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General Dermatology
News, opinions and meeting coverage in dermatology.
Make the Diagnosis: At Least this Groom Doesn’t have Cold Feet
Just a few days after returning from his honeymoon at a Brazilian beach resort, a 29-year-old man went to his primary care doctor complaining of extremely pruritic toes and feet. After he started scratching, he noticed some small black dots, umbilicated papules, and crusts on the soles and at the tip of his toes under the nail. He had been finding it uncomfortable to walk since the last day of the trip.
Can you diagnose the patient?
May 25, 2018
Make the Diagnosis: What’s to Blame for his Rash and Paresthesia?
Case Findings: A 52-year-old man who was undergoing chemotherapy for leukemia went to the ED 5 days after receiving cytarabine. He complained of a rapid onset of erythematous lesions on his palms and soles accompanied by tingling and burning sensations.
Can you diagnose the patient?
Apr 25, 2018
Make the Diagnosis: Itchy Fingers from IV Therapy?
Case Findings: A 48-year-old woman who was receiving IV immunoglobulin therapy complained to her doctor that over the past few weeks small vesicles had formed along the sides of her fingers. Some had ruptured and become scaly papules. Her fingers were extremely pruritic, and she said it was "driving her crazy."
Can you diagnose the patient?
Mar 19, 2018
Make the Diagnosis: More Than a Mosquito Bite
Case Findings: A 52-year-old man who had returned from an end-of-summer camping trip in Vermont two weeks earlier went to the doctor complaining of a severe headache in the front of his head and a widespread rash of blanching macules. The illness had started a few days earlier with just a mild fever, myalgias, and some loss of appetite. Despite feeling terrible, he joked that his trip was fun, but he's pretty sure the mosquito is the unofficial bird of Vermont.
What is your diagnosis?
Sep 29, 2017
Make the Diagnosis: Callus Conundrum
Case Findings: A 52-year-old man presents with possible calluses on either side of his thumb, forefinger, and middle finger. He reports cutting them off with nail clippers, but they return. He also reports using an over-the-counter wart treatment without success.
What is your diagnosis?
Feb 06, 2017
Make the Diagnosis: More Than A Rash
Case Findings: A 51-year-old woman visited her primary care doctor complaining of a rash, pruritus, myalgias, and muscle weakness that made normally easy tasks like standing from a seated position difficult. The rash was an erythematous blanching patch, spread across her back and shoulders like a shawl and across her chest in a V shape. She had also noticed that her fingernail folds were red and swollen.
What is your diagnosis?
Aug 10, 2016
Make the Diagnosis: Leg Lesion Teaser
Case Findings: A 47-year-old woman undergoing chemotherapy for breast cancer noticed several red, flaccid bullae on her leg. She was also experiencing fever, cough, and shortness of breath, which developed quickly, so she went to the ED.
What is your diagnosis?
Aug 02, 2016
