By John C. Browning, MD, and Sylvia Hsu, MD, Author at Clinical Advisor

By John C. Browning, MD, and Sylvia Hsu, MD

All articles by By John C. Browning, MD, and Sylvia Hsu, MD

Maculopapular rash on face, trunk, and extremities

A 45-year-old febrile woman came to the emergency department (ED) with a two-day history of hand and facial swelling (Figure 1) and a three-day history of rash (Figure 2). Laboratory findings included leukocytosis, eosinophilia (29%), and an elevated alkaline phosphatase. The patient’s thyroid-stimulating hormone (TSH) was high, and her thyroxine was low. Four weeks before…

Thick ridges and valleys found on a newly shaved scalp

Distraught after breaking up with his girlfriend, a 58-year-old African-American man decided to have his head shaved. When the shaving was completed, the patient was alarmed to find that his scalp had many “ridges and valleys” and presented to the dermatology clinic for further evaluation. Physical examination revealed notable gyri and sulcilike skin folds. The…

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