Tag: St. John Oakland

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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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Multiple Papules on Cheeks and Nose

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.

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