Enlarging growth on the foot of a teenage boy

Presenter: Holly Kanavy, DO
Dermatology Program: St. Barnabas Hospital
Program Director: Cindy Hoffman, DO, FAOCD
Submitted on: Jun 21, 2013

CHIEF COMPLAINT:  14 yo Caucasian male presented with growth on the bottom of his left foot x 3-4 months.

CLINICAL HISTORY:

Signs and symptoms:  pain with ambulation

Previous Treatment:  series of curettage by podiatry with continued enlargement

Other information:  Medical history: chronic macrocytosis and reticulocytopenia (bone marrow biopsy at age 10 revealed a non-clonal chromosome 15 deletion: 45 XY del(15)(q11.2)).
History of developmental abnormalities, Autistim / Asperger’s disease.
MRI brain: encephalomalacia and periventricular leukomalacia (localized areas of necrosis attributed to infarction or ischemia).

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Atypical vascular lesion arising in an area of previous radiation treatment on the breast

Presenter: Christian W. Oram, D.O.
Dermatology Program: Lehigh Valley Health Network/Philadelphia College of Osteopathic Medicine
Program Director: Stephen M. Purcell, D.O.
Submitted on: Jun 2, 2013

CHIEF COMPLAINT:  Lesion on right breast

CLINICAL HISTORY:

Signs and symptoms:  Patient presented in October 2010 with a pink to purple asymptomatic plaque on the right medial breast.

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Dry and itchy skin for four and half months

Presenter: Vienna Lowenbraun, D.O.
Dermatology Program: Genesys
Program Director: Kimball Silverton, D.O.
Submitted on: Apr 30, 2013

CHIEF COMPLAINT:  A 74 year old Caucasian male presented with complaint of four and a half months of diffusely “dry and itchy” skin.

CLINICAL HISTORY:

Signs and symptoms:  He noted that the skin changes began suddenly; first noticing the dryness on his arms, and within several days noticing that it had become diffuse. He stated that he first noticed the changes two weeks after using a degreasing agent to clean his refrigerator coils and was concerned that the solvent was the source of his xerotic and pruritic skin. Several weeks prior to presenting to our clinic, he sought care at his primary care physician’s office for the same complaints. His primary care physician diagnosed him with having xerosis.

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Woman with red brown bumps on thighs and back

Presenter: Hamblin, T., DO; Brindise, R., DO; Laffer, M., OMS-IV; Grekin, S., DO
Dermatology Program: Oakwood Southshore Medical Center
Program Director: Steven Grekin, DO
Submitted on: Apr 6, 2013

CHIEF COMPLAINT:  A 33 year old Caucasian woman noticed in 1999 the appearance of pruritic “sun spots” on both lower extremities.

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