Rapidly progressive erythema

Presenter: Portela D., Laffer M
Dermatology Program: Oakwood Hospital – Southshore
Program Director: Steve Grekin DO
Submitted on: May 4, 2015

CHIEF COMPLAINT:  A 50-year-old Caucasian male presented with a three-day history of mildly pruritic erythematous papules and patches progressing from his head to his chest and upper arms after experiencing a sunburn during work.

CLINICAL HISTORY:

Signs and symptoms:  The patient complained of a pruritic erythematous rash from his scalp to mid trunk. Additionally, there was erythema and hyperkeratosis of his hands and feet. Continue reading “Rapidly progressive erythema”

Scalp nodule in a transplant patient

Presenter: Natalie Edgar DO, Dawnielle Endly DO, Joseph Dyer DO
Dermatology Program: Largo Medical Center / NSUCOM
Program Director: Richard Miller DO
Submitted on: May 1, 2015

CHIEF COMPLAINT:  A 49 year-old Caucasian male presented with a scalp nodule enlarging over 5 weeks.

CLINICAL HISTORY:

Signs and symptoms:  The nodule was intermittently bleeding but non-tender to palpation.

Previous Treatment:  None

Other information:  Past medical history was pertinent for cystic fibrosis necessitating bilateral lung transplant in 2009. Current medications included mycophenolate mofetil 1.5 g twice daily, tacrolimus 1 mg twice daily, and prednisolone 5 mg daily. He had no history of visceral malignancy.

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Recurring hyperpigmented patches

Presenter: Christina Steinmetz-Rodriguez, DO
Dermatology Program: West Palm Hospital/PBCGME
Program Director: Robin Shecter, DO
Submitted on: Apr 20, 2015

CHIEF COMPLAINT:  A 32-year-old Hispanic male presented to the dermatology clinic with recurring hyperpigmented patches on his face over the past year that were transient.

CLINICAL HISTORY:

Signs and symptoms:  Lesions would erupt in the same location on his face each time on a monthly basis and resolve in 6 to 7 days.
Denied any prior medical history and reported no medication use including over-the-counter medications.

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Lower extremity lesions in a female with Graves’ disease

Presenter: Cherise Khani, DO
Dermatology Program: St. Barnabas Hospital
Program Director: Cindy Hoffman, DO
Submitted on: Apr 14, 2015

CHIEF COMPLAINT:  Forty-four year old female presented with swelling of her bilateral lower extremities x 2 years, and “raised circles on right shin and toes” x 9 months

CLINICAL HISTORY:

Signs and symptoms:  Lesions of right lower extremity were associated only with mild intermittent pruritus. Patient denied pain, numbness or paresthesias of affected area.

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Painful, recurrent, bleeding ulcers

Presenter:  unknown
Dermatology Program: Botsford/McLaren/MSU
Program Director: Annette LaCasse, DO
Submitted on: Apr 12, 2015

CHIEF COMPLAINT:  An 18 year-old female with history of acne and eczema presented with a many-year history of painful, recurrent, bleeding ulcers on her bilateral feet.

CLINICAL HISTORY:

Signs and symptoms:  She stated that she gets blister-like lesions on especially when on her feet a lot during sports seasons.

Continue reading “Painful, recurrent, bleeding ulcers”