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Dermatology

Pain and hardening of the skin constricts shoulder movement

Shailendra K Saxena, MD, PhD; Nirmal K. Phulwani, MD; Shikhar Saxena, MD; Jyoti Khatri, MD; and Naureen Rafiq, MD September 01, 2010

Had the patient agreed to a biopsy, the diagnosis may have been made sooner.

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.

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.

Cutaneous lesions

Damola A. Adegbenro, MD, and Noah S. Scheinfeld, MD, JD August 01, 2010

Two patients present with similar cutaneous growths—one a series of ulcerative lesions on the lower leg, and the other a painless forearm lesion.

Reaction following contrast CT

July 22, 2010

The swelling was nontender, nonfluctuant, and involved the whole of the submental portion of the upper thyroid.

Systemic mastocytosis workup

July 22, 2010

What workup is needed for a patient with mastocytosis diagnosed through biopsy?

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.

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.

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.

Side effects of soy

June 17, 2010

Soy may cause angioedema and thickening of skin.

HPV in the oral cavity

June 15, 2010

HPV lesions can lead to the development of oral cancers.

Lymphedema treatment options

June 11, 2010

Lymphedema often turns into cellulitis in patients with diabetes.

Prescription and OTC creams ineffective against itchy lesions

Bridget E. Harcus-Wickersham, RN, FNP, DNP June 01, 2010

The patient's physical and psychological discomfort upset every aspect of his life.

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.

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.

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

Skin-cancer screening lags in older adults

June 01, 2010

Screening rates are considerably lower than those for breast cancer, prostate cancer, and colorectal cancer.

Causes and treatment of bacterial conjunctivitis

May 11, 2010

What factors played a role in the decision to favor the more expensive fluoroquinolones as the drugs of choice for simple conjunctivitis?

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.

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.

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.

Oral pathology for the primary-care clinician

Adam Weiss, DDS, Peter Nelson, DDS, and Harry Dym, DDS April 01, 2010

Become familiar with the cause, characteristics, and appropriate treatment of the most frequently seen conditions of the mouth, tongue, and gums.

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.

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

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.

No connection between NSAIDs and skin-cancer risk

March 29, 2010

Regular use of NSAIDs resulted in no significant reduction in squamous cell carcinoma risk

Chronic suppressive antiviral therapy for herpes labialis

March 22, 2010

What information do you have on resistance rates among antivirals for herpes simplex virus?

Shingles vaccine after lymphoma treatment

March 22, 2010

Is it safe for a patient who underwent chemotherapy to receive the herpes zoster vaccine?

Gene therapy for ichthyosis or pityriasis rubra pilaris?

March 18, 2010

Ichthyosis and pityriasis rubra pilaris are very difficult conditions for a child to deal with emotionally and physically.

What to look for with  drug-induced urticaria

Natasha Casie Chetty, MD, and Clive E.H. Grattan, MD March 01, 2010

An accurate diagnosis is crucial. It is necessary to know which related drugs need to be avoided, as well as alternative drugs to recommend for patients.