Chronic Ulcers

Presented by Yoon Cohen, D.O.Alta Dermatology Residency Mesa Arizona Abstract: 66-year-old woman with 3 year history of leg ulcersHPI: The patient is a 66-year-old retired elementary school teacher who was seen for evaluation of chronic leg ulcers. The most recent injury was sustained on her right lower leg when she bumped into her grandson’s toy.  This  eventually caused a new leg ulcer. Subsequently, she was hospitalized, and seen...

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A potentially lethal disease

presented by Dr Henry FoongIpoh, Malaysia Abstract:  19 yo man with skin lesions and gastro-intestinal infarctsHistory: A 19 yr old student presented with multiple discrete mildly pruritic papules on the trunk and thighs of 9 months duration.  It started as papules on the trunk that become enlarged resulting a central depression.  2 months ago, he had severe abdominal pain,  underwent emergency laparotomy and...

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Innoculation Eschar

Abstract: 6 yo  boy with one month history of an eschar on the neckHistory:  This six year old boy has had an indurated nodule on the left posterior nuchal area for around a month.  He is a high functioning patient on the autism spectrum.  No history of antecedent trauma or envenomation is available.  He is well otherwise with no complaints of constitutional symptoms or headache.O/E:  1 cm escharotic lesion left posterior...

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