March 03, 2007 Archives - Page 8 of 8 - Clinical Advisor

Print Issue: March 03, 2007

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…

Red, edematous, itchy plaques on the extremities

A 77-year-old woman complained of itchy erythematous and edematous plaques of three months’ duration. The eruption involved the extensor aspects of her forearms and the anterior surface of her thighs. Oral antihistamines and a potent topical steroid brought no improvement. Punch biopsy revealed epidermal and dermal edema, scattered neutrophils, and occasional eosinophils. IM triamcinolone initially…

Patches of scalp hair that turned white almost overnight

A 55-year-old woman presented with patches of scalp hair that had suddenly turned white. The patient characterized the change as happening “almost overnight.” Her scalp was completely asymptomatic. The woman, who was in good health, had been under stress but hadn’t received any recent shocks. She had no other signs or symptoms but expressed concern…

We can fix the health-insurance mess

Face it: In today’s economy, employer-based health insurance doesn’t make sense. Whereas Americans used to stay with the same employer for life, nowadays the average worker in a small or mid-sized company changes jobs every 15 months. Thus, people are constantly changing their health insurance and their providers. The result is a mess of growing…

Misdiagnosed with type 2 diabetes

Despite adhering to lifestyle modifications, a woman’s glycemic control remains inadequate. Ms. W, 50 years old, was seen for ongoing care of type 2 diabetes, diagnosed five years earlier. In addition to being evaluated by a nutritionist, she had attended diabetes-education classes and was adhering to dietary guidelines. She exercised 30-45 minutes three or more…

Valerian

The search for calming therapies is as old as civilization itself. Alcohol, opiates, and other illicit drugs have been used for centuries. More recently, prescription drugs, such as benzodiazepines, have become overwhelmingly popular. Because of their addictive properties and the strict control placed on these tranquilizer prescriptions, however, the quest continues unabated for more accessible…

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