Chronic axillary rash

Presenter: Jessica Kim DO
Dermatology Program: Palm Beach Consortium Graduate Medical Education
Program Director: Robin Shecter DO
Submitted on: Apr 27, 2018

CHIEF COMPLAINT:  Chronic bilateral axillary rash which developed over the course of a year

CLINICAL HISTORY:

Signs and symptoms:  Rash is asymptomatic without any blisters or weeping. It is only localized to the axillae.

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Multiple papules and nodules in female patient

Presenter: Danielle Raffaella Lazzara, DO
Dermatology Program: Larkin Community Hospital Palm Springs
Program Director: Brad Glick, DO, MPH, FAOCD, FAAD
Submitted on: Apr 27, 2018

CHIEF COMPLAINT:  Sixty-six year old Hispanic female presented with a 1 year history of multiple, brown lesions located to the neck, chest, and upper back.

CLINICAL HISTORY:

Signs and symptoms:  The lesions were noted to be stable and asymptomatic with no aggravating factors. Patient denied fever, chills, arthralgia, weight loss, cough, shortness of breath, uveitis, back pain, abdominal/pelvic pain, hematuria, and dysuria.

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A man with vegetative plaques and oral erosions

Presenter: Carl Barrick, DO and Tanya Ermolovich, DO
Dermatology Program: Lehigh Valley Health Network/PCOM
Program Director: Stephen Purcell, DO
Submitted on: Feb 28, 2018

CHIEF COMPLAINT:  34 year-old Caucasian male with vegetative plaques right axilla, umbilicus, bilateral inguinal folds and scrotum with extension to anus.

CLINICAL HISTORY:

Signs and symptoms:  History of Present Illness: The patient presents with ulceration and crusting of his nose and lips for six weeks. He has had thick, crusted lesions and swelling of his scrotum for three months. The lesions are asymptomatic although the ulcerations in his mouth are painful. He admits to feeling well without fevers, chills, dysphagia, diarrhea, abdominal pain, or joint pain.

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Generalized blisters after nivolumab treatment

Presenter: Alyson Ridpath, DO PGY-3
Dermatology Program: OhioHealth O’Bleness
Program Director: Dawn Sammons, DO, FAOCD
Submitted on: Feb 21, 2018

CHIEF COMPLAINT:  A 67-year-old male with stage IV BRAF- and c-Kit-negative, NRAS-positive melanoma of unknown primary with metastases to the liver, lung and brain was started on nivolumab 3 mg/kg every two weeks.

CLINICAL HISTORY:

Signs and symptoms:  After 16 cycles over 32 weeks, he presented to the emergency department with a new, severe, pruritic, bullous eruption covering approximately 90% body surface area, and altered mental status

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

Presenter: Michelle Elway, DO
Dermatology Program: Colorado Dermatology Institute/Rocky Vista University
Program Director: Reagan Anderson, DO
Submitted on: Dec 4, 2017

CHIEF COMPLAINT:  A 12-year-old female was referred to our office by her Pediatrician complaining of a new, growing lesion on her left cheek.

CLINICAL HISTORY:

Signs and symptoms:  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.

 

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