Pruritic rash with proximal muscle weakness

Presenter: Duggan C., Jajou P.
Dermatology Program: Beaumont Hospital Trenton
Program Director: Steven Grekin DO
Submitted on: Apr 29, 2016

CHIEF COMPLAINT:  Patient is a 64-year-old female who presented to the clinic with a pruritic rash that started on her left wrist and then spread to her right arm, chest, scalp, and posterior neck.

CLINICAL HISTORY:

Signs and symptoms:  She denied any recent sun exposure. Patient admits to some difficulty arising from a seated position as well as fatigue while combing her hair.

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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”

Multiple asymptomatic “white” patches

 Presenter: Alexandra Grob, DO, Kristi Hawley, DO
Dermatology Program: Oakwood Southshore Medical Center
Program Director: Steven Grekin, DO, FAOCD
Submitted on: Jun 2, 2014

CHIEF COMPLAINT:  A 14-year-old Caucasian female presented with multiple asymptomatic “white” patches on her forehead, bilateral arms, and legs, present since birth. She states the patches have grown in proportion to her growth, and that “brown spots” gradually began to form within and around these areas. She states her father and paternal grandfather also have similar clinical findings.

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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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Waxing and waning eruption located on the trunk and extremities

Presenter: Christina Feser, Arathi Goldsmith, Peter Saitta, Jean Holland, Stephen Olsen
Dermatology Program: Oakwood Southshore Medical Center
Program Director: Dr. Steven Grekin
Submitted on: Aug 5, 2012

CHIEF COMPLAINT:  Resistant rash

CLINICAL HISTORY:

Signs and symptoms:  September 2009-May 2010:
A 61-year-old Caucasian female presented to our clinic with a 1-year history of a waxing and waning eruption located on the trunk and extremities. Patient denied pain and pruritus. No significant past medical history or family history was noted. The patient was otherwise healthy. Review of systems was unremarkable.

May 2010-November 2010:
The rash failed to resolve after multiple courses of topical and systemic steroids. Despite treatment, the eruption generalized.

November 2010-present:

The patient’s condition continued to evolve becoming more diffuse throughout the trunk and extremities despite additional treatment trials with dapsone and acitretin. Finally, cyclosporine was added leading to the diagnostic eruption. Continue reading “Waxing and waning eruption located on the trunk and extremities”