Dermatology Clinic Archives - Page 16 of 18 - Clinical Advisor

Dermatology Clinic

Depigmentation on the chest and nail folds

A woman, aged 38 years, complained of color loss on her cuticles and upper chest. Examination revealed bilateral puffy hands with depigmentation and dilated capillary loops of all proximal nail folds. A sclerotic depigmented patch with circular islands of normal color was present over her mid-chest. Review of systems revealed Raynaud’s phenomenon, as well as…

Slow-growing papule with no pain or itching

A woman aged 85 years presented for evaluation of a slowly growing bump on her neck. The patient explained that the lesion first appeared three months earlier and had grown slowly in the interim to its present size. Although no itching or pain was associated with the lesion, the woman reported bleeding when it got…

Thick, leathery and red skin over the hands

A 10-year-old Hispanic girl presented with a rash that had been present for four months. Previous treatment with topical corticosteroids for atopic dermatitis provided no resolution of the rash. Examination of the hands revealed erythematous lichenified plaques distributed over the joints, along with ragged cuticles and periungual telangiectasias. In addition, violaceous patches with areas of…

Asymptomatic scalp plaque since birth

A boy aged 3 years was brought to the pediatric dermatology clinic with a lesion on his scalp that was first noted shortly after birth. The lesion was originally thought to be attributable to a scalp electrode that had been placed during delivery. The lesion was asymptomatic and seemed to be growing proportionately with the…

Nonscaly pink papules on the neck

A woman aged 28 years presented with asymptomatic lesions on her neck. Similar lesions noted on her arms the year before had healed without scarring. The woman admitted to sun sensitivity but denied fevers, chills, myalgias or arthralgias. Examination revealed six to seven variably sized, nonscaly, pink papules and plaques on the left side of…

Pigmented macular 
lip lesion

An active-duty airman aged 30 years presented for an assessment of intermittent abdominal cramps. Physical examination revealed five macular, brown, hyperpigmented lesions on his lower lip. The first lesion appeared two years earlier and remained asymptomatic except for a slight increase in size. The four similar lesions developed at different stages during this time period.…

Slow-growing pink, pearly nasal papule

A man aged 73 years presented with a “pimple” on his nose that just would not go away. He reported that he first noticed the lesion four months earlier, and since then, it has been slowly increasing in size, occasionally bleeding when scratched.The man had no history of skin cancer, although he described frequent sunbathing…

Depigmented area 
surrounding a mole

A man aged 26 years presented to the dermatology clinic for a general skin examination. He was specifically concerned about a mole that had been present for a number of years. The mole had recently developed a depigmented halo. No pain or pruritus was 
reported.The man had not had any trauma to the area. Physical…

Vesicular eruption coupled with fever

A man aged 42 years presented with complaints of a tender, rapidly spreading rash that began on his upper lip two days earlier. Except for allergic rhinitis, childhood asthma and moderately severe atopic dermatitis, he was in good health.His dermatologist had discussed starting systemic immunotherapy, because the man was currently using a topical steroid as…

Chest nodule with a swollen, pitted surface

A solitary, oval and nontender nodule appeared spontaneously on the chest of a boy aged 9 months. The 1.5-cm x 1.0-cm nodule was located on the lateral aspect of the left chest wall and had a yellowish-brown center, a peau d’orange surface appearance and had developed an erythematous surrounding base when palpated. The child’s history…

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