65 yo woman with nodulo-ulcerative leg lesions

Abstract:  65 yo woman with 4 year history of papules and nodules and 2 - 3 month history of papulo-ulcerative lesions on the legsHPI:  This 65 yo woman has had leg lesions for ~ four years.  Initially, papules and small nodules. Over the past few months a number of these have become ulcerative.  She had lymphadenopathy two years ago and a lymph node biopsy was interpreted as sarcoidosis.  Her CXR was normal and no treatment...

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Deadline Looming

Abstract:  27 year-old woman with severe generalized contact dermatitis secondary to poison ivy, starting two weeks before her wedding.HPI:   This 27 yo woman, whose wedding is August 4th, 2012, presented on July 19th with a one day history of a facial eruption.  She has a history of rhus allergy and had been at the beach collecting leaves for an architecture project a couple of days before the onset of symptoms.  At the time,...

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Nasal Tumor for Diagnosis

Presented by Henry Foong, Ipoh, MalaysiaAbstract: 45 yo man with one year history of a tumor on the nasal tip.HPI: The patient is a 45 yr old man with a growth on the tip of nose for a year. It started as an asymptomatic papule last year and was shaved off by a GP.  He remained well till 3 months ago when it started to recur.  He had seen few doctors and the last doctor, a plastic surgeon decided to refer to a dermatologist. He lives in...

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Nail Dystrophy in a Nurse

A colleague requested our opinion regarding a woman who contacted him, but has not seen.  Here are her words and photos." I am a 61 yo palliative care nurse who has had a nail dystrophy for around 14 months. There is no pain or discomfort. I take no meds by mouth and am in good general health. Every 2 weeks I get a professional manicure and have never had acrylic, gel or silk.  I tried "formaldehyde free" products for a while,...

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