2003-2004 Academic Year Archives - Page 2 of 2

Itchy, Dark Rash on Upper Back

May 30, 2003

Presenter: Suzanne Sirota Rozenberg, D.O.,Scott Goffin, D.O., Darren DiGulio, D.O., Yelva Lynfield, M.D., Marvin Watsky, D.O.

Dermatology Program: St. John’s Episcopal Hospital, Far Rockaway, New York

CHIEF COMPLAINT: Itchy, dark rash on upper back for 5 years

CLINICAL HISTORY: Patient presented to clinic with concerns of an itchy, dark rash on his upper back for 5 years. The patient states that he was treated in Yemen with unknown topical medications. He states that he had some resolution, but then had recurrences. The patient states that he has no prior history of trauma or previous biopsy. He has no significant past medical history or surgical history, no known allergies, and no medications at this time.

Redundant Skin Around the Neck

April 25, 2003

Presenter: Mary Veremis-Ley DO and Michelle Endicott DO

Dermatology Program: University Hospitals of Cleveland-Richmond Heights

CHIEF COMPLAINT: Redundant skin around his neck with a yellow discoloration

CLINICAL HISTORY: Patient came to the office complaining of redundant skin around his neck with a yellow discoloration. On a review of systems, the patient admits to having had a number of laser surgeries to his eyes and has been legally blind since 1996. He reports his sister has similar problems with her eyes but her neck is normal in appearance. Upon further questioning, the patient states he underwent triple bypass surgery two years ago.

Multiple Papules on Cheeks and Nose

February 28, 2003

Presenter: Roger C. Byrd D.O., David R. Byrd M.D. and Mark Hinkson D.O

Dermatology Program: St. John Oakland, Madison Heights, MI

CHIEF COMPLAINT: Multiple papules on her cheeks and nose

CLINICAL HISTORY: A 73-year-old Caucasian female was seen about a year ago for evaluation of multiple papules on her cheeks and nose. The lesions are asymptomatic but have gradually increased in number since the time of menopause. The patient’s mother and sisters have similar lesions on their faces, which also started around menopause. However, 4 daughters are currently unaffected by this process. The patient’s past surgical history includes colonoscopy, left breast lumpectomy, and removal of kidney stone. Her medications include Fosamax and Premarin. Her past dermatologic history includes treatment of actinic and seborrheic keratoses.

Fever with Non-pruritic Truncal Eruption

January 29, 2003

Presenter: Christian B. Anderson DO PharmD RPh, Tom Mackey DO

Dermatology Program: AZCOM/KRMC/Az Desert Dermatology

CHIEF COMPLAINT: Unresponsive fever, irritability, adenopathy, orolabial erythema/fissures adenopathy, and distal edema.

CLINICAL HISTORY: Patient is a Caucasian male with 7day history of fever >102.5, malaise, anorexia, and irritability followed by a nonpruritic truncal eruption on day 2 then a progressively worsening conjunctival injection (mild), orolabial and nostril dryness and fissures, cervical adenopathy, and swollen/painful distal extremities. All of which proved to be unresponsive to acetaminophen, ibuprofen, amoxicillin, and azithromycin as variably dose by the patient’s primary physician during the 7 days prior to referral to our clinic.

Blistering skin disease since birth

October 29, 2002

Presenter: Michael Sabat, MS, DO, Megan Goff, DO, and Sam Smith, MPH, DO

Dermatology Program: Stephen Kessler, D.O.

CHIEF COMPLAINT: Painful blisters/ulcerations since birth

CLINICAL HISTORY: Patient presented with fragility of skin and slow healing, scarring erosions and ulcers, difficulty swallowing, decreased appetite and weight loss. Previous treatments include oral antibiotics, pureed diet, high-calorie diet, wound care including Vaseline gauze and Bactroban ointment, TAC 0.1% ointment, mineral oil, senicot, and iron. Of note, 12-year-old sister has a similar presentation. Neither the parents nor other siblings are affected.