORY:

Signs and symptoms:  Patient reports a persistent eruption for 4 years that originally started on his lower extremities which progressed to his arm, palms, and low back (Fig 1 and Fig 2). He also reported occasional pruritus of the lesions which was not severe. The patient and his wife both denied any suspected precipitating factors. He also denied constitutional symptoms such as fever, chills, weight loss, myalgia, or arthralgia.

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Non pruritic erythematous patch

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”

CLINICAL HISTORY:

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.

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