Dermatology Clinic Archives - Page 17 of 18 - Clinical Advisor

Dermatology Clinic

Bleeding blister forms after thorn accident

A white man aged 59 years presented with a “thorn blister” on his finger that appeared two months prior. The man worked in the produce section of a large supermarket, and he believed that he was stuck by a thorn while handling fruit, causing a red blister that initially grew rapidly but then remained stable…

Macules spread to the ears, neck and trunk

The mother of a boy aged 3 years brought her child to the dermatology clinic because she was concerned about a rash that had developed approximately six months after birth.The rash started on his face but soon spread to his ears, neck, and trunk. The lesions had been stable, but the mother is concerned for…

Hardened plaque on a neonate’s back

A full-term, healthy female infant was born to a woman aged 24 years. It was the mother’s first pregnancy and was complicated by gestational diabetes and borderline hypertension. APGAR scores were 8 and 9, despite the presence of meconium staining at birth. Two weeks after discharge, the infant was brought to the pediatrician because the…

Thinning hair at the frontal scalp and crown

A woman aged 54 years presented with a complaint of hair loss. She stated that for the past year, she felt as though her hair was becoming very thin, especially on the frontal scalp and the crown of her head. There was no pain or pruritus associated with the hair loss. She had not tried…

Painful shin lesions described as “bumps”

A woman aged 58 years presented to the dermatology clinic with a complaint of painful bruising on both of her legs over the past several weeks. She described the feeling of the lesions as similar to “hard bumps.” The patient reported no recent trauma and had not started any new medications prior to the onset…

Home surgery leads to persistent neck mass

A man aged 70 years presented with a slightly tender neck mass that had developed in the same location as a pea-sized nodule. The nodule had been present for at least 20 years and caused no problems until the patient tried to squeeze out the contents at home. The man reported no illness, was afebrile…

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…

Next hm-slideshow in Clinical Quiz