2014-2015 Academic Year Archives - Page 3 of 4

Tender violaceous nodules on the lower legs

October 27, 2014

Presenter: Riddhi Shah, DO

Dermatology Program: MSUCOM/Lakeland Regional Medical Center

CHIEF COMPLAINT: Tender bumps on the lower legs x 8 weeks

CLINICAL HISTORY: An 18-year-old Caucasian female presented to the clinic with complaints of tender bumps on the lower legs for 8 weeks. Bumps were initially were red in color and then changed to a more purplish hue. The patient denied any joint aches, oral contraceptive use or pregnancy, new medications, or recent trauma/bug bite. Prior treatment included topical corticosteroid cream prescribed by her family doctor, which proved ineffective. Of note, the patient had a history of recent untreated sore throat and cough

Multiple seborrheic keratosis on the back

October 27, 2014

Presenter: Jacqueline Thomas, DO; Leeor Porges, DO; Khasha Touloei DO; Paloma Reiter, BA

Dermatology Program: Broward Health/Nova University

CHIEF COMPLAINT: several new lesions on back and inframammary region

CLINICAL HISTORY: A 59-year-old Caucasian female, with Fitzpatrick type III skin, with a history of hemochromatosis, Ehlers-Danlos syndrome, molar pregnancy, COPD, osteoarthritis, chronic pain syndrome, and chronic fatigue. The patient presented with several new lesions of concern on her back and inframammary region. No previous treatments.

Reoccurring lesions on arms of HVAC worker

October 27, 2014

Presenter: Jennifer David, DO, MBA

Dermatology Program: Larkin Community Hospital

CHIEF COMPLAINT: Reoccurring growths on forearms

CLINICAL HISTORY: 52 y/o Caucasian male presented to our clinic complaining of reoccurring growths on bilateral forearms that would come and go for the past year. Lesions would begin as small pink papules that would grow over the course of a few weeks, then ulcerate and eventually self resolve. No previous treatments. Of note, the patient works as an HVAC (heating and air conditioning) repairman. When questioned about exposure to caustic materials at work, he did admit to exposure of his forearms to Freon while repairing larger units and frequently scratching his arms while reaching beneath the units.

Atypical facial scarring after the initiation of isotretinoin

August 27, 2014

Presenter: Wai Ping Chan DO, Kevin Svancara DO, Vernon T. Mackey DO

Dermatology Program: Advanced Desert Dermatology

CHIEF COMPLAINT: Scarring and cystic acne of the face and neck after receiving 5 months of isotretinoin for nodulocystic acne by his previous dermatologist

CLINICAL HISTORY: 17 y/o, healthy Caucasian male presents with scarring and cystic acne of the face and neck after receiving 5 months of isotretinoin for nodulocystic acne by his previous dermatologist. Painful cystic acne with scarring and fluctuant masses formed on the face and neck for 18 months. The patient denies involvement of other body areas including the chest, back, axilla, lower abdomen, or groin area. The patient denies any fever, joint pain, muscle aches, or other systemic complaints.

Man with a rapidly growing facial tumor

August 27, 2014

Presenter: Kristen Whitney DO, Michael Mortazie DO, Travis James DO, Carolyn Ellis DO

Dermatology Program: St Joseph Mercy Dermatology Program

CHIEF COMPLAINT: 9 month history of a rapidly growing mass on the left maxilla.

CLINICAL HISTORY: A 70-year-old Caucasian male with an unremarkable past medical history presented with a nine-month history of a rapidly growing mass on the left maxilla. The patient denied any systemic symptoms including fever, chills, sweats, or rapid weight loss. He denied any facial pain, paresthesias, or bleeding to the area.