Patient with a 5 year long history of brown macule on left zygoma

Presenter: Soham Chaudhari, DO, Carlos Rivera, MD, Thomas L Davis, MD Rick Lin, DO
Dermatology Program: South Texas Dermatology Residency program
Program Director:Rick Lin, DO
Submitted on: Dec 1, 2018

CHIEF COMPLAINT:  Brown solitary macule on the left cheek

CLINICAL HISTORY:

A 38-year-old female with no past medical history who was referred to our dermatology clinic from her PCP for a lesion that has been present for 5 years. The patient denies any surgical history, medication use, allergies, or any type of family history of skin cancer. The patient also denies smoking, drinking alcohol, or use of illicit drugs.

Continue reading “Patient with a 5 year long history of brown macule on left zygoma”

Pink papules on both arms

Presenter: Jeffrey Harbold, DO, Carlos A. Rivera MD, Rick Lin, DO, Michael Hohnadel, DO, Thomas L Davis, MD
Dermatology Program:  South Texas Dermatology Residency Program, Bay Area Corpus Christi Medical Center
Program Director: Rick Lin, DO MPH

Submitted on: October 7, 2019

CHIEF COMPLAINT:  ¨I have skin lesions on both arms”

CLINICAL HISTORY:

Signs and symptoms: A 45-year-old Hispanic male with a past medical history of Down syndrome was referred to our clinic with an 8-year history of numerous crops of hyperpigmented confluent smooth papules. Lesions originated on the flexural surfaces of both arms with subsequent spread to the lower torso and legs, with facial sparing. The patient reported occasional mild pruritus but denied any associated pain. Other dermatologic history include biopsy-confirmed scabies in 2015 successfully treated with topical permethrin and a history of rosacea controlled with metronidazole gel and an occasional oral minocycline. There was no significant dermatologic family history reported.

Continue reading