ULE?

Abstract: 4 yo girl with 3 week hx of papular eruption left axillaHPI: This otherwise healthy four year old girl has had a mildly pruritic papular eruption which began in the left axilla with a dermatitic appearance and spread centrifugally where it appeared more papular. There was no antecedent illness. The eruption was first seen on 12/23/2010, cleared after a few days and they reoccurred. The child is not bothered by it. No animals at home...

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Dermatomal Eruption

Abstract: 39 yo man with two month history of dermatomal eruption.HPI: This 39 yo man developed a dermatomal vesicular eruption 2 months ago. He was seen by his GP and treated with valcyclovir and it cleared somewhat but not completely. The eruption continues to evolve. He complains of pain and pruritus. Feels well otherwise. No underlying diseases known of.O/E: There is a dermatomal process extending from T-10 to L 2 on the right side. ...

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The Power of BLINCK

Presented by Yoon Cohen MS IV, University of New England, Biddeford, Maine and David Elpern MD, Williamstown, MassachusettsAbstract: 68 yo woman with 4-6 months history of an atypical melanocytic lesion.HPI: This healthy 68 yo woman with type II skin presented to the clinic with 4-6 months history of an atypical melanocytic lesion on the left knee. She had noticed an increase in size and change in color and was concerned about these changes in the...

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Palmoplantar Erythrodysesthesia Syndrome

Presented by Yoon Cohen, MS IVUniversity of New England College of Osteopathic MedicineAbstract: 45 yo woman with a metastatic breast cancer and a painful hand/foot dermatitis.HPI: This is a 45 yo woman who was diagnosed with a metastatic breast cancer a few years ago. She has developed "atopic dermatitis" like symptoms on her hands and feet since starting capecitabine. She has completed 5 cycles of Xeloda (capecitabine) and has had to reduce the...

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Keratolysis exfoliativa

HPI: The patient is a 27 yo medical assistant who was seen on August 27, 2010 with a six day history of slightly pruritic scaling of the palms.  She is well otherwise and has had no recent illnesses.O/E: The examination reveals discrete areas of desquamation on both palms.  No vesicles. Soles are normal and remainder of cutaneous exam is unremarkable.Photos:Diagnosis: The clinical picture is consistent with Keratolysis exfoliativa. ...

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Atypical Lymphocytic Infiltrate

Presented by:Ron Yaar, Boston University Skin Path and D.J. ElpernAbstract:  50 yo man with few month history of an asymptomatic nodule on the scalp.HPI: This 50 yo man has had a slowly enlarging tumor of the mid parietal scalp for three to four months.  No other similar lesions.  He has Type II diabetes and hypertension.  Meds: furosemide, metformin, Diovan, atenolol.O/E: 15/6/2010  6-7 mm papule w/o diagnostic features...

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Facial Excoriations in a 22 yo woman

Presented by Dr. Euan CoigThe Pass, ManitobaAbstract:  Twenty-two yo homemaker with three to four year history of excoriations on face, arms and chest.HPI:  This woman's chief complaint was "itching and pimples."  She grew up in a dysfunctional family ~ 100 miles from where she now lives .  Her father was an alcoholic who was physically and verbally abusive to her mother, her younger sister and herself.  She denies sexual...

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Neuropathy Dermatitis

Presented by Professor Khalifa SharqieChief of DermatologyUniversity of Baghdad, IraqAbstract:  Sixty year-old woman with neuropathy dermatitis at the right side of incision scar following right knee-joint replacement.History: This 60 year-old woman had a right knee joint replacement on 7 Jan 2010. About three months post-op, she noticed non-itchy rash on the right side of the incision scar which has gradually enlarged in size. No other important...

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35 yo woman with short history of urticarial vasculitis

Abstract: 35 yo woman with three day history of an atypical urticarial eruptionHPI: This 35 yo woman developed an urticarial eruption 8 - 10 days after starting amoxicillin for a dental infection.  At first the lesions blanched with pressure but over the last few days before her office visit the some of the lesions looked hemorrhagic.  She had mild arthralgias but no fever or malaise.O/E: There was a wide-spread eruption mostly on legs...

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64 Year-old Man with dysesthesia and alopecia

Abstract: 64 yo man with abnormal sensation and localized alopecia on the left thigh. History:  This 64 yo business man has experienced dysesthesia on the lateral aspect of his left thigh for the past few years.  He has noticed alopecia at the site of his symptoms.  His health is good and he takes no medications by mouth.  For the past 30 years, he has done business in Indonesia and spends two to three months a year there. ...

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Facial erythema Secondary to Topical Corticosteroids

Abstract:  37 yo man with marked facial erythema who has been using hydrocortisone valerate 0.2% cream (HC valerate) for 20 years.HPI:  HC valerate was prescribed for a facial eruption when the patient was a teenager.  He's been using it ever since.  Over time, he has developed marked painful facial erythema.O/E:  There is fiery erythema over the malar eminences, periorbital areas and portions of forehead.  Three weeks...

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14 yo boy with a genodermatosis

Presented by:Drs Israa Al Shawi, FICMS,  & Ali Al Hilaly, DVDAl_Hashmia HospitalBabylon,IraqAbstract:  14 to boy with photosensitivity and verrucous skin lesions.HPI:  This 14 yo boy's story started when he was two months old. He developed many bullae on scalp and extremities which healed spontaneously leaving a thickened skin.  Over the years, he also developed many dark brown lesions in a generalized distribution.  ...

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12 yo Boy with Chest Pain and Skin Lesions

From the Department of MedicinePeople's College of Medical SciencesBhopal,  IndiaAbstract: 12 year old boy with shortness of breath, intermittent chest pains and skin lesions.History:  This 12 year-old boy was admitted to the pediatric service with a three month history of shortness of breath.  He has been having sleepless nights and we witnessed his distress in the echo room when he developed severe chest pain ( no sweating etc)...

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