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Derm Clinic

Kitchen work worsens pruritic hand lesions

Peter M.H. Cham, MD, and Erin M. Warshaw, MD, MS July 01, 2010

A restaurant employee's intensely itching and burning hand lesions worsened after he was assigned to work in the kitchen.

Recurrent erosions on the neck and axillae

William Sargent Kaufman and Julia R. Nunley, MD July 01, 2010

For two years, a woman had lived with an itchy rash on her axillae and neck that became more symptomatic during the summer.

Rash preceded by  fever and cough

Craig G. Burkhart, MD, MPH June 01, 2010

After four days with a high fever, cough, and conjunctivitis, a child is brought to the hospital with an extensive, maculopapular rash.

Scaly plaques spread from head to toe

Joshua Weingartner, Pamela S. Allen, MD, FAAD, and Heather Hennigan, PA-C June 01, 2010

Five months of treatment with corticosteroids and antibiotics did not relieve the scaly rash on a man's scalp, cheeks, trunk, genitals, and legs.

Vulvar pruritus with no erosions or papules

Payal Patel, MD, and Julia R. Nunley, MD May 01, 2010

A woman with no history of sexually transmitted diseases suffers intense vulvar itching. Hypopigmentation was noted with no erosions or papules.

Flesh-colored nodules on the shins and feet

Craig G. Burkhart, MD, MPH May 01, 2010

A middle-aged woman with Graves' disease presented with asymptomatic, firm, nonpitting, flesh-colored nodules and plaques on her legs and feet.

Rapidly growing tumor on the forearm

Travis Vandergriff, MD April 01, 2010

Six weeks after it appeared, the small red bump on this man's right forearm had become an erythematous crater-shaped nodule

Shiny, waxy patches  on the shins

Craig G. Burkhart, MD, MPH April 01, 2010

A woman with a history of type 2 diabetes presented with asymptomatic, shiny, waxy, round patches on her shins that turned from red to yellow.

Atrophic rash in a  patient with hepatitis C

Laura McGevna, MD, and Robert Scott Nelson, MD March 01, 2010

Plaques develop on the face, trunk, and hands of a man with hepatitis C.

Painful tightening  of the skin on the legs

Michael Sonabend, MD March 01, 2010

A 62-year-old man with a painful erythematous rash on the shins

Patches of hair loss

Sean D. Doherty, MD July 01, 2010

Two boys with similar patches of hair loss—one developed six months ago, and the other had been present since birth.

Enlarging back and shoulder lesions

Stanley Chan, MD June 01, 2010

Two patients with enlarging lesions—one in a man with no history of skin cancer, and the other in a man with significant actinic damage

Red rashes on the lower legs

May 01, 2010

Two patients present with leg rashes. One rash developed after a woman started taking cefazolin, and the other featured the deposition of hemosiderin.

Hypopigmented patches on the body

Sean D. Doherty, MD April 01, 2010

Two young girls with hypopigmented patches—one on the right buttock, the other on the knees, fingers, and ankles.

Purple eruptions

Noah S. Scheinfeld, MD, JD March 01, 2010

Two patients with purple lesions and no other abnormal skin findings.

Erythematous truncal plaques

Sean D. Doherty, MD February 04, 2010

Two patients with erythematous trunk plaques—the first developed eight months earlier, and the other 15 years ago.

Vesiculobullous eruptions

Stanley Chan, MD January 08, 2010

Two patients present with similar vesiculobullous eruptions. One was preceded by painful mouth sores, the other had no oral involvement.

Reminders of sun exposure

Laura Conley and Robert L. Buka, MD December 15, 2009

Sun exposure is the common link between these two conditions. Can you tell them apart?

Can you identify these similar scalp nodules?

Deborah J. Yang, MD December 01, 2009

Two women present with growing scalp nodules. One patient reported recent unintentional weight loss.

Coalescing purpuric plaques

Noah S. Scheinfeld, MD, JD November 10, 2009

Can you distinguish between two purpuric plaques on patients' legs?

Missed tick bite leads to tragedy

Ann W. Latner, JD December 12, 2008

Attributing the symptoms to a virus, a PA decides not to prescribe antibiotics—with disastrous results.

Annular purpuric rash on the lower extremities

Richard A. Krathen, MD, and Sylvia Hsu, MD December 12, 2008

A 47-year-old man had a three-month history of intermittent rash on the lower legs. The rash consisted of symmetric ringlike coalescing purpuric patches in a netlike pattern.

Patients' fatal mistakes soar 3,000%

Myra Dembrow November 21, 2008

Fatal medication errors (FMEs) among patients who used recreational drugs or alcohol while taking prescribed or OTC medicines increased more than 3,000% over two decades.

Hot-button health issues

Delicia Yard November 21, 2008

With health-care reform occupying a top spot on the political agenda, primary-care clinicians have a lot invested in this year's Presidential election.

The benefits of noninvasive coronary imaging

November 10, 2008

Get curious about CAM

Pam Shuler, DNSc, CFNP, RN November 06, 2008

You might be surprised to know that even if you're not utilizing complementary and alternative medicine (CAM) therapies, some of your patients probably are...

Keep low back pain patients out of surgery

Carl Sherman October 29, 2008

Education, self-management, and pharmacologic as well as nonpharmacologic therapies take center stage in this latest, jointly issued guideline.

Clot Prevention in a Patient with Drug Sensitivity

August 27, 2008

Would a large dose of vitamin E (1,600-2,400 IU) be an appropriate choice as a platelet inhibitor in a CAD patient who is allergic to aspirin, intolerant of...