Author: Saba Suleman

Presenter: Valeria González-Molina, MD, Thomas L Davis, MD, Rick Lin, DO
Dermatology Program: South Texas Dermatology Residency, HCA Healthcare Corpus Christi Medical Center – Bay Area Program
Program Director: Rick Lin, DO MPH FAOCD

Submitted on: September 20, 2023

CHIEF COMPLAINT:  “I’ve been noticing random bruises appearing on my body “

CLINICAL HISTORY:

Signs and symptoms: A 30-year-old Latin American female with a medical history of anxiety, hypotension, hypothyroidism, fibromyalgia, and arrhythmias presented to our clinic with episodic spontaneous bruising on both thighs, which had been occurring since February 2022. She reported pain upon palpation but did not have any other systemic symptoms. The patient denied any new medications or recent traumatic events. Her only surgical history included the placement of a cardiac loop recorder two years prior. She had no history of smoking, alcohol use, or illicit drug use. She denied any family history of bleeding or thrombotic disorders, skin cancer, or liver disease. Current medications included midodrine, fludrocortisone, levothyroxine, and diclofenac, and there were no known drug allergies.

Continue reading “Spontaneous Bruising in a Young Female Patient”

Presenter: Paul Vance, DO, Thomas L Davis, MD, Michael Hohnadel, DO
Dermatology Program: South Texas Dermatology Residency, HCA Healthcare Corpus Christi Medical Center – Bay Area Program
Program Director: Rick Lin, DO MPH FAOCD

Submitted on: September 24, 2023

CHIEF COMPLAINT:  “I have a spot growing in size on my left hand”

CLINICAL HISTORY:

Signs and symptoms: An 11-year-old Hispanic female presented to our clinic for evaluation of a growing dark spot on the palm of her left hand. The patient states that the lesion has been present for the past several months and seems to be getting bigger. The patient endorses occasional itchiness, but no pain. No one else in the household had similar lesions. The patient denies any surgical history, medication use, allergies, recent travel, or personal or family history of skin cancer.

Continue reading “Hyperpigmented Patch Mimicking Melanocytic Lesions”

Presenter: Eric Sandrock, DO, Thomas L Davis, MD, Rick Lin, DO
Dermatology Program: South Texas Dermatology Residency, HCA Healthcare Corpus Christi Medical Center – Bay Area Program
Program Director: Rick Lin, DO MPH FAOCD

Submitted on: September 20, 2023

CHIEF COMPLAINT:  “I have a hard lump on my finger “

CLINICAL HISTORY:

Signs and symptoms: A 10-year-old male with no significant past medical or surgical history presents to our clinic for a solitary lesion overlying the distal left index finger. He describes it as “hard” and stated it has been present and stable for the past year. He denied any trauma to the area, restriction in range of motion, or tenderness to palpation. He denied any recent weight loss, fevers, or chills. He denied any personal or family history of similar lesions or skin cancer.   

Continue reading “Exploring a Rare Chronic Nodule in the Extremity”