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Intermittent Upper Body Eruption

Presenter: Megan Goff, DO
Dermatology Program: WUHS/COMP AZ Derm program
Program Director: Stephen Kessler, D.O.
Submitted on: Feb 29, 2004

CHIEF COMPLAINT:  Intermittent upper body eruption for several months

CLINICAL HISTORY:

Signs and symptoms:  mild pruritus

Previous Treatment:  none.

Other information: The patient believed it first appeared after a radiographic study with contrast for follow up of her metastatic breast carcinoma. The patient’s medical and surgical history was significant for left breast ductal carcinoma T1N0 status post modified radical mastectomy (8/86), metastasis to the mediastinum and retrocrural lymph nodes status post-chemotherapy completed 3/92, resection of left adrenal metastasis (10/92), and solitary brain metastasis, status post craniotomy, resection, X-ray therapy (10/96).

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Lesion on Right Forehead

Presenter: Rick Lin DO MPH, Dan J Ladd DO
Dermatology Program: Kirksville College of Osteopathic Medicine Dermatology Department
Program Director: Bill V. Way, DO
Submitted on: Dec 29, 2003

CHIEF COMPLAINT:  A spot on the right forehead

CLINICAL HISTORY:

Past history of basal cell carcinoma. Patient returns for a follow-up visit to be monitored for possible recurrence of Skin Cancer and to evaluate skin for the possible development of new pre-cancers. The patient did not know how long the spot on the right forehead had been there. The lesion is asymptomatic.

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Progressively Enlarging Papule

Presenter: Jocelyn E. Harris, DO
Dermatology Program: Lehigh Valley Hospital
Program Director: Stephen Purcell, D.O.
Submitted on: Dec 11, 2003

CHIEF COMPLAINT:  A progressively enlarging papule on the patient’s left cheek

CLINICAL HISTORY:

Signs and symptoms:  The patient stated the lesion had no discharge and was neither tender nor pruritic. She denied any history of similar lesions. She also denied fever, night sweats, heat/cold intolerance, and weight fluctuation.

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Generalized Pustules

Presenter: Peter Vitulli Jr. D.O. Third year resident, Chris Manlio D. O. first year resident
Dermatology Program: North Broward Hospital District
Program Director: Stanley E. Skopit D.O.
Submitted on: Nov 30, 2003

CHIEF COMPLAINT:  A 17-year-old Hispanic female was admitted to the hospital with fever, malaise, and a skin rash with suspected bacteremia.

CLINICAL HISTORY:

Signs and symptoms: The patient complained initially of pruritis with the subsequent burning pain of skin, which worsened with movement. The patient had concomitant fever up to 103.7, nausea, anorexia, and malaise.

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Disseminated Papules

Presenter: Igor Chaplik, D.O., Charles Gropper, M.D., Cindy Hoffman, D.O.
Dermatology Program: St. Barnabas Hospital Dermatology Department, Bronx, New York
Program Director: Cindy Hoffman, D.O.
Submitted on: Aug 31, 2003

CHIEF COMPLAINT:  Fever, cough, intermittent headaches, weakness, shortness of breath, and a twenty-pound weight loss over the last month.

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