Painful Edematous Plaques

Abstract: 24 yo woman with 2 month history of transient plaques torso and extremities.HPI: This 24 yo woman was diagnosed with hyperthyroidism in October of 2007. She was treated with radioactive iodine and carbamazole in November and December. Her dermatological manifestations began after both treatments. She reports ~ 20 episodes of painful plaques on torso and extremities. These last 1 - 3 days and clear completely. They are hot, tender,...

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Facial Pigmentation in a 31 yr old woman with Protein S deficiency

A 31 yr old woman presented with one year history of pigmentation on her face. It appeared as sun burn and confined to the facial areas with sparing of the areas underneath the eyes and nose. It was made worse after application of some skin care products. She was otherwise well.She had a past history of hypercoagulation and mitral valve prolapse with Protein S deficiency and is on warfarin.Examination of the skin showed diffuse hyperpigmentation...

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Asymptomatic annular lesions on face and hands

Submitted by Khalil Alhamdi M.D.Associate Professor of DermatologyBasrah, IraqAbstract: A 25-year old woman with 3-year history of asymptomatic annular lesions on face and handsHistory: A 25-year-old woman presented with 3-year history of multiple asymptomatic annular lesions involving the face and the dorsa of both hands that gradually increase in size. She had received different modalities of treatment without improvement.O/E: Young aged women...

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Umbilical Erosions

[ See end for final diagnosis]Abstract: 71 yo woman with three week history of genital, anal and umbilical erosions.HPI: This healthy 71 yo woman had vaginal prutitus for a few weeks. She saw her gynecologist who prescribed an estrogen cream. It got worse. She was then given clobetasol oint. It did not improve. She tried acyclovir ointment -- not much change. I saw her at this point. I recommended continuing clobetasol ointment, but after...

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