Category: 2010-2011 Academic Year

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Soft asymptomatic lesion on the back

Presenter: Jonathan Cleaver D.O., Peter Knabel D.O
Dermatology Program: Northeast Regional Medical Center
Program Director: Lloyd Cleaver D.O
Submitted on: Jun 5, 2011

CHIEF COMPLAINT:  Soft asymptomatic lesion on the upper mid-back.

CLINICAL HISTORY:

Signs and symptoms:  A 16-year-old well developed female presents to the clinic for evaluation of a lesion on her back that has been present since she was an infant. The lesion has continued to increase in size as she has developed. The lesion is asymptomatic and the patient denies tenderness, drainage, bleeding, or color change. No one else in the family has a similar lesion. She has been healthy since birth and there is no significant family medical history reported. The patient is on no medication.

Previous Treatment:  The lesion has been manipulated by the mother multiple times trying to express material from the lesion. She has been unsuccessful at these attempts.

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Patchy alopecia

Presenter: Stacy Rosenblum, D.O, Amanda Beehler, D.O. Amy Spizuoco D.O. Mariel Bird, D.O.
Dermatology Program: LECOMT/Alta Dermatology
Program Director: Stephen Kessler, D.O.
Submitted on: Feb 3, 2011

CHIEF COMPLAINT:  “Bald spots on scalp”

CLINICAL HISTORY:

Signs and symptoms:  A 32-year-old Caucasian male presented with a progressive, one-month history of hair loss in patches. He denied loss of hair anywhere else on his body or any other skin lesions. He was otherwise healthy and had no significant past medical history or history of major medical illness in his family.

Previous Treatment:  He had been seen by his primary care physician and was using Nystatin once a day for 4-5 days with no improvement.

Other information:  He is married, and denied the use of tobacco or alcohol. Upon further questioning, the patient did admit to extramarital relations.

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Pearly, pink protuberant tumor on the upper extremity

Presenter: Joseph Del Priore, DO
Dermatology Program: Western University/ Pacific Hospital
Program Director: David C. Horowitz, DO FACD
Submitted on: Jan 21, 2011

CHIEF COMPLAINT:  Bump on arm

CLINICAL HISTORY:

Signs and symptoms:  A 19-year-old male presented with a pink, shiny 3 cm protuberant nodule on his right upper extremity that grew rapidly over 2 months.

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Progressive hyperpigmented patches

Presenter: Zaina Rashid DO
Dermatology Program: Midwestern University/ Arizona Desert Dermatology
Program Director: Don Anderson DO
Submitted on: Dec 28, 2010

CHIEF COMPLAINT:  Brown patch in both armpits for three months

CLINICAL HISTORY:

Signs and symptoms:  A 73-year-old man presented with asymptomatic dark brown patches in the axillary area for 3 months duration.

Previous Treatment:  None

Other information:  There was no history of prolonged sun exposure or trauma in that area. The patient denied any symptoms of pain or pruritus. The patient past medical history includes hypertension with atenolol being his only medication.

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