2012-2013 Academic Year Archives - Page 3 of 3

Persistent pyogenic scalp infection in a child

October 26, 2012

Presenter: Jared Heaton D.O., Brooke Walls D.O., Julian M. Ngo D.O.

Dermatology Program: NSUCOM/Largo Medical Center

CHIEF COMPLAINT: recurrent malodorous infection of the scalp

CLINICAL HISTORY: 5 y/o AA female presented for evaluation of recurrent malodorous infection of the scalp. This patient has a history of recurrent bacterial and fungal infections of the scalp for the past two to three years. She was recently admitted to All Children’s Hospital for pyoderma of the scalp secondary to MRSA where she was treated with IV antibiotics and surgical debridement. She had a previous surgical debridement of the scalp 1 year ago for the same condition recalcitrant to oral and topical medications. Several weeks after her most recent discharge from the hospital, the patient again developed a large fungating verrucous plaque of the scalp. Surgical debridement of the scalp secondary to pyoderma was performed in June 2012 and April 2011.

A 3-year old female with asymptomatic scalp hair loss

October 26, 2012

Presenter: Dustin Wilkes DO

Dermatology Program: St. Joseph Mercy Hospital

CHIEF COMPLAINT: asymptomatic hair loss x 1 week

CLINICAL HISTORY: A 3-year-old Caucasian female presented with her mother for the one-week history of asymptomatic hair loss of the scalp. No family history of alopecia was noted.

Waxing and waning eruption located on the trunk and extremities

August 5, 2012

Presenter: Christina Feser DO, Arathi Goldsmith DO, Peter Saitta DO, Jean Holland DO, Stephen Olsen DO

Dermatology Program: Oakwood Southshore Medical Center

CHIEF COMPLAINT: Resistant rash

CLINICAL HISTORY: September 2009-May 2010: A 61-year-old Caucasian female presented to our clinic with a 1-year history of a waxing and waning eruption located on the trunk and extremities. The patient denied pain and pruritus. No significant past medical history or family history was noted. The patient was otherwise healthy. A review of systems was unremarkable. May 2010-November 2010: The rash failed to resolve after multiple courses of topical and systemic steroids. Despite treatment, the eruption generalized. November 2010-August 2012: The patient’s condition continued to evolve becoming more diffuse throughout the trunk and extremities despite additional treatment trials with dapsone and acitretin. Finally, cyclosporine was added leading to the diagnostic eruption.

Tender scalp lesion

July 26, 2012

Presenter: Mounir Wassef, D.O.

Dermatology Program: Columbia Hospital, West Palm Beach (PBCGME)

CHIEF COMPLAINT: tender scalp lesion x 3 weeks.

CLINICAL HISTORY: 64-year old woman with history of hemochromatosis presented with a tender scalp lesion x 3 weeks. She complained of hair loss and tenderness. No prior treatments.