2009-2010 Academic Year Archives - Dermatology Grand Rounds

3 year-old with poor hair growth

April 26, 2010

Presenter: Kate Chilek, DO

Dermatology Program: Ohio University/O’Bleness Memorial Hospital

CHIEF COMPLAINT: “poor hair growth.”

CLINICAL HISTORY: 3-year-old female presented for the evaluation of “poor hair growth.” She was born with the dark blonde scalp hair, which fell out by 3 months of age. She re-grew some hair, but it was never substantial. Otherwise healthy, with normal growth and development. No history of prior treatments. The patient’s younger brother appears to have similar conditions but has not been diagnosed. No known familial disorders. Parents are unrelated.

Perioral and genital lesions

March 26, 2010

Presenter: Chris Weyer, DO; Bo Rivera, DO; Jonathan Cleaver, DO

Dermatology Program: Northeast Regional Medical Center – Kirksville

CHIEF COMPLAINT: oral and genital lesions

CLINICAL HISTORY: A 27-year-old female presents with a history of perioral lesions lasting at least one year and genital lesions persisting for over three years. She describes the genital lesions as itchy and burning, noting that they can bleed with excessive picking. Additionally, she reports experiencing burning sensations and increased frequency of urination. Despite recent normal pap smears, her symptoms have been concerning. Upon further questioning, the patient revealed a notable decrease in sweating. She has not received any prior treatments for her symptoms.

Pruritic rash involving upper torso and extremities

February 26, 2010

Presenter: Scott Deckelbaum, DO

Dermatology Program: Western University/Pacific Hospital

CHIEF COMPLAINT: progressively worsening diffuse pruritic rash

CLINICALHISTORY: 24-year-old Hispanic male with a complaint of a pruritic rash involving his upper torso and extremities. His symptoms have been slowly progressing over a 5 year period. Our patient reported diffuse pruritus without pain. His complete review of systems was otherwise negative including the presence of palpable masses. No prior treatments. Past Medical, Family and Social History were noncontributory. He immigrated from Mexico around 10 years prior and has no significant employment history.

Rash on lower extremities

January 26, 2010

Presenter: Susun Bellew, DO; Grace K. Kim, DO; Saira Momin, DO; Brent Michaels DO

Dermatology Program: Valley Hospital Medical Center, Las Vegas, Nevada

CHIEF COMPLAINT: “rash” on lower extremities

CLINICALHISTORY: A 62-year-old Italian man presented to the office for evaluation of a “rash” that started on his lower extremities. The patient reports a persistent eruption for 4 years that originally started on his lower extremities which progressed to his arm, palms, and low back. He also reported occasional pruritus of the lesions which was not severe. The patient and his wife both denied any suspected precipitating factors. He also denied constitutional symptoms such as fever, chills, weight loss, myalgia, or arthralgia. The lesions were previously treated with topical triamcinolone 0.1% cream with no clinical improvement. Past medical history was significant only for Parkinson’s disease. There was no known history of other major medical disorders, such as metabolic diseases or malignancies. He also denied recent travel or history of any sexually transmitted diseases, including syphilis. No other family members or close personal contacts were afflicted with similar lesions.

Non pruritic erythematous patch

January 26, 2010

Presenter: Amy D Adams, DO – PGY3

Dermatology Program: Midwestern University / Arizona Desert Dermatology – Kingman, AZ

CHIEF COMPLAINT: “Eczema spot that won’t go away”

CLINICAL HISTORY: 62 year old Caucasian female presented with nonpruritic erythematous patch on the patient’s right buttock that has been present for at least four years and was previously diagnosed and treated as Eczema. Reports minimal change over the last four years with no period of clearance. Previously has tried Topical antifungal creams, Class I-VI topical corticosteroids, and an intramuscular Triamcinolone injection. Pt reports slight benefit from the topical combination of Nystatin / Triamcinolone but denies any benefit from the other medications. Pt works in a daycare center. She is not taking oral prescription medications or herbal supplements.