2012-2013 Academic Year Archives - Page 2 of 3

Enlarging tumor on the finger

April 26, 2013

Presenter: Sean Branch, DO., Tanya Ermolovich, DO, Filomena Scola, DO

Dermatology Program: Lehigh Valley Hospital/PCOM

CHIEF COMPLAINT: Enlarging lesion on the 3rd digit of her right hand for approximately three years

CLINICAL HISTORY: Patient presented with an enlarging lesion on the third digit of her right hand that has been there for approximately three years. The patient states the lesion is otherwise asymptomatic. She has tried topical 17% salicylic acid for three weeks then discontinued due to significant irritation and bleeding.

Expanding facial mass in an elderly woman

March 26, 2013

Presenter: Peter Knabel DO, Cathy Koger DO, Stephen Plumb DO, Chris Cook DO

Dermatology Program: Northeast Regional Medical Center

CHIEF COMPLAINT: rapidly expanding, exophytic, painful ulceration on her left cheek.

CLINICAL HISTORY: The patient is an 85-year-old Caucasian female who presented with a rapidly expanding, exophytic, painful ulceration on her left cheek. The lesion is a friable, tender, erythematous nodule that had rapidly grown in the previous 6 months. No previous treatment. The patient resides in an assisted living facility, and they had provided symptomatic relief for her as needed. The patient has a past medical history consistent with sick sinus syndrome, rheumatoid arthritis, mild depression, and hypertension. She has no personal history of skin cancer or skin disorders. Her family history included a father that died of pancreatic cancer and a brother of unknown malignancy. She has never smoked or abused alcohol and has no known risk factors for sexually transmitted diseases.

New onset of cough

February 26, 2013

Presenter: Jennifer DePry DO, Kurt Lu MD

Dermatology Program: University Hospitals Richmond Medical Center

CHIEF COMPLAINT: Dry cough for greater than one month

CLINICAL HISTORY: 67-year-old Caucasian male with a past medical history significant for multiple basal cell carcinomas who presents with new-onset cough. Surgical excisions of multiple basal cell carcinomas including an aggressive one involving the underlying bone with perineural, and vascular invasion. This tumor required radiation and multiple surgeries, the last one in 2007, that resulted in the sacrifice of the distal branches of cranial nerve VII, a parotidectomy as well as fat and nerve grafts.

Eruption of hyperkeratotic, verrucous papules

January 26, 2013

Presenter: Michael Centilli, DO

Dermatology Program: Botsford/McLaren Oakland

CHIEF COMPLAINT: A generalized eruption of hyperkeratotic, verrucous papules

CLINICAL HISTORY: 57-year-old Caucasian female presented with a chief complaint of an 8-month history of a generalized eruption of hyperkeratotic, verrucous papules beginning in her left axilla with subsequent spread to her back, trunk, face, and all four extremities. Review of systems was positive for extensive pruritis and mild dysphagia with solid food. Prior to our consultation the patient had tried multiple therapies administered by several dermatologists, including cryotherapy, intralesional injection of 0.1 cc of candida antigen, the patient did not return for serial injections, and topical salicylic acid resulting in second-degree burns. Past medical history was positive for basal cell carcinoma of the left lower thigh, an abnormal pap smear of undetermined significance, a benign mass of the right breast, and breast augmentation. HIV testing had been performed in the past year and was negative.

Red-brown nodules on the lower extremities of a 74-year old female

January 26, 2013

Presenter: Leela Athalye DO, Michael Kassardjian DO

Dermatology Program: Western University/Pacific Hospital of Long Beach

CHIEF COMPLAINT: Painful and swollen lesions of left lower extremity

CLINICAL HISTORY: A 5-month history of painful lesions on the left lower leg. Prior to the appearance of lesions, the patient had noted numbness and burning of the left lower extremity. The patient denied systemic symptoms. No relevant prior medical history or family history. No previous treatments.