St. Barnabas Hospital Dermatology Department Archives - Page 2 of 3

Unilateral hyperpigmented axillary eruption

May 26, 2007

Presenter: Risa Gorin, DO

Dermatology Program: St. Barnabas Hospital Dermatology Department, Bronx, New York

CHIEF COMPLAINT: Unilateral Hyperpigmented Axillary Eruption

CLINICAL HISTORY: A 71-year-old Hispanic female with a past medical history of insulin-dependent diabetes, and left cerebral vascular accident was referred by her primary care physician for evaluation of a unilateral, hyperpigmented rash located in the right axilla. According to the patient the rash had been present for three weeks. She admitted to using copious amounts of deodorants in the area. The patient denied any symptoms of pruritus or burning. Prior to the presentation, she did not receive any treatment for her rash.

Large, Itchy Bumps All Over the Body

January 25, 2005

Presenter: Nilam Amin DO PGY-3, Marcy Alvarez DO PGY-2, Raymond Ramirez DO PGY-2

Dermatology Program: New York United Medical Center, New York

CHIEF COMPLAINT: Large, Itchy Bumps All Over the Body x 3 days

CLINICAL HISTORY: 60 years old Hispanic male presented with with diffusely spread large, pruritic and painful bumps for three days. Denies burning, discharge, fever or other constitutional symptoms. Has tried topical corticosteroids, blinded biologic trial drug for psoriasis (name unknown), phototherapy, and etanercept (Enbrel®). This patient was diagnosed with chronic plaque psoriasis in 1989. He had been treated with multiple different regimens without significant improvement. Three months prior to his presenting complaint, he has treated with etanercept 25 mg SQ injections BIW. He discontinued etanercept after two months of treatment secondary to the complaint of severe headache. The patient presented to our clinic five months after discontinuation of the injectable biologic. He denies other psoriasis treatments between the time of discontinuation and the outbreak of his eruption. He denies household contacts with similar complaints, recent travel, or prior episodes of similar lesions.

Growth on the Left Foot

January 25, 2005

Presenter: Suleman Bangash, DO, and Carissa Summa, DO

Dermatology Program: New York United Medical Center, New York

CHIEF COMPLAINT: Growth on the Left Foot

CLINICAL HISTORY: Patient with Milroy’s disease (congenital lymphedema) presented with a new growth on left foot that was slightly tender to palpation. She reported that the lesion began as a brown patch and slowly enlarged to a dome-shaped nodule over several years. She also reported multiple similar, but smaller lesions on her upper and lower extremities and trunk. The patient was only taking Hydrochlorothiazide for the lower extremity edema.

Disseminated Papules

August 31, 2003

Presenter: Igor Chaplik, D.O., Charles Gropper, M.D., Cindy Hoffman, D.O.

Dermatology Program: St. Barnabas Hospital Dermatology Department, Bronx, New York

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

Red nodule

May 29, 2002

Presenter: Debbbie Palmer, DO and Dimitria Papadopoulos, DO

Dermatology Program: St. Barnabas Hospital Dermatology Department, Bronx, New York

CHIEF COMPLAINT: bilateral lower extremity edema and a growing red nodule

CLINICAL HISTORY: A 45-year-old Black male was presented from the nursing home with a one-week history of bilateral lower extremity edema and a few months of a nonpruritic, progressively enlarging growth on his left foot. This growth has bled with mild trauma. His past medical history is significant for HIV, endocarditis, cardiomegaly, congestive heart failure, intravenous drug abuse, end-stage renal disease, and pneumonia. The patient has not received any previous treatment for his current condition. His medication regimen includes methadone, temazepam, zolpidem, calcium carbonate, calcitriol, folic acid, a multivitamin, ferrous sulfate, and trimethoprim-sulfamethoxazole.