Featured Derm Dx

Derm Dx: A lesion on the cheek from shaving

An 84-year-old man requests removal of a lesion on his cheek due to chronic irritation from shaving. The growth has been present for several months and is otherwise asymptomatic.

Derm Dx: Pain at the base of a fingernail

The patient is a 52-year-old woman who complains of pain at the base of a fingernail. The condition was first noted 3 days ago and initially drained pus.

Derm Dx: An itchy rash on the hands

The patient is a 62-year-old Hispanic woman seeking treatment for an itchy rash affecting both hands. The dermatitis is of at least 2 years in duration.

Derm Dx: Xerosis with a fish scale pattern

A 60-year-old man requests consultation for severely dry skin. Examination reveals marked xerosis with a fish scale pattern of both lower legs.

Derm Dx: A large lesion on the thumb

A 74-year-old woman presents for treatment of a bothersome lesion on her thumb. A flesh-colored, semitranslucent nodule is noted between the proximal nailfold and the distal interphalangeal joint.

Derm Dx: A large mass on the scalp

A 40-year-old African American man presents for evaluation of a mass affecting his posterior scalp, which has enlarged in size during the past 3 to 4 years.

Derm Dx: A dome-shaped growth on the upper thigh

The patient is a 57-year-old man requesting removal of a growth on his left upper thigh. The lesion has been increasing in size for at least 1 year’s duration and is frequently traumatized by clothing.

Derm Dx: A sudden, blotchy rash on the cheeks

The patient is an 18-month-old child who presents for evaluation of a rash affecting both cheeks. The onset was sudden and not preceded by trauma or exposure to excessive heat.

Derm Dx: Elastic skin and scattered scars

A 10-year-old boy presents for evaluation of scattered scars on his ankles and back, which are slightly atrophic and violaceous. He also has highly elastic skin.

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