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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Atypical Acneiforn Eruption

Abstract: 18 yo man with two month history of papules and pustules on chinHPI:  The patient describes mild acne before leaving for college in late August 2012.  He did being a new electric razor with him.  Shortly after arriving at school, he developed an inflammatory process on his chin.  He was treated with Keflex for > one month without relief.O/E:  Papules + pustules on the chin.  Rest of exam unremarkable.Photos: ...

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