A 43-year-old elementary school teacher presents with a rash that began on his left thigh approximately 4 months earlier; the rash has since spread. It is mildly itchy but has no associated pain or bleeding. His past medical history is significant for allergic rhinitis and atopic dermatitis. Suspecting eczema, he has been applying an over-the-counter…
A 50-year-old woman presents with a 5-day history of progressive, painful rash involving her face, trunk, extremities, nasal tip, and ears, in addition to fever and arthralgia. She admits to a history of polysubstance use and states that her last use was a week prior to symptom onset. She denies a history of autoimmune disease…
Differin Gell 0.1% (adapalene) is the first retinoid approved for over-the-counter treatment of acne by the FDA.
A 7-month-old male who had been born prematurely presents with a 2-month history of diarrhea, failure to thrive, alopecia, and rash involving the perioral, perianal, and acral areas. He had been treated unsuccessfully for presumed atopic dermatitis with topical corticosteroids. He was exclusively breastfed until 2 months ago, when he was transitioned to formula. Examination…
A 64-year-old woman presents with a 6-month history of a slowly enlarging bump near her left eyebrow. The patient says it appeared suddenly and became a nuisance, as well as cosmetically unacceptable as it enlarged. She denies any pain, tenderness, or oozing, and denies any other similar lesions elsewhere. Her pertinent dermatologic medical and family…
A 30-year-old Hispanic woman presents with her 1-year-old son, concerned that he has only small amounts of thin, wispy hair on his head and has none anywhere else on his body. She notes that he does not yet have any teeth, but has a large forehead and ears. He has been irritable and crying for…
A 48-year-old premenopausal woman, who has had one pregnancy and has delivered once, presents with a 15-month history of left breast deformity. The patient began having pain in the region 2 months ago. A review of systems is negative for weight loss, fever, or nipple discharge. Her medical history is otherwise unremarkable, and her family…
Primary care screening can help patients avoid the need for more aggressive therapy and potentially save lives.
More cases of skin cancer are diagnosed each year than of breast, prostate, lung, and colon cancers combined, and early detection is critical.
A 25-year-old man with no remarkable past medical history presents with an itchy rash on the feet. Symptoms began 2 months ago, starting over the dorsal toes with redness, scaling, and itching. The eruption spread over the dorsum of the feet and progressed to weeping and crusting. He reports recently buying new shoes for work…
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