Featured Derm Dx

Derm Dx: Progressive generalized blisters

Derm Dx: Progressive generalized blisters

A 51-year-old patient presents complaining of blisters on his face, scalp, trunk and groin that have been progressing for several ...

Derm Dx: Furrowing on the scalp

Derm Dx: Furrowing on the scalp

A 45-year-old patient presents for a routine health maintenance evaluation. You note furrowing in his scalp. He states that he ...

Derm Dx: A brown plaque on the nose

Derm Dx: A brown plaque on the nose

A 45-year-old woman presents complaining of an asymptomatic brown plaque on her face that has been present for four months. ...

Derm Dx: Firm papules on the scrotum

Derm Dx: Firm papules on the scrotum

A 36-year-old male presents with firm, round, papules on his scrotum. The patient is otherwise asymptomatic.

Derm Dx: A pruritic scaly rash on the beard

Derm Dx: A pruritic scaly rash on the beard

A 68-year-old male develops an itchy scaly rash in his beard. He admits that he dyed his beard several days ...

Derm Dx: Rough, ridged fingernails and toenails

Derm Dx: Rough, ridged fingernails and toenails

An 8-year-old male presents with his parents. They complain that for the past 4 months his nails have been “all ...

Derm Dx: Neutropenia and purpura in a cocaine user

Derm Dx: Neutropenia and purpura in a cocaine user

A 36-year-old female presents complaining of fever and of tender purplish patches on her ears and trunk. She denies any ...

Derm Dx: An asymptomatic purplish bump

Derm Dx: An asymptomatic purplish bump

A 45-year-old woman complains of a purplish bump on the back of her left arm. She denies prior trauma. The ...

Derm Dx: 'Twisted' hands

Derm Dx: 'Twisted' hands

A 62-year-old patient presents for a routine skin-checkup with deformation of her hands. She describes her hands as “all twisted.” ...

Derm Dx: Clubbed fingers in a patient with Graves' disease

Derm Dx: Clubbed fingers in a patient with Graves' disease

A 48-year-old patient with a history of Graves’ disease presents with clubbing of his fingers.

Derm Dx: Pain and swelling around the nail

Derm Dx: Pain and swelling around the nail

A 37-year-old patient presents complaining of severe pain and swelling around the nail of his right fourth finger. His condition ...

Derm Dx: Scaling on the lower lip

Derm Dx: Scaling on the lower lip

A 65-year-old Caucasian male complains of scaling on his lower lip. He has a history of basal cell carcinoma of ...

Derm Dx: Painful pustules on the legs

Derm Dx: Painful pustules on the legs

A 45-year-old patient presents complaining of painful and itchy lesions on his legs that have developed during the last 48 ...

Derm Dx: Hair loss with scarring

Derm Dx: Hair loss with scarring

A 45-year-old black patient presents complaining of hair loss that has been progressive over several years. Topical corticosteroids have not ...

Derm Dx: A nodular lesion on the nose of patient with dyspnea

Derm Dx: A nodular lesion on the nose of patient with dyspnea

A 48-year-old black female presents with a nodular lesion on the nose. In addition to the skin findings, she has ...

Derm Dx: Blue sclera in a patient with skeletal fractures

Derm Dx: Blue sclera in a patient with skeletal fractures

A 64-year-old patient presents for a routine check-up. She has a history of multiple skeletal fractures starting when she was ...

Derm Dx: Vesicles on the abdomen

Derm Dx: Vesicles on the abdomen

A 19-year-old patient presents complaining of ‘blisters” on her abdomen that intermittently leak clear fluid and occasionally bleed. These have ...

Derm Dx: A rash flares after discontinuing prednisone

Derm Dx: A rash flares after discontinuing prednisone

A 48-year-old patient presents complaining of rash. She had initially presented to urgent care with a milder rash several weeks ...

Derm Dx: Circular areas of erythema on the back

Derm Dx: Circular areas of erythema on the back

A 42-year-old male presents for a general checkup. On his back, you notice the lesions pictured here. The patient says ...

Derm Dx: Progressive yellow skin changes

Derm Dx: Progressive yellow skin changes

A 63-year-old patient visits the dermatology clinic because his skin has become yellow. There are a few islands of normal ...

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