2004-2005 Academic Year Archives - Dermatology Grand Rounds

Rash on the Penis

November 25, 2004

Presenter: Matthew Muellenhoff , DO, Thi Tran, DO, Frank Armstrong , DO , Kathleen Soe, DO, Greg Houck, DO , Marya Cassandra, DO

Dermatology Program: Sun Coast Hospital, NOVA Southeastern University

CHIEF COMPLAINT: Rash on the Penis

CLINICAL HISTORY: A 58-year-old uncircumcised white male presented to our dermatology clinic for evaluation of a “rash” on his penis for >5 years. Past medical history was significant for hypertension, hyperlipidemia, and coronary artery disease. He had used over the counter products such as Gold-Bond ointment, Vaseline, and cortisone without benefit. Localized irritation with coitus, duration of the “rash” and concern of “what it is” brought him to our clinic.

Enlarging Skin Lesion Since Birth

September 25, 2004

Presenter: Dr. Suzanne Sirota Rozenberg, PGY3, Dr. Norma Montiel, PGY2

Dermatology Program: St. Johns Episcopal Hospital, South Shore, Far Rockaway, New York

CHIEF COMPLAINT: Enlarging skin lesion since the birth of the right forearm, wrist, and hand

CLINICAL HISTORY: A 1-month-old female presents with an enlarging skin lesion since the birth of the right forearm, wrist, and hand. The mother states that the lesion has been present since the baby was born and has been getting bigger. The child demonstrates a full range of motion of the arm, no crying, crankiness, or failure to thrive. No previous treatments. The patient was born prematurely at 35 weeks and demonstrated no postnatal complications.

Change in the Color and Texture of Hair

August 25, 2004

Presenter: Scott A. Smith, D.O.; Mary Veremis-Ley, D.O.; Michelle L. Endicott, D.O.; Melissa Camouse, D.O.; Mary A. Evers, D.O.

Dermatology Program: University Hospitals of Cleveland, Richmond Heights

CHIEF COMPLAINT: Change in hair texture and hair color

CLINICAL HISTORY: A 2-year-old girl presented to the clinic at the age of 11 months. She had a 4-month history of change in the color and texture of her hair. Per the patient’s mother, her hair had gradually gotten lighter, kinkier, and more difficult to comb. The mother denies any hair loss or breakage. The patient is otherwise healthy. Growth and development have been normal. The patient takes no medicines. The patient’s 1-year-old sister is now experiencing similar complaints. The patient’s great aunt had similar hair complaints as a child, which subsequently improved with her age.

Painful Lesions in the Mouth

July 25, 2004

Presenter: Scott C. Wickless, DO; Amy B. Cardellio, DO; Anthony Cardellio, DO

Dermatology Program: St. John Oakland Hospital

CHIEF COMPLAINT: Painful lesions in the mouth

CLINICAL HISTORY: Patient presented with mild to moderate pain of the mouth and tongue for approximately five years. Stated was semi-controlled with topical steroid and antifungal preparations. Patient also noted spots appearing sporadically on the scalp. No history of bone marrow transplant, hematopoietic stem cell transplantation, transfusion of irradiated blood products, or solid organ transplantation.

Sudden Onset of Disseminated Papules

April 25, 2004

Presenter: Charmaine Jensen DO, Rene Bermudez DO, Dimitry Palceski DO, Theresa Ng DO

Dermatology Program: Cuyahoga Falls General Hospital

CHIEF COMPLAINT: “Raised bumps all over my body”

CLINICAL HISTORY: A 40-year-old 120kg Caucasian male presented to our clinic with multiple, moderately pruritic yellow hard papules on his knees, thighs, buttocks, back, abdomen, and elbows. He had been in a hot tub two weeks prior to the onset of his lesions. The lesions appeared suddenly on his knees and elbows and subsequently spread to his abdomen, lower back, thighs, and buttocks. He presented to the emergency department and was diagnosed with molluscum contagiosum. He has treated these lesions with Retin-A cream and cryosurgery. No other family members are affected. He has a history of diabetes mellitus type 2 and had not been on his medications for several months because of financial constraints. He denied having any nausea, vomiting, or abdominal pain.