Parastomal Ulceration

Presented by Amanda Oakley, Hamilton, NZThe patient is a 44 year old man with parastomal ulceration over the last 12 months.He had a stable stoma for 12 years, following colostomy to remove rectal tumour (carcinoid) and is healthy otherwise with no bowel problems and no skin disease elsewhere.Last year he received IV antibiotics for peristomal cellulitis, with complete recovery. A month or so later the peristomal skin began ulcerating. Partial healing...

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Localized Bullae

This healthy 83 year-old man has had a one year history of bullae and vesicles on the medial aspect of the left knee. They come and go. He is on no new medications and does not take any drugss on an as necessary or intermittent basis. His medications consist of valsartan (Diovan), simvastatin and omeprazole (Prilosec).O/E: A collection of vesicles and bullae left knee.Clinical Photo:Lab and Path:Bacterial Culture 8/14/o9 NegativeBiopsies were...

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Tan Papules in a Child

Abstract: Eight year old boy with six month hx of tan maculesHPI: This otherwise healthy boy has had a six-month history of asymptomatic tan macules on his torso. Takes no meds by mouth and is asymptomatic.O/E: Six - eight smooth surfaced tan macules measuring from 5 mm to 15 mm in diameter on torso. After lesions are rubbed they urticate mildly and are faint pink. Dermographia is negative.Photos:Pathology:Diagnos...

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