2013-2014 Academic Year Archives - Page 3 of 4

Hyperkeratotic rash in an adult female

November 27, 2013

Presenter: James Yousif DO, Brandon Yousif

Dermatology Program: MSUCOM/Lakeland Regional Medical Center

CHIEF COMPLAINT: Thickening of the skin on both bottoms of the feet and between the toes

CLINICAL HISTORY: A 50-year-old Caucasian female presented with a ten-year history of thickening of the skin on both bottoms of the feet and between the toes. This eruption was persistent in nature and was associated with significant pain with ambulation and pruritus. A review of systems was also positive for persistent numbness at the base of the digits of her feet. Prior treatment included the use of topical corticosteroid cream for the cutaneous eruption and gabapentin for the associated neuropathy, but both proved ineffective in providing symptomatic relief. Past medical history was positive for type II diabetes mellitus and dyslipidemia. No remarkable dermatologic history was noted, and family history was positive for a paternal grandfather with malignant melanoma.

Well circumscribed pedunculated friable nodule on the scalp

October 27, 2013

Presenter: Leeor Porges DO, Khasha Touloei DO, Alexis Stephens DO, Lise Brown DO, Jacqueline Thomas DO, Tracy Favreau DO

Dermatology Program: Broward General Medical Center

CHIEF COMPLAINT: Well circumscribed pedunculated friable nodule on her scalp

CLINICAL HISTORY: A 25 year old female presented with a 2 month history of a 2.4cm well circumscribed pedunculated friable nodule on her scalp. The patient had no previous medical history. The patient denied pruritus or pain from the lesion. Clinically the lesion resembled a pyogenic granuloma. A biopsy was performed which revealed alternating nests of adipose and myxoid elements with multiple dilated vascular structures.

Skin tag.. or is it?

October 27, 2013

Presenter: Tang Le DO, Angie Koriakos DO, Robert Lin DO

Dermatology Program: South Texas Osteopathic Dermatology

CHIEF COMPLAINT: Skin tags at both his axillae and around his neck

CLINICAL HISTORY: A 68-year-old Hispanic male presented to the clinic for removal of skin tags at both his axillae and around his neck. They had been present for a long period of time and they had interfered with his shirt collar and his necklace. He has a history of controlled type II diabetic mellitus, hypertension. He has no personal or family history of skin cancer. He had a cholecystectomy at the age of 25. He lived on a farm and had been frequently exposed to sunlight on a daily basis. He admitted occasional alcohol consumption but denied any tobacco used. He was Fitzpatrick skin type IV with moderate to severe sun damage. He was overweight.

Multiple nodules arising in a tattoo

September 26, 2013

Presenter: Eugene Sanik DO, Jordan Fabrikant DO

Dermatology Program: Larkin Community Hospital / NSUCOM

CHIEF COMPLAINT: Multiple asymptomatic nodular lesions confined to the red areas of a new multicolored tattoo located on the left forearm

CLINICAL HISTORY: A healthy 57-year-old Caucasian male presents with multiple asymptomatic nodular lesions confined to the red areas of a new multicolored tattoo located on the left forearm. The tattoo was made two weeks earlier by the same professional artist who had done several tattoos for our patient in the past. Past medical history was negative for skin cancers and immunosuppression. Social history was significant for the patient who has been a World Trade Center rescuer with the New York Fire Department.

Woman with unusual nodules on her trunk and extremities

August 26, 2013

Presenter: Theresa Zaleski DO, Kelli Mayo Danowski DO, Kate Messana DO

Dermatology Program: St. Joseph Mercy Dermatology Program

CHIEF COMPLAINT: Nodules x 20 years

CLINICAL HISTORY: A 58-year-old Caucasian female presented with numerous slightly tender nodules on the trunk and upper and lower extremities for 20 years. No previous treatments. The patient’s past medical history was significant for previous leiomyomata of the uterus, resulting in a hysterectomy in the early 1990s. Otherwise, the review of systems was negative. Family history was positive for a renal mass of unknown type in the patient’s sister.