2017-2018 Academic Year Archives - Page 2 of 3

Growing lesion on the cheek of a 12-year-old female

December 7, 2017

Presenter: Michelle Elway, DO

Dermatology Program: Colorado Dermatology Institute/Rocky Vista University

CHIEF COMPLAINT: new, growing lesion on her left cheek

CLINICAL HISTORY: A 12-year-old female was referred to our office by her Pediatrician complaining of a new, growing lesion on her left cheek. The patient and her mom reported that the lesion appeared approximately one month prior as a small reddish spot, which has since grown significantly. The patient denied changes in color, bleeding, ulceration, pain, pruritis, or crusting of the lesion. She also denied any systemic systems. They had no other concerns at that time. No previous treatments. The patient had no past medical history to note. Family history was non-pertinent.

A 32 year old male with a growth on his back

November 4, 2017

Presenter: Ryan T. Jones, DO

Dermatology Program: MSU/Lakeland Regional Medical Center

CHIEF COMPLAINT: A itchy, irritated growth on the back.

CLINICAL HISTORY: The patient is a 32-year-old male who presented to our clinic with a complaint of a growth on his back which had been present for one year only. The growth is irritated and itchy but is not tender or painful. Over the course of the year the lesion has very slowly enlarged with increased itch/irritation. The patient denied any changes in color or shape since he first noticed the lesion. He also denied any other concurrent skin findings or rashes since onset. No previous treatments. He denies any previous personal or family history of skin cancer, autoimmune, or rheumatologic disease. He denies having any known medical problems other than seasonal allergies, has not had any surgeries, has no significant family history, and denies any known allergies.

Pigmented papulonodular rash following axillary lymphadenectomy

September 30, 2017

Presenter: Jonathan Bellew, DO

Dermatology Program: Advanced Desert Dermatology

CHIEF COMPLAINT: Violaceous hyperpigmented rash on the right upper body

CLINICAL HISTORY: A 79-year-old Caucasian male presented to the outpatient office setting with a six-month history of progressive asymptomatic violaceous-black pigmented papules, plaques, and nodules of the right shoulder, axilla, chest, upper abdomen, and lateral trunk. The patient denied systemic complaints, pain, pruritis, or discomfort. Two months prior to the skin eruption the patient underwent primary resection of a right mid-back malignant melanoma. The melanoma was histologically classified as superficial spreading and nodular type with a Breslow’s thickness of 1.4 mm and Clark’s level IV, with no ulceration, lymphovascular invasion, or satellitosis. Sentinel node biopsy showed extension to the right axillary lymph nodes prompting axillary lymphadenectomy.

Eighty year old female with chronic lymphedema in left lower extremity

September 27, 2017

Presenter: Victoria Comeau, D.O., Alexandria Glass, D.O., Caitlin Porubsky, D.O., Carmen Julian, D.O., Marcus Goodman, D.O.

Dermatology Program: PCOM Dermatology Residency

CHIEF COMPLAINT: “spot” on the left leg

CLINICAL HISTORY: 80 year old female presented with a “blue” golf ball sized lesion which appeared on her left leg about 1.5 years ago and has gradually enlarged. No previous treatments. The patient has a past medical history of coronary artery disease, type 2 diabetes mellitus, depression, hypertension, and severe left leg lymphedema. Her lymphedema started in the 1960’s after a radical total abdominal hysterectomy and bilateral salpingo-oophorectomy (TAHBSO) secondary to cervical cancer. Her lymphedema had been stable, but progressed over the last few years.

Suspicious papules on nose, chest and back

September 27, 2017

Presenter: Angela Macri DO, Christopher Cook DO FAOCD, FAAD, Jonathan Crane DO FAOCD, FAAD

Dermatology Program: Sampson Regional Medical Center

CHIEF COMPLAINT: new lesions that appeared on her nose, chest, and back

CLINICAL HISTORY: A 41 year old Caucasian female presented to our dermatology clinic for new lesions that appeared on her nose, chest, and back over the past year. The lesions were not changing in size, were not painful or pruritic, and have not bled. No prior treatments. Her past medical history included colon cancer diagnosed at age 21, depression, GERD, squamous cell carcinoma of the vulva, and basal cell carcinoma diagnosed at age 25. Surgical history included total hysterectomy, colectomy, vulvectomy, and cholecystectomy. Her family history on her paternal side included colon cancer diagnosed in her father, grandfather, aunt, and two uncles. Her paternal aunt was diagnosed with breast cancer.