Dermatology Clinic Archives - Page 16 of 17 - Clinical Advisor

Dermatology Clinic

Multiple blisters on the hands and abdomen

A disoriented man aged 82 years was brought in by his wife after she noticed several nickel-sized blisters on his abdomen and smaller blisters on his hands. She reported that the blisters appeared suddenly one week earlier. Some had since ruptured and become itchy. The man had not started any new medications or suffered trauma…

Red, itchy scaling plaques on a toddler

A girl aged 2 years presented to the dermatology clinc with a pruritic rash. The rash began on the toddler’s cheeks when she was just a few months old but has since spread to involve her wrists, elbows, knees, and abdomen. The girl’s mother reported that the rash comes and goes and is associated with…

Hyperpigmented patch with hypertrichosis

A man aged 20 years presented for assessment of a lesion on his back and to discuss treatment options for the hairs growing within. He reported the lesion had been present as long as he could remember. No changes in the shape, color or size of the lesion were described. He reported that his father…

Pruritic rash develops after a change in diet

A man aged 33 years presented with a one-week history of blisters on his hands and a severely itchy rash on his scalp, arms, and groin. No allergies or significant medical or surgical history were reported. The patient noted a change in diet in the week prior to onset of symptoms due to the Passover…

Itchy back papules with a white, flaky scale

A boy aged 23 months presented with red and itchy papules on his back. The papules were 0.5 to 1.0 cm in diameter, and some were covered with a shiny, white, and flaky scale. The lesions started one week earlier and partially spread to his torso, limbs, and scalp. Some blisters developed into vesicles that…

Mildly pruritic elbow and knee plaques

A girl aged 12 years presented with a six-month history of enlarging red plaques on bilateral elbows and knees. She was otherwise healthy and had no history of recent infections. The lesions were associated with mild pruritus, which was not keeping her up at night. There was no family history of atopic dermatitis, allergic rhinitis,…

Hyperpigmented lesion returns to the palm

A woman aged 37 years presented with an asymptomatic, ill-defined patch on the palm. The hyperpigmented, bluish-gray lesion had flared on and off for the past few years. Occasionally, the patch would fade considerably, only to darken several times a year, never quite disappearing completely. Two potential triggers emerged on history-taking: (1) an OTC aspirin-…

Persistent rash not affected by steroids

A boy aged 10 years presented for treatment of “eczema” of three years’ duration on his back and legs. The rash was neither itchy nor painful. The boy’s pediatrician and allergist prescribed various topical medications that helped only temporarily. Most recently, he used a cream containing clotrimazole and betamethasone with very little improvement noted. Medical…

Asymptomatic ulcer in a high-risk patient

A man aged 52 years man presented with a one-week history of an isolated sore on his upper lip. He reported no recent trauma or antecedent blistering or burning. However, he did admit to a highly risky sex life, boasting about the diversity of his partners. The man brought documentation of negative HIV and syphilis…

Papules grow to cover patches below knees

A white woman aged 45 years presented with multiple plaques on the anterior and lateral aspects of her lower legs. The lesions began as erythematous papules that enlarged over the past few years to form plaques with raised borders and depressed centers. The patient reported no pain or pruritus. Examination showed multiple well-demarcated plaques with…

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