Dermatology Clinic

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

Jennifer Stead, DO, and Stuart Gildenberg, MD August 01, 2010

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

Exposure to moisture leads to palmar rash

Caroline Y. Winslow and Julia R. Nunley, MD August 01, 2010

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

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.
 

Clinical Pearls

Turn low back pain upside down

Nasal foreign body removal is a breeze

Step-by-step chest tube removal

The truth about drinking

Wear your white coat on house calls

Injection diversion

Cheers for Murphy's sign

If your patient hears sticks, look for ticks

Chill on fish oil

Ensuring a steady gaze

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