Case #1 An 18-year-old African-American woman presents for evaluation and removal of lesions on her face. The patient says that the lesions began to develop years ago and have increased in number. They have been asymptomatic. The patient reports no fever, chills, or weight loss. Her medical history is negative for seizures and cancers. Her…
Case #1 A 46-year-old woman presents with patchy hair loss around the circumference of her head in the frontal, temporal, and occipital regions for the previous 3 months. General and systemic examinations reveal no other abnormalities. The patient has a history of atopic dermatitis. Results of a complete blood count, thyroid panel, renal function tests,…
Case #1 A 22-year-old man presents with an 8-week history of an asymptomatic rash on his face, torso, and groin. He is otherwise healthy, and a review of symptoms finds he is negative for fever, malaise, joint pains, and headaches. He is a student at the local college and reports having had unprotected sex with…
Case #1 A 45-year-old Hispanic woman presents with a 2-year history of darkened skin on her face and neck. She states the darker areas started out as small patches on her cheeks and extended to her forehead and neck. A few of her family members have a similar rash. She has occasional mild pruritus and…
Case #1 A 46-year-old white woman presents with a 2-week history of a rash on her back and feet. She denies any associated pain, pruritus, or fever, and her medical history is unremarkable. Her social and family histories are noncontributory. Physical examination is notable for erythematous papules scattered across her back, with some coalescing into…
Case #1 An 18-year-old man of Mediterranean descent comes in for evaluation of the skin across his upper back and neck, which he says has lost its normal color; a friend initially noticed this while they were surfing earlier in the summer. Although he has no associated symptoms, he is very worried about what is…
Case #1 A 42-year-old African American man with no significant past medical history presents with a 3-week history of rash that began on his face and neck and spread to his chest. He denies any history of infectious or metabolic disease. He reports intense pruritus but denies fever and pain. Physical examination reveals erythematous, follicular…
Case #1 A 23-year-old African American woman presents for a rash that has recurred on her arms for the last 2 years. The rash is not pruritic or painful. Initially, the rash was very red and became darker with time. The patient states that the rash occurs in the same spot every time. She is…
Case #1 A man, aged 25 years, presents with patchy areas of depigmentation on his forearm, umbilicus, and groin. The centers of the lesions are hypopigmented, and the borders are hyperpigmented. The patient states that, initially, the lesions had been expanding but following that period, the lesions did not increase in size for several years.…
Case #1 A white male, aged 65 years, presents with a slowly enlarging, dark lesion on his temple. He has no history of skin cancer. However, as a child, the patient spent many summers on the beach. On physical examination, a well-demarcated, 8-mm lesion with raised, waxy hyperpigmented borders and central indentation is noted on…
