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Enlarging Skin Lesion Since Birth

Presenter: Dr. Suzanne Sirota Rozenberg, PGY3, Dr. Norma Montiel, PGY2
Dermatology Program: St. Johns Episcopal Hospital, South Shore, Far Rockaway, New York
Program Director: Marvin Watsky, D.O.
Submitted on: Sep 1, 2004

CHIEF COMPLAINT: 1-month-old female presents with an enlarging skin lesion since the birth of the right forearm, wrist, and hand.

CLINICAL HISTORY:

Signs and symptoms:  The mother states that the lesion has been present since the baby was born and has been getting bigger. The child demonstrates a full range of motion of the arm, no crying, crankiness, or failure to thrive.

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Change in the Color and Texture of Hair

Presenter: Scott A. Smith, D.O.; Mary Veremis-Ley, D.O.; Michelle L. Endicott, D.O.; Melissa Camouse, D.O.; Mary A. Evers, D.O.
Dermatology Program: University Hospitals of Cleveland, Richmond Heights
Program Director: Monte Fox, DO
Submitted on: Aug 1, 2004

CHIEF COMPLAINT:  A now, 2-year-old girl, presented to the clinic at the age of 11 months. She had a 4-month history of change in the color and texture of her hair. Per the patient’s mother, her hair had gradually gotten lighter, kinkier, and more difficult to comb. The mother denies any hair loss or breakage. The patient is otherwise healthy. Growth and development have been normal. The patient takes no medicines. The patient’s 1-year-old sister is now experiencing similar complaints. The patient’s great aunt had similar hair complaints as a child, which subsequently improved with her age.

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Painful Lesions in the Mouth

Presenter: Scott C. Wickless, DO; Amy B. Cardellio, DO; Anthony Cardellio, DO
Dermatology Program: St. John Oakland Hospital
Program Director: Amy B. Cardellio, DO
Submitted on: Jul 1, 2004
CHIEF COMPLAINT:
Painful lesions in the mouth

CLINICAL HISTORY:

Signs and symptoms: Mild to moderate pain of the mouth and tongue for approximately five years.
Previous Treatment: Semi-controlled with topicals (steroid and antifungal preparations).
Other information: “Spots” appearing sporadically on the scalp. No history of bone marrow transplant, hematopoietic stem cell transplantation, transfusion of unirradiated blood products, or solid organ transplantation.

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Sudden Onset of Disseminated Papules

Presenter: Charmaine Jensen, DO; Rene Bermudez, DO; Dimitry Palceski, DO; Theresa Ng, DO
Dermatology Program:  Cuyahoga Falls General Hospital
Program Director:  Schield Wikas, D.O.
Submitted on:  Apr 21, 2004
CHIEF COMPLAINT: 
 “Raised bumps all over my body”

CLINICAL HISTORY:

Signs and symptoms: moderate pruritus
Previous Treatment:  Retin-A cream and cryosurgery
Other information: He had been in a hot tub two weeks prior to the onset of his lesions. The suddenly appeared suddenly on his knees and elbows and subsequently spread to his abdomen, lower back, thighs, and buttocks. He presented to the emergency department and was diagnosed with molluscum contagiosum. No other family members are affected. He has a history of diabetes mellitus type 2 and had not been on his medications for several months because of financial constraints. He denied having any nausea, vomiting, or abdominal pain.

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Enlarging Nodule on Right Middle Finger

Presenter: Valerie Johnson, D.O., Marya Cassandra, D.O., Greg Houck, D.O., Kristin Witfill, D.O., Matt Muellenhoff, D.O., Thi Tran, D.O.
Dermatology Program: Sun Coast Hospital (NOVA Southeastern University)
Program Director: Richard Miller, D.O.
Submitted on: Mar 30, 2004

CHIEF COMPLAINT:  Recurring and rapidly enlarging nodule on the right middle finger

CLINICAL HISTORY:

Signs and symptoms:  Cosmetically disfiguring

Previous Treatment:  Previously excised by hand surgeon at age 2 months

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