2010-2011 Academic Year Archives - Dermatology Grand Rounds

Soft asymptomatic lesion on the back

June 26, 2011

Presenter: Jonathan Cleaver D.O., Peter Knabel D.O

Dermatology Program: Northeast Regional Medical Center

CHIEF COMPLAINT: Soft asymptomatic lesion on the upper mid-back

CLINICAL HISTORY: A 16-year-old well developed female presents to the clinic for evaluation of a lesion on her back that has been present since she was an infant. The lesion has continued to increase in size as she has developed. The lesion is asymptomatic and the patient denies tenderness, drainage, bleeding, or color change. No one else in the family has a similar lesion. She has been healthy since birth and there is no significant family medical history reported. The patient is on no medication. The lesion has been manipulated by the mother multiple times trying to express material from the lesion. She has been unsuccessful at these attempts.

Violaceous nodule of the upper extremity

May 26, 2011

Presenter: Helen Kaporis, D.O.

Dermatology Program: KCOM- Texas Division

CHIEF COMPLAINT: Nodule of 6 months duration

CLINICAL HISTORY: Patient presented with an asymptomatic nodule of 6 months duration. No prior history of treatments to the lesion.

Patchy alopecia

February 26, 2011

Presenter: Stacy Rosenblum, D.O, Amanda Beehler, D.O. Amy Spizuoco D.O. Mariel Bird, D.O.

Dermatology Program: LECOMT/Alta Dermatology

CHIEF COMPLAINT: “Bald spots on scalp”

CLINICAL HISTORY: A 32-year-old Caucasian male presented with a progressive, one-month history of hair loss in patches. He denied loss of hair anywhere else on his body or any other skin lesions. He was otherwise healthy and had no significant past medical history or history of major medical illness in his family. He had been seen by his primary care physician and was using Nystatin once a day for 4-5 days with no improvement. He is married, and denied the use of tobacco or alcohol. Upon further questioning, the patient did admit to extramarital relations.

Pearly, pink protuberant tumor on the upper extremity

January 26, 2011

Presenter: Joseph Del Priore, DO
Dermatology Program: Western University/ Pacific Hospital
Program Director: David C. Horowitz, DO FACD
Submitted on: January 21, 2011

CHIEF COMPLAINT: Bump on arm

CLINICAL HISTORY: A 19-year-old male presented with a pink, shiny 3 cm protuberant nodule on his right upper extremity that grew rapidly over 2 months. A previous treatment of tea tree oil was tried.

Progressive hyperpigmented patches

December 26, 2010

Presenter: Zaina Rashid DO

Dermatology Program: Midwestern University/ Arizona Desert Dermatology

CHIEF COMPLAINT: Brown patch in both armpits for three months

CLINICAL HISTORY: A 73-year-old man presented with asymptomatic dark brown patches in the axillary area for 3 months duration. No previous treatment. There was no history of prolonged sun exposure or trauma in that area. The patient denied any symptoms of pain or pruritus. The patient past medical history includes hypertension with atenolol being his only medication.