By Noah S. Scheinfeld, MD, JD, Author at Clinical Advisor - Page 4

By Noah S. Scheinfeld, MD, JD

All articles by By Noah S. Scheinfeld, MD, JD

A pair of acral nevi

CASE #1 An infant girl born to Asian parents following an uncomplicated and uneventful pregnancy was noted to have a slate blue-gray macule that covered the upper dorsum of the left foot and the most distal part of her lower left leg. The lesion measured approximately 3 cm x 6 cm. Neither the young girl…

Treatment-resistant alopecias

CASE #1 A 30-year-old black man came to the clinic with a history of scarring alopecia in his scalp and severe acne since puberty. The patient reported that his scalp would, on a regular basis, develop painful flocculent nodules. He did not complain of joint pain. No one else in his family had similar symptoms.…

A pair of pigment disorders

CASE #1 A 60-year-old man hospitalized for pericarditis likely related to systemic lupus erythematosus (SLE) was brought to the dermatology clinic for examination of a large white macule interspersed with brown follicular macules. The border of the white macule was smooth. A Wood’s lamp examination showed that the white area was depigmented, while the brown…

Eruptions of the hand

CASE #1 The patient was a 35-year-old man with thickened yellow plaques on his palms and soles for as long as he could remember. More recently, scale had also developed in these areas. He was otherwise healthy and had no associated skin findings on his torso, thighs, or arms. Joint examination was normal. At one…

Blue bumps on the body

CASE #1 The patient, a 35-year-old Asian man, came seeking treatment of dry skin. During the history-taking and physical exam, he casually mentioned numerous blue papules and nodules (ranging in size from 3 mm to 2 cm) that had been present on his abdomen since puberty. He had been told that they were “cysts” but…

Tan-brown macules

CASE #1 A 35-year-old woman reported developing redness on her neck after applying a perfume sample while on vacation. She did not recall the name of the perfume. The area had stung at first, but in a week, the redness had resolved to an irregular brown macule. She hoped the macule would go away, but…

Skin-fold eruptions

Case #1 The patient was a 70-year-old obese woman with diabetes. Admitted to the hospital for chest pain, she was found to have long-standing erythematous erosions in her abdominal pannus, under her breast, and in her groin. These areas were not macerated or scaly. She complained of discomfort but no itching or burning. A KOH…

Next post in Dermatologic Look-Alikes