Thorny, Horny Dilemma

Ian McColl from Queensland, Australia, is presenting a five year-old girl for opinions. He doesn't have much information at this time. We will present her case formally on VGRD in a week or two, but I know he'd appreciate rapid responses at this time, too.Ian writes:"She had been seen elsewhere for treatment of her "severe psoriasis" which she had for the last two years. Clinically this is chronic mucocutaneous candidiasis. There is no family history....

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Case from Inuvik

From Alex Wong, PGY II Internal Medicine, UAB, Calgary: I'm currently on a rotation up in the Northwest Territories and I just came back from a three-day travel clinic in Inuvik. We were asked to consult on a 40 yo woman who essentially has wide-spread rash. Was wondering whether you guys had any ideas.Hx and O.E: Sudden-onset maculopapular pruritic rash on the trunk (both front + back) and upper extremities including hands, no obvious triggers or...

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'Tis the Season

A 78 yo man with a history of non-melanoma skin cancer presented today for a general skin exam: a six month check-up. It is high spring now and everyone is outdoors doing something. On his left mid-back I spied this unusual "tumor." The patient was unaware of it. He was pruning apple trees two days ago.If he hadn't come in for a routine exam, who knows when this would have been discovered.I pulled the tick out with forceps, gave him 200 mg of...

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