Case #1 A white woman, aged 35 years, presents with an achromatic lesion on her neck. She recalls the spot being present for many years. She states the area occasionally gets darker in the sun. She denies any previous rash or erythema in the area. The lesion is asymptomatic and has not grown in size.…
Case #1 A man, aged 60 years, presents with a 1-year history of a red scaly lesion on his hand. The lesion feels rubbery and soft. It sometimes bleeds and is occasionally painful when he scratches or with any friction. He has no personal or family history of skin cancer. The lesion has grown in…
Case #1 A 35-year-old man presented with a two-year history of persistent rash on his elbows, knees, and scalp. The rash initially appeared on the elbows and then slowly spread to other parts of the body. The rash was pruritic and responded to over-the-counter hydrocortisone cream. He admitted to intermittent joint pain. The patient was…
Case #1 A woman, aged 24 years, presented with two smooth, skin-colored nodules of approximately 5 mm in size on the right superior earlobe extending down the helix of the ear. The lesions were initially pruritic and red and slowly grew over the three months before she came in. She reported that most of the…
Case #1 A 9-month-old female presents to the emergency department with a 1-week history of rash. The infant is otherwise healthy, but the mother reports that, 1 week earlier, the patient had an upper respiratory infection with low-grade fever, rhinorrhea, and cough that has since resolved. The infant does not seem to experience pain with…
Case #1 A 19-year-old male presented with a 1-day history of painful lip blisters. Two days ago, he felt as if the affected area was tingling and reported a subjective fever. He had 3 similar outbreaks in the last year, for which he only used topical anesthetics with limited relief after 2 weeks. He had…
Case #1 A 35-year-old black woman presents as an inpatient consult for lesions on the chest and thigh. The patient said the lesions developed several years ago, after she fell on a gravel surface outdoors. The lesions were asymptomatic. She reported no fever, chills, and weight loss. Her medical history is significant for a suspected…
Case #1 A 6-year-old boy presented with his parents for evaluation of hypopigmented lesions on his abdomen and extremities. The hypopigmented patches were asymptomatic, and the pigmentary pattern had been noted at birth. The child’s father and paternal grandmother had similar skin findings. The boy also had a white forelock. His medical history was unremarkable.…
CASE #1 A man, aged 68 years, presented with ulcers on his shins of about 2 months. They began as retiform-appearing purple patches that would ulcerate and form hemorrhagic or necrotic crusts. The lesions were excruciatingly painful and tender. He had type 2 diabetes and ESRD, and had been on hemodialysis for 10-plus years. He…
By Christopher Chu and Adam Rees, MD CASE #1 A 45-year-old male presented for evaluation with a complaint of scaly skin since childhood. Physical exam revealed superficial scaling of his trunk and extremities that had spared the antecubital and popliteal fossae. His palms and soles were mildly scaly. In the winter months, the man develops…
