Nail Dystrophy x 3 Years

Abstract:  52 yo woman with 3 year history of a nail dystrophyHPI:  The patient has had this problem for three years.  She works out a lot and recalls trauma to the toe,O/E:  The left great toe nail is dystrophic,  The nail is quite short and there is brownish green discoloration under the abnormal nail.  There is some hemorrhage under the proximal nail fold.   Clinical Photos: Dermatoscopiic ImageLab:  KOH...

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Vellus Hair Cysts

Abstract: 17 yo boy with scores of papules on abdomen, chest, neckHPI:  This 17 yo boy has had 2 - 3 mm papules on chest, abdomen and neck slowly progressive since age 10.  Occasionally the lesions become iflamed.OE: Scores of 2 - 3 mm somewhat cystic lesions in above areas.  Some are slightly greyishClinical Photo: Pathology: (Photomicrographs taken by Dr. Deon Wolpowitz, Department of Dermatopathology, Boston University...

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Arcuate and Circinate Facial Eruption

Presented by   Dr. Arnulfo MacadangdangCebu City, Philippines Abstract:  18 year-old student with one week history of facial eruptionHPI:  The patient is an 18 yo man with a one-week history of an eruption on face and neck.  It is mostly asymptomatic.  He is an athlete, takes no medications and has no risky behaviors.  He had an upper respiratory infection around a month before onset.  O/E:  There...

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New Onset Plaques in an Exchange Student in Malaysia

Presented by Henry FoongIpoh, MalaysiaAbstract: 26 yo man with 2 month history of plaques face and chest HPI:  The patient is a 26-yr-old healthy Libyan student who presented with a two month history of erythematous plaques on the face and chest.  He first noticed the reddish plaques on the chest and subsequently spread to the face.  Presently, it also involves the elbows and knees. It is asymptomatic and does not appear to be transient....

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Talon Zumba

Abstract: 36 yo woman with brown-black macule on heelHPI:  A 36 year-old woman presented in a panic with a recently discovered dark-brown to black macule on the heel of her left foot.  It had been brought to her attention by her pedicurist.  The patient had consulted the Internet and found articles about acrolentiginous melanoma which worried her greatly. Anamnesis revealed that she had been Zumba dancing a few days before this...

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Erosive Pustular Dermatosis

Presented by Hamish Dunwoodie, MBBSThe Pas,  Manitoba CanadaAbstract:  98 yo woman with exophitic tumor of the foreheadHPI:  The patient is a light complected Caucasian with a 4 month history of a keratotic lersion on the forehead.  She has a history of nonmelanoma skin cancer.  She is a poor historian.O/E:  4 cm in diameter crusted tumor forehead.Photos:After crust removedProcedure:  The lesion was compressed with...

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Nonspecific Oral and Genital Lesions

Abstract:  92 year-old woman with 6 year history of painful oral and genital lesionsHPI:  The patient is an otherwise healthy and alert 92 year old woman with painful erosions of tongue and vulva for six years. She has marked pain with eating and urination.  Mouth lesions preceded genital lesions by a few years.  She has been followed for erosive lichen planus but it is unclear if any biopsies were positive.  She has lost...

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Norwegian Scabies Infestation

Abstract: An 84-year-old elderly woman with 3 months history of pruritic skin eruptionHistory: The patient is an 84-year-old nursing home resident who presents for evaluation  of pruritic skin eruption for the past three months. She first noted pruritic lesions on her hands when she was in a hospital for a back surgery. Since then her skin was progressively worsening and the eruption spread to her face, arms, abdomen and legs. She notes...

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Complicated Speckled Lentiginous Nevus

Presented by Yoon Cohen, D.O. Alta DermatologyMesa, ArizonaAbstract: An 8-year-old girl with large congenital nevus on the chin, the anterior neck and the right aspect of shoulder and the chestHistory: The patient is an 8-year-old girl who was born with congenital nevi on the mid anterior neck and possibly another similar lesion over the right side of the mandible. Over the years, she has developed many 1-3 mm in diagmeter tan papules in and around...

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Hemorrhagic Blister

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Rosacea-Like Demodeciasis

Abstract:  47 yo woman with ab 8 month history of a facial eruption  The patient is a 47 yo woman with a rosacea-like eruption for eight months.  Dr. Yoon Cohen suggested demodicosis and performed a scraping.  It was loaded with demodex mites.  We are considering this an example of rosacea-like demodexinfestation and treated the patient with ivermectin 250 microgram/kg x 2 a week apart and permethrin 5% cream 2 - 3 times...

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