Category: 2017-2018 Academic Year

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A 32 year old male with a growth on his back

Presenter: Ryan T. Jones, D.O., PGY-3
Dermatology Program: MSU/Lakeland Regional Medical Center
Program Director: Mark Kuriata, D.O., F.A.O.C.D.
Submitted on: Nov 5, 2017

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

CLINICAL HISTORY:

Signs and symptoms:  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.

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Pigmented papulonodular rash following axillary lymphadenectomy

Presenter: Jonathan Bellew, DO
Dermatology Program: Advanced Desert Dermatology
Program Director: Vernon T. Mackey, DO
Submitted on: Sep 7, 2017

CHIEF COMPLAINT:  Violaceous hyperpigmented rash on the right upper body

CLINICAL HISTORY:

Signs and symptoms:  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.

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Eighty year old female with chronic lymphedema in left lower extremity

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
Program Director: Marcus Goodman, D.O.
Submitted on: Sep 7, 2017

CHIEF COMPLAINT:  80 year old female with a “spot” on the left leg

CLINICAL HISTORY:

Signs and symptoms:  The patient presented with a “blue” golf ball sized lesion which appeared on her left leg about 1.5 years ago and has gradually enlarged.

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Suspicious papules on nose, chest and back

Presenter: Angela Macri DO, Christopher Cook DO FAOCD, FAAD, Jonathan Crane DO FAOCD, FAAD
Dermatology Program: Sampson Regional Medical Center
Program Director: Jonathan Crane DO, FAOCD, FAAD
Submitted on: Sep 7, 2017

CHIEF COMPLAINT:  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.

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Chronic pruritic rash in a long-term care patient

Presenter: Brittany Grady, DO; Kevin Miller, DO; Charles Elias, DO; Shannon Wiedersum, DO; John Hassani, DO; Nicole Ruth, DO
Dermatology Program: Hackensack Meridian Health Palisades Medical Center
Program Director: Adriana Ros, DO
Submitted on: Jul 31, 2017

CHIEF COMPLAINT:  A 92-year-old Caucasian, male, long-term care patient presents with a complaint of a long-standing pruritic rash involving his back, hands, and feet.

CLINICAL HISTORY:

Signs and symptoms:  The nursing staff reported the rash to be present for the past year while he had been a long-term resident in their care. The rash began on the hands and had slowly spread to involve his trunk and lower extremities. The patient reported mild, but tolerable, pruritus associated with the rash. The patient denied fevers, chills, headaches, abdominal pain, shortness of breath, or recent weight changes.

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