2018-2019 Academic Year Archives - Dermatology Grand Rounds

Focal Atypical Lymphoid Infiltrate with CD30 Positivity in a 36-Year-Old Male

Chief Editor — Fri, 25 Oct 2024 20:54:23 +0000

Presenter: Victoria Comeau, DO, Alexandria Glass, DO, David Lemchak, DO, Haley Lewis, DO, Caitlin Porubsky, DO

Dermatology Program: PCOM/North Fulton Hospital

CHIEF COMPLAINT: new growth under the right arm

CLINICAL HISTORY: A 36-year-old Caucasian male presented to the clinic with complaints of a new growth under the right arm that had been present for approximately 2 months and had progressively increased in size. He noted tenderness surrounding the lesion but aside from this, the lesion was asymptomatic. Review of systems was negative for any associated fevers, weight loss, night sweats, chest pain, shortness of breath, gastrointestinal discomfort, rash or edema. The patient had not received any previous treatment, as this was his initial presentation. He was, however, prescribed doxycycline due to concern for possible localized cellulitis. His past medical history was significant for hypertension, which was well controlled with Losartan. He denied any pertinent family history.

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Itchy lesion on a marathon runner

Chief Editor — Sun, 28 Oct 2018 07:08:42 +0000

Presenter: Adeline Kikam DO, Carlos A. Rivera MD

Dermatology Program: South Texas Dermatology Residency Program, Bay Area Corpus Christi Medical Center

CHIEF COMPLAINT: ¨Itchy lesion on right leg"

CLINICAL HISTORY: 36-year-old Hispanic male complaining of a lesion on the right lateral leg that began sometime around September of 2017. The patient recalls itching but no pain to the area followed by mild scaling. He does not recall any foreign travel around September of 2017 but he says he runs bushy trails around Houston, Dallas, and Austin. His last international travel was to Cancun Mexico in 2016. He self-treated with Neosporin and Hibiclens but it did not resolve. He denies any systemic symptoms such as fever, fatigue, and weight loss. All other review system questions and physical exam was unremarkable.

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Itchy Rash on Face and Body

Chief Editor — Wed, 24 Oct 2018 16:32:41 +0000

Presenter: Christopher Mancuso, DO

Dermatology Program: Saint Barnabas Hospital

CHIEF COMPLAINT: Rash on face and trunk

CLINICAL HISTORY: A 59yo female with diabetes and hypertension presents with an itchy and painful rash that began on the face and scalp and spread to body over the course of 2 months. Her rash began after sitting in the sun at her summer home in Pennsylvania. She reports a 40lb weight loss and denies fever, chills, nausea, vomiting, or arthralgias. Denies any new medications or recent illness. Has never had similar issues in the past. Previous treatment with topical steroids was moderately effective.

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