Exploring a Rare Chronic Nodule in the Extremity

Presenter: Eric Sandrock, DO, Thomas L Davis, MD, Rick Lin, DO

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

CHIEF COMPLAINT:  “I have a hard lump on my finger ”

CLINICAL HISTORY: A 10-year-old male with no significant past medical or surgical history presents to our clinic for a solitary lesion overlying the distal left index finger. He describes it as “hard” and stated it has been present and stable for the past year. He denied any trauma to the area, restriction in range of motion, or tenderness to palpation. He denied any recent weight loss, fevers, or chills. He denied any personal or family history of similar lesions or skin cancer.   

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Hypopigmented and Atrophic Patch on Neck

Presenter:  Francisca Valenzuela, MD, Thomas L Davis, MD, Michael Hohnadel, DO

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

CHIEF COMPLAINT:  “I have a pale spot on my neck”

CLINICAL HISTORY: A 14-year-old Hispanic female with a history of acne vulgaris presents to our clinic with concern for a hypopigmented, atrophic patch on the left side of her neck. Per the patient’s mother, she first noticed the lesion when she took the patient to the pediatrician a few days prior to this visit. The patient tried topical benzoyl peroxide-clindamycin gel on the spot that was prescribed for her back acne. She denied itching, pain, or systemic symptoms. She also denies recent travel, sick contacts, excessive sweating, smoking, alcohol, or illicit drug use. Patient denies any personal or family history of skin cancer. 

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