Painful Brusing in a 29 yo Woman

Presented by Hamish Dunwoodie, MBBSMoncton, New Brunswick, CanadaAbstract: 29 yo woman with one week history of painful bruising on thighsHPI: The patient is an otherwise healthy 29 yo woman with a one week history of painful bruises on her thighs. Five years ago she had leucocytoclastic vasculitis of her lower legs and very mild proteinuria. A renal consult felt she probably had mild IgA nephropathy. This has cleared. Her only medication is...

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Traumatic Ulcer

Abstract: 40 year-old man with non-healing woundHPI: The patient is a 40 yo man who sustained traumatic abrasions of his leg and arm from a motorcycle accident on May 31, 2011. He has a history of chronic vesicular dermatitis of hands and feet complicated by recurrent staphyloccal cellulitis of legs. The wound on his right knee became infected and he was hospitalized over the summer on two occasions for parenteral antibiotics and debridement....

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Insect Bite Lymphangitis

Presented by Nai-Chien YeatWilliams College, Williamstown, MassachusettsAbstract: 20 year-old Malaysian college student with one day history of an itchy line on right arm.Yeat's History:I developed itchy welts all over my body shortly after moving into my new dorm room. A bite on my right wrist caused extensive swelling and intense itching within 24 hours of first discovery. Within 36 hours, a swollen, pruritic red streak extended from my wrist to...

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Erythema multiforme major

Presented by: Dr. Henry FoongIpoh, MalaysiaAbstract: Five Year-old boy with E. multiformeThe patient is a 5 year old boy presented with 3 day history of fever and generalised skin eruptions. Apparently it started with superficial lower lip erosion and the next day he had high fever and generalised skin eruptions on trunk, the upper and lower extremities. There was no family history of similar skin problems.O/E he was afebrile. Generalised erythematous...

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