Palm Pense-Bête

You may remember La Maladie du Petit Papier which was reported here on January 27th. Today, Twentysomething Generation's equivalent emerged.I propose calling it: La Maladie du Palm Pense-Bête. This was brought in by a 24 yo woman. Will the ingenuity of our patients never cease? "O brave new world [electronic...

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Dermatomyositis -- New York Times

An interesting article appeared in the New York Times today on myositis. It is well-written and researched. You will benefit from and also enjoy perusing it. In addition, your patients will read it and may bring it to your attention.March 27, 2007An Elusive Diagnosis, and One That Comes With a Risk of CancerBy RONI CARYN RABINTo read the article click on Permal...

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Is Treatment Worse Than Disease?

The patient is a 48 yo woman with many actinic keratoses on face and chest. After discussing therapeutic options, she elected to use fluouracil cream. She was started on nightly 5% 5FU cream and at two weeks was noted to have a moderate inflammatory response. The 5FU was continued. By 23 days, I got an email indicating that she wasn't sleeping and was very concerned. I had her come in and the pictures speak for themselves.I stopped the 5FU,...

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Infant with Scalp Mass

The patient is a twenty-week-old infant with a scalp mass present for 2-3 months. It appears to be growing slowly. He was seven weeks premature; but otherwise all milestones have been normal. He had a type one intracranial bleed post partum but it was not complicated. He did have scalp vein IVs whilst in hospital, but it's unclear where they were.The examination shows a 4x2.5 cm in diameter freely movable mass on the left parietal area. It feels...

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