Presented by the South Texas Dermatology Residency Program
Presenter: Dan J. Ladd, DO, Rick Lin DO MPH
Dermatology Program: Texas Division of KCOM Dermatology Residency Program
Program Director: Bill V. Way, DO
Submitted on: Jul 30, 2003
CHIEF COMPLAINT: a 74-year-old caucasian male presents with a lesion on the left ear that has been slowly growing for 1 year.
Presenter: Suzanne Sirota Rozenberg, D.O.,Scott Goffin, D.O., Darren DiGulio, D.O., Yelva Lynfield, M.D., Marvin Watsky, D.O.
Dermatology Program: St. John’s Episcopal Hospital, Far Rockaway, New York
Program Director: Marvin Watsky, D.O.
Submitted on: May 30, 2003
CHIEF COMPLAINT: complaints of an itchy, dark rash on upper back for 5 years
CLINICAL HISTORY:
Signs and symptoms:
Previous Treatment: The patient states that he was treated in Yemen with unknown topical medications. He states that he had some resolution, but then had recurrences.
Presenter: Mary Veremis-Ley DO and Michelle Endicott DO
Dermatology Program: University Hospitals of Cleveland-Richmond Heights
Program Director: Monte Fox, D.O.
Submitted on: Apr 30, 2003
CHIEF COMPLAINT: Patient came to the office complaining of redundant skin around his neck with a yellow discoloration
CLINICAL HISTORY:
Signs and symptoms: On a review of systems, the patient admits to having had a number of laser surgeries to his eyes and has been legally blind since 1996. He reports his sister has similar problems with her eyes but her neck is normal in appearance. Upon further questioning, the patient states he underwent triple bypass surgery two years ago.
Presenter: Roger C. Byrd D.O., David R. Byrd M.D. and Mark Hinkson D.O
Dermatology Program: St. John Oakland, Madison Heights, MI
Program Director: Anthony Cardellio, D.O.
Submitted on: Feb 28, 2003
CHIEF COMPLAINT: EF, a 73-year-old Caucasian female, was seen about a year ago for evaluation of multiple papules on her cheeks and nose.
CLINICAL HISTORY:
Signs and symptoms: The lesions are asymptomatic but have gradually increased in number since the time of menopause. The patient’s mother and sisters have similar lesions on their faces, which also started around menopause. However, 4 daughters are currently unaffected by this process. The patient’s past surgical history includes colonoscopy, left breast lumpectomy, and removal of kidney stone. Her medications include Fosamax and Premarin. Her past dermatologic history includes treatment of actinic and seborrheic keratoses.
Presenter: Christian B. Anderson DO PharmD RPh, Tom Mackey DO
Dermatology Program: AZCOM/KRMC/Az Desert Dermatology
Program Director: Don A. Anderson DO
Submitted on: Jan 29, 2003
CHIEF COMPLAINT: 4 yr old with unresponsive fever, irritability, adenopathy, orolabial erythema/fissures adenopathy, and distal edema.
CLINICAL HISTORY:
Signs and symptoms: Patient is a Caucasian male with 7day history of fever >102.5, malaise, anorexia, and irritability followed by a nonpruritic truncal eruption on day 2 then a progressively worsening conjunctival injection (mild), orolabial and nostril dryness and fissures, cervical adenopathy, and swollen/painful distal extremities. All of which proved to be unresponsive to acetaminophen, ibuprofen, amoxicillin, and azithromycin as variably dose by the patient’s primary physician during the 7 days prior to referral to our clinic