A Challenging Case of Cystic Acne

Abstract:  28 yo woman with 3.5 month history of cystic acneHPI:  The patient's mother contacted us regarding her daughter, a 28 yo woman with severe cystic acne for over three months.  She has had acne in the past, but has also enjoyed long acne free periods as well. No recent changes in medications. The patient has a complicated medical and psychiatric history.  She has had a diagnosis of bipolar illness disease (BPD) for greater...

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Psoriasis vs. PRP: Your Thoughts

Presented by Dr. Henry Foong, Ipoh, Malaysia Abstract: A 65 year old man presented with a history of erythroderma for 3 weeks.History: A 65 year old man presented with pruritic scaly erythematous patches on the chest about 3 weeks ago.  Then he noticed the rashes spreading to the abdomen and back.  Now it has spread to the face and both upper and lower extremities. He had no fever or other constituional symptoms.  He denied...

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Editorial Board

Yoon Cohen, D.O.Dermatology ResidentMesa, Arizona( yoon@yooncohen.com ) David Elpern M.D.The Skin ClinicWilliamstown, MA, USA( kauai@bcn.net )Henry Foong FRCP (Edinburgh)Foong Skin Specialist ClinicIpoh, Malaysia( bbfoong@gmail.com )Stephanie Hu, M.D.Department of DermatologyNew York UniversityNew York, New York( stephwhu@gmail.com)Barry Ladizinski, M.D.School of Public HealthJohns Hopkins UniversityBaltimore, Maryland( barryladizinski@gmail.com...

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ABOUT VGRD

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Lichen Nitidus

Presented by Yoon Cohen, D.O.Abstract: 13 year-old boy with a few years history of lichen nitidusHPI:  This is a 13 year-old Hispanic boy who presented for treatment of warts. During the exam, multiple small white shiny dots were noticed. The patient has been aware of these asymptomatic lesions for the past few years.  He had been given triamcinolone 0.1% ointment bid, but forgot to apply it because it did not bother him. O/E: ...

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Mycosis Fungoides

Abstract: 65 year-old man with 14 year history of mycosis fungoides (MF).HPI:  This 65 yo man has had a dermatitis around his hips since childhood.  In 1999, a biopsy was done that was reported as "very suggestive of MF."  He was treated with PUVA in 1999  and since then with topical corticosteroids (initially clobetasol and more recently fluocinonide). His disease is either quiescent or has not progressed since diagnosis.O/E: ...

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Pigmented Macules of the Lips

The patient is a 70 year-old architect who presented for another problem.  Incidental hyperpigmented macules were noted on the lower lip.  No family members are similarly affected nor does he have a family hisrory of colon cancer.  He has had unremarkable colonoscopies.  The pigmentation began ~ 20 years ago.O/E:  Hyperpigmented macules of lower lip.Clinical Photo:Diagnosis: Probable Laugier Hunziker syndrome is favored.References:!--...

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Acanthosis Nigricans in an 8 year old girl

Abstract:  Eight year-old girl with acanthosis nigricansPresented by:  Dr. Soheila SotoudehChildren’s Medical CenterTehran, IranHistory:  This 8- year-old girl, born of nonrelative parents, presentedwith a one year history of darkening and thickening of body folds especially neck and axilla.  It began with pruritic, hyperpigmented and corrugatedplaques on her neck, axilla, groin and perioral and periumbilical...

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Facial Lesion in a Child

Case presented by Dr Munqithe M Jabir, Addiwaniya, Iraq who writes:"Can I please have your opinion about this problematic case.The patient is a female child with a swelling on her left cheek for the past three months.  It discharges pus through many openings (carbuncle-like!!).  There has been no change although many courses of different antibiotics, but, recently it has responded slowly to Rifampicin 150mg twice daily and Clarithromycin...

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The Rudolph Sign

Abstract: 81 year old man with new onset of a red noseHPI :  This 81 yo man presented with a one day history of a painful inflammatory process of his nose.  He had been in hospital recently and a routine throat culture grew MRSA but since he was asymptomatic, it was not treated. He has atrial fibrillation and meds include warfarin.  Here is the history in his own words.!-- /* Font Definitions */ @font-face {font-family:"Cambria...

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Hypopigmented Rings

18 year old college coed with two month history of two incompletely hypopigmented rings on abdomen.  No contacts to area recalled.  On no meds.O/E:  On right and left abdomen, there are two relatively subtle 5 cm in diameter rings.  No scale.  Possibly a few small incompletely hypopigmented macules on abdomen as well.Clinical Photo:Labs:  N/APath: Will offer to biopsyDiagnosis:  Hypopigmented Contact Dermatitis?Question: ...

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