Atypical Diaper Dermatitis

Abstract: 9 week old infant with recalcitrant diaper dermatitis.HPI: This child has had a dermatitis which began in the napkin area at ~ 1 month of age. He has been treated with topical Nystatin, clotrimazole cream, Aquaphor and Maalox. No response. New lesions have appeared around umbilicus and neck. His paternal grandfather may have psoriasis.O/E: There is a sharply demarcated erythematous dermatitis in the pubic, perineal and perirectal area....

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Abstract: 80 yo man with scalp erosions following micrographic surgery.HPI: The patient is an otherwise healthy 80 yo man who underwent Mohs surgery on November 16, 2011 for a basal cell carcinoma of the mid-parietal area of the scalp. The large defect needed a complex closure. Within a few days there was some evidence of inflammation and a wound culture grew out staph aureus sensitive to methicillin but resistant to penicillin, clincamycin...

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Puzzling Purpura

Abstract: 11 yo with three week history of localized purpuraHPI: This is a healthy, stable 11 year old who has had two episodes of purpura on the upper arms. Mildly pruritic. Her pediatrician reported the family to social services. She's on no meds.O/E: There are purpuric bruises on both upper arms. The remainder of the cutaneous examination if unremarkable.Laboratory: All hematologic studies are normalPathology: A biopsy was performed. Results...

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