Dermatology Clinic Archives - Page 18 of 18 - Clinical Advisor

Dermatology Clinic

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…

Itchy facial rash spread to back and chest

A woman aged 29 years presented with a mildly pruritic facial rash that started suddenly two weeks earlier and spread to her upper chest and upper back over the course of several days. Coincident with the onset of the rash, she experienced malaise, fatigue, and chills that were self-treated with OTC flu medication. Medical and…

Multiple erosions and shallow ulcerations fo the cutaneous and mucosal lips, gingiva and hard palate in an elderly woman. The erosions extended superiorly to the perinasal area and many were covered with hemorrhagic crust.

Painful ulcers on the lips and tongue

Clinical descriptionAn elderly white woman was admitted to the hospital for management of an acute exacerbation of chronic obstructive pulmonary disease. Her treatment includes oxygen, inhaled bronchodilators, antibiotics, and oral corticosteroids. The patient’s respiratory status was improved three days after admission, but she noted new painful ulceration of the lips and tongue. She also reported…

1.2-cm brown oval atrophic plaque with a violaceous border on the nose with two more plaques on the right medial cheek.

Atrophic facial plaques and palatal erosions

Clinical description A black woman, aged 31 years, developed multiple asymptomatic plaques on the central face over the course of one year. There was no improvement with application of vitamin E or cocoa butter. Although the patient had a history of smoking six to 10 cigarettes per day, she was presently abstaining because she was…

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