• December 22, 2024

Painful eyrthematous papules

June 26, 2010

Presenter: Chris Buatti D.O.

Dermatology Program: Genesys Regional Medical Center

CHIEF COMPLAINT:  new-onset acne-like lesions on his face

CLINICALHISTORY: A 48-year-old African American male presented with new-onset acne-like lesions on his face. These erythematous painful papules started two months prior, and the patient complained primarily of pruritis. He was recently diagnosed with HIV after being hospitalized for pneumonia last June. His PCP started him on antiretrovirals, and Bactrim. He also denied constitutional symptoms such as fever, chills, weight loss, myalgias, or arthralgia. No prior treatments. 

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Chronic facial ulcers

May 1, 2010

Presenter: Brent Loftis, DO, Monica Nafsou, DO

Dermatology Program: Dermatology Program: A.T. Still University, KCOM Dermatology Residency Program, TX Division

CHIEF COMPLAINT:  “Sores spreading on the face that started with shingles four years ago”

CLINICAL HISTORY: A 65-year-old Caucasian female with a four-year history of sores that started on the face after shingles. The sores have enlarged over the past few years and she feels the disease is spreading down towards the chest. As a retired physician, she has done excisional biopsies on herself and admits to using a scalpel on a regular basis to incise and drain the lesions, which gives her immense relief from the pressure of the lesions. She describes white tendon-like larvae and botfly-like larvae that come out and wrap around her scalpel.

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Presented by the South Texas Dermatology Residency Program

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