Diagnosis & Disease Information

August 2015 Dermatology Clinic

Reddish ulceration on a neonate’s face

A 3-day-old male who is otherwise healthy presents with a single lesion on the right side of his face. The child’s mother reported that the neonate had a “red dot” on her face at birth. When the infant was aged 1 day, the red dot had progressed to ulceration. The child’s medical history was not…

Large patch of coalescing gray-brown macules

A 14-year-old Hispanic male presents with a three-month history of a slowly enlarging “rash” on his chest and back. He denies associated pain or pruritus. The patient is overweight but has no known medical problems otherwise and takes no medications. Examination of the rash reveals gray-brown macules that coalesce into a large patch involving the…

July 2015 Dermatology Clinic

July 2015 Dermatology CME/CE

From the Dermatology CME/CE in the July 2015 issue of The Clinical Advisor. This CME activity consists of three cases: Eroded vesicles on a boy’s face and neck Blue-violet reticulated patches on an infant Achromatic patches This activity is provided by Haymarket Medical Education (HME) for physician credit. This activity is co-provided by Medical Education Resources…

Blue-violet reticulated patches on an infant

A full-term newborn male presents with blue-violet reticulated skin lesions that have been present since birth. The mottled patches are localized to one side of his body, affecting his right forearm and leg. The marbled pattern of the lesions appear more prominent when he cries and do not disappear with warming. Physical examination reveals relative…

Case #1

Achromatic patches

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.…

July 2015 Dermatology Clinic

Eroded vesicles on a boy’s face and neck

A 16-year-old Hispanic male with a history of well-controlled moderate-to-severe atopic dermatitis presents to the emergency room complaining of a one-day history of a painful facial rash. He reports that the initial lesion started on the cheek and quickly spread from there. He has been applying triamcinolone ointment twice daily to the lesions, but the…

June 2015 Dermatology Clinic

June 2015 Dermatology CME/CE

From the Dermatology CME/CE in the June 2015 issue of The Clinical Advisor. This CME activity consists of three cases: Round, confluent patches on infant’s face Small, erythematous papules on the face, scalp, and neck Pink-to-red scaly raised lesions This activity is provided by Haymarket Medical Education (HME) for physician credit. This activity is co-provided by…

June 2015 Dermatology Clinic

Round, confluent patches on infant’s face

A 5-week-old male presents with a 1-week history of cutaneous lesions affecting his scalp, face, and trunk. He has erythematous, round, confluent macules and patches on his face, most prominently around the eyes. Erythematous annular plaques with fine scales are noted on his trunk. Although he is distressed during examination, he appears well and shows…

Small, erythematous papules on the face, scalp, and neck

A man, aged 56 years, presents with a 3-month history of a rash on his face, scalp, and neck. The rash is slightly pruritic, and its cosmetic appearance is very bothersome to the patient. The patient reports that the rash was worsened with sun exposure. His primary care physician thought that the patient had acne…

Case #2

Pink-to-red scaly raised lesions

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…

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