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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