Volcanic Eruption

The patient is an 88 yo woman who came as a "walk-in" today.She said she had a "volcano erupt" on her leg two weeks ago.The examination shows an alert actve 88 yo woman with Type II skin. She has a dome-shaped tumor on her right shin which measures 2.1 cm in diameter. It seems to have a collarette surrounding it. She has marked actinic damage.The history suggests keratoacanthoma. Some dermatologists call this "Squamous Cell Carcinoma -- Keratoacanthoma...

Read More

Cream Complacency

A 60 yo man was seen yesterday for pruritic papules on scalp and extremities. He had seen another dermatologist over the years and had been treated with a host of topicals including liquid nitrogen. Biopsy showed Prurigo nodularis. [Contents of Bag Brought in by Patient]After a few years, he developed a febrile illness, was seen in the ER where a CBC showed a WBC of 80,000. He was eventually...

Read More

U.P in a Newborn

I saw a new born today at the neonatal ward. He is the first child, just delivered today by LSCS for fetal distress. Noted to have generalized erythematous wheals and papules. Some of the wheals and papules appear to form blisters. The mother had no history of any infection during her pregnancy. On examination the child appeared comfortable and not in distress. Sleeping and quiet. Afebrile. Generalised erythematous raised papules and wheals...

Read More