Dermatology Clinic

Flat-topped papules on a child's trunk

Flat-topped papules on a child's trunk

A 5-year-old African-American male presented to the dermatology clinic for evaluation of an eruption that had been present for 2 ...

Enduring eruption of papules on the chest

Enduring eruption of papules on the chest

An 8-year-old African-American female presented to dermatology with an eruption on the chest. The mother reported that it had been ...

Annular eruption on the lower leg

Annular eruption on the lower leg

An otherwise healthy 38-year-old woman presented to the dermatology clinic with a several-month history of a slightly itchy, expanding rash ...

Scaly plaques after 
onychomycosis therapy

Scaly plaques after 
onychomycosis therapy

A Caucasian male, aged 67 years, presented to the dermatology clinic. Some years earlier, he had used terbinafine for onychomycosis ...

Crateriform nodule on a cyclist

Crateriform nodule on a cyclist

A 59-year-old Caucasian female presented to clinic with a crateriform nodule on the posterior right calf. She stated that it ...

Oral hyperpigmentation

Oral hyperpigmentation

CASE #1


A 13-year-old male presented to the dermatology clinic with brown spots. The lesions were asymptomatic and had been present ...

Vesicular eruption 
in an ICU patient

Vesicular eruption 
in an ICU patient

A 31-year-old male with no known medical history had been admitted to the surgical intensive-care unit (ICU) service with traumatic ...

Brown macules on a depigmented skin patch

Brown macules on a depigmented skin patch

A 4-year-old Hispanic male presents to the dermatology clinic. Although the patient presents for an unrelated dermatology complaint, on physical ...

Hyperpigmented patches on the back

Hyperpigmented patches on the back

A 56-year-old Asian-American man presented with an intensely pruritic rash on his back that had worsened over the past several ...

Yellow scalp patches with mild scaling

Yellow scalp patches with mild scaling

A male infant, aged 12 weeks, developed scaly patches and dandruff on his scalp. The condition did not seem bothersome ...

Pink papules on the fingers and toes

Pink papules on the fingers and toes

A black man, aged 40 years, came to the clinic for the treatment of growths on his toes that were ...

Thickened, painful and yellow thumbnail

Thickened, painful and yellow thumbnail

Approximately six months ago, a woman, aged 65 years, noticed a yellow discoloration of her right thumbnail. Since then, the ...

Thick and keratotic 
lesions on both shins

Thick and keratotic 
lesions on both shins

A man, aged 83 years, presented with thick bumps on his legs. The man had noticed a hard growth on ...

Itchless, red and crusted trunk papules

Itchless, red and crusted trunk papules

A Hispanic man, aged 32 years, presented with a rash that started one year earlier. Over that time, the man ...

Growing nasal lesion with asymmetry

Growing nasal lesion with asymmetry

A man, aged 67 years, presented for a full skin examination. No personal history of skin cancer or family history ...

Archive

Dermatology Clinic Keratotic palms paired with brittle nails

Keratotic palms paired with brittle nails

A 42-year-old man presented with abnormally thick skin of the palms.

Dermatology Clinic Nonhealing hand ulcer turns erythematous

Nonhealing hand ulcer turns erythematous

A woman aged 34 years was referred for treatment of a recurrent, painful, nonhealing ulcer of six months' duration on her left hand.

Dermatology Clinic Slightly erythematous, scaly scalp lesion

Slightly erythematous, scaly scalp lesion

A 10-year-old boy referred by his pediatrician presented with a six-week history of a scaly scalp lesion.

Dermatology Clinic Rash on palms and arms and blister on lower lip

Rash on palms and arms and blister on lower lip

A 28-year-old woman presents with a burning rash on her palms and arms. The rash appeared abruptly two days earlier along with numerous flat, pinkish-red lesions.

Dermatology Clinic Nonhealing but painless cheek ulcer

Nonhealing but painless cheek ulcer

A Hispanic man age 23 years presented with a nine-month history of a nonhealing ulcer of his cheek. The erosion began as a small, painless erosion and had gradually enlarged.

Dermatology Clinic Blisters on the lip and in the mouth

Blisters on the lip and in the mouth

A 35-year-old white woman presented with grouped vesicles and superficial crusting on both lips and grouped erosions on the gingiva and hard palate.

Dermatology Clinic Arm lesions spread to the trunk and neck

Arm lesions spread to the trunk and neck

Asymptomatic erythematous papules on the arms, trunk, and neck are first thought to be insect bites in a man with weight loss, fatigue, and dyspnea.

Dermatology Clinic Discoloration of the face, neck and hands

Discoloration of the face, neck and hands

A man taking an alternative medical treatment for periodontal disease presents with a history of skin discoloration.

Dermatology Clinic Bilateral netlike rash on the lower legs

Bilateral netlike rash on the lower legs

To combat cold temperatures at work, a woman kept a small heater under her desk. This led to netlike erythema on both lower legs.

Dermatology Clinic Vesicle on the lip after intense sun exposure

Vesicle on the lip after intense sun exposure

A man presents with a six-month history of oral lesions that led to blistering and ulceration following intense sun exposure.

Dermatology Clinic Tender, edematous, red plaques on a woman's hands and feet

Tender, edematous, red plaques on a woman's hands and feet

One month after starting a new chemotherapeutic drug, the patient sought treatment for painful peeling and redness on her hands and feet.

Dermatology Clinic Exposure to moisture leads to palmar rash

Exposure to moisture leads to palmar rash

A woman presents with a painful rash that developed immediately after exposure to water or sweating and disappeared an hour after drying.

Slightly erythematous, scaly scalp lesion

Slightly erythematous, scaly scalp lesion

A 10-year-old boy referred by his pediatrician presented with a six-week history of a scaly scalp lesion.

Rash on palms and arms and blister on lower lip

Rash on palms and arms and blister on lower lip

A 28-year-old woman presents with a burning rash on her palms and arms. The rash appeared abruptly two days earlier along with numerous flat, pinkish-red lesions.

Nonhealing but painless cheek ulcer

Nonhealing but painless cheek ulcer

A Hispanic man age 23 years presented with a nine-month history of a nonhealing ulcer of his cheek. The erosion began as a small, painless erosion and had gradually enlarged.

Persistent plaque with severe intermittent pruritus

Persistent plaque with severe intermittent pruritus

Intermittent itching accompanies a persistent leg plaque.

Nonhealing painless ulcer on the sole

Nonhealing painless ulcer on the sole

For three years, the patient lived with an enlarging painless ulcer on the sole of his foot. The lesion occasionally drained liquid but never became red or tender.

Brown bumps that evolved into verrucous plaques

Brown bumps that evolved into verrucous plaques

The asymptomatic rash on a young woman's chest and back appeared to be spreading. Hyperpigmented papules had become larger verrucous plaques.

Annular purpuric rash on the lower extremities

Annular purpuric rash on the lower extremities

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.

Rapidly enlarging conical lesion on the plantar surface

Rapidly enlarging conical lesion on the plantar surface

A 30-year-old man had a markedly hyperkeratotic conical lesion on his sole between the first and second metatarsals.

An irregular white patch on the back

An irregular white patch on the back

After presenting to the dermatologist for a full-body skin examination, a 48-year-old man was found to have a pale white patch on the right side of his back...

Patches with erosions, crusting, and vesicles

Facial erosions and scalp lesions in a middle-aged man