2011-2012 Academic Year Archives - Page 2 of 3

Hyperkeratotic plaques on the lower extremities

December 26, 2011

Presenter: Heather Orkwis, DO

Dermatology Program: St. Joseph Mercy Hospital

CHIEF COMPLAINT: greater-than-10-year history of dark, itchy spots on legs.

CLINICAL HISTORY: A 44-year-old woman presented with a greater-than-10-year history of dark, itchy spots on legs. She complained of pruritic, progressively worsening dark spots on the bilateral anterior lower legs. She used a bleaching cream on the areas 8 years prior without improvement. The patient has insulin resistance, hypertension, and arthritis.

Progressive stiffening of skin

November 26, 2011

Presenter: Kate Kleydman, DO

Dermatology Program: Saint. Barnabas Hospital

CHIEF COMPLAINT: “My skin is so stiff.”

CLINICAL HISTORY: A 52-year-old African-American female presented with complaints of having “stiff skin” that progressively impaired her movement over the past five years. The skin “tightness” had started on the body, and then progressed to include her hands, trunk, legs, and finally face. She complained of constant pain, with restrictions of movement requiring the use of a walker. She experienced worsening of the pain in her hands, accompanied by color changes and tingling in cold weather. Her review of systems was positive for difficulty swallowing, acid reflux, dyspnea on exertion, nonproductive cough, diffuse arthralgias and myalgias, subjective decreased range of motion, and chronic fatigue. No previous treatment. Her past medical history was significant for hypertension and gastroesophageal reflux disease. The patient was taking Lisinopril and Percocet and denied alcohol and drug use. Her family history was negative for any significant dermatologic diseases or autoimmune disorders.

Hyperpigmented macules and papules on trunk and extremities

October 26, 2011

Presenter: Aleksandra Brown, DO

Dermatology Program: POH/Botsford

CHIEF COMPLAINT: Rash x 1 year

CLINICAL HISTORY: A 23-year-old female presents for evaluation of multiple hyperpigmented macules and papules on her thighs, arms, chest, and abdomen. They have been present for approximately one year and are mildly pruritic. A review of systems reveals fatigue for two weeks. She has no significant past medical history and family history is non-contributory. She does report an allergy to bee stings.

Lesions on the neck

September 26, 2011

Presenter: John Stoner, D.O.

Dermatology Program: PCOM

CHIEF COMPLAINT: asymptomatic persistent “rash” on the neck and axillae

CLINICAL HISTORY: The patient presented to our office complaining of an asymptomatic “rash” on the neck and axillae that has been present for a few years. The lesions do not wax or wane. No itching, burning, or bleeding. The lesions are getting more red. No previous treatment.

Unremitting rash on the feet

August 26, 2011

Presenter: Robert Levine, DO, Tara Whelan, DO, Suzanne Sirota-Rozenberg, DO, FAOCD

Dermatology Program: St John’s Episcopal Hospital, Far Rockaway, NY

CHIEF COMPLAINT: “Rash on the feet”

CLINICAL HISTORY: A 71-year-old male presented for follow up in a busy dermatology practice. He was being treated for about 6 weeks for suspected psoriasis with minimal improvement. He had mild pruritis and the rash seemed to be spreading. Previous treatments by prior physician include topical steroids (mid-high potency), topical calcipotriene, and topical antifungals. He had no other contributing skin lesions. He is of Jewish Ashkenazi descent.