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Wednesday, March 27, 2013

Gluteal Abscess

Abstract: 94 yo man with gluteal abscess.HPI:  The patient is a 94 yo man in fair general health.  Hi has chronic pruritus of "Willan's Itch" and has been on prednisone 10 mg daily for a year to control his intractable pruritus.  He sits for hours per day because of a tendon tear around the left knee that severely restricts ambulation.  His mental status is fair.  He has no marked dementia, but has slowed down in the past...

Saturday, March 16, 2013

Whose Nose Needs Mohs?

Abstract:  77 yo woman with 5 mo history of pigmented macule on noseHPI:  77 yo woman in fair general health with 5 mo history of evolving lesion on bridge of nose.O/E: 1.5 x1.0 macule with slight play of color bridge nose.Clinical photos: Arrows show original biopsy sites.Biopsies:1) 2 x 3 mm punch bx taken from areas indicated by arrows.  "Mild to moderate atypical melanaocytic hyperplasia with focal pagetoid spread.2) Incisional...

Wednesday, March 6, 2013

Scald-like Eruption in a Newborn

Dr. Yogesh Jain from Ganiyari, Bilaspur  in Chhattisgarh, central India requests your help with this infant.The first two pics are of a 22 day old newborn girl who started developing erythematous lesions on the face, on arms and the abdomen at the age of 15 days and now has it for 7 days. After initial erythema, it darkens and becomes scald-like, as seen below. No blisters . No nail involvement . No feeding problem. No problem with hair....