2002-2003 Academic Year Archives - Page 2 of 2

Red nodule

May 29, 2002

Presenter: Debbbie Palmer, DO and Dimitria Papadopoulos, DO

Dermatology Program: St. Barnabas Hospital Dermatology Department, Bronx, New York

CHIEF COMPLAINT: bilateral lower extremity edema and a growing red nodule

CLINICAL HISTORY: A 45-year-old Black male was presented from the nursing home with a one-week history of bilateral lower extremity edema and a few months of a nonpruritic, progressively enlarging growth on his left foot. This growth has bled with mild trauma. His past medical history is significant for HIV, endocarditis, cardiomegaly, congestive heart failure, intravenous drug abuse, end-stage renal disease, and pneumonia. The patient has not received any previous treatment for his current condition. His medication regimen includes methadone, temazepam, zolpidem, calcium carbonate, calcitriol, folic acid, a multivitamin, ferrous sulfate, and trimethoprim-sulfamethoxazole.

Persistent rough skin

May 9, 2002

Presenter: Jason Wilder D.O. Debbie Palmer D.O., Cindy Hoffman D.O., Charles Gropper M.D.

Dermatology Program: St. Barnabas Hospital Dermatology Department, Bronx, New York

CHIEF COMPLAINT: “I have rough skin on my neck that won’t go away.”

CLINICAL HISTORY: A 52 y.o. F with a 20-year history of non-pruritic, gradually developing lesions on her left neck. The patient denies any previous treatment of these lesions. Patient is currently taking Vioxx.

Erythematous nodules on the extremities

April 21, 2002

Presenter: Paul Ross, D.O. and Mark D. Garcia, D. O.

Dermatology Program: Northeast Regional Medical Center

CHIEF COMPLAINT: Erythematous Nodules on the Extremities

CLINICAL HISTORY: A 54-year-old white female presents for in-hospital consultation with erythematous nodules on her forearms bilaterally and her left medial thigh for 2 days duration. The patient reports some associated tenderness and denies any associated pruritis, burning, or discharge. She has had no previous occurrence of similar lesions. The patient reports having received chemotherapy for recurrent breast carcinoma one week prior to admission. She also reports receiving Neupogen (filgrastim) after chemotherapy. Her other medications include Herceptin (trastuzumab), Taxotere (docetaxel), Xeloda (capecitabine), Coumadin, and Vioxx.

Multiple papular lesions

March 21, 2002

Presenter: Rick Lin, DO MPH and Dan Ladd, DO

Dermatology Program: KCOM Dermatology Department

CHIEF COMPLAINT: Multiple Papular Lesions

CLINICAL HISTORY: A 38-year-old black female presented to the Dermatology Clinic with the chief complaint of multiple lesions on skin. The lesions onset 23 years ago, at age 15. The symptom includes severe itching. The lesions were previously diagnosed as keloids. Past treatments include topical steroids and oral antihistamines.