Dermclinic

A 53-year-old man became concerned when ever-increasing numbers of painful oral lesions developed on the buccal mucosa and tongue. Eating a bland diet did not help.

An 80-year-old-woman was seen as an inpatient hospital consult. A persistent pruritic eruption had developed acutely on the legs.

A 66-year-old woman presented with pruritic, burning skin “lesions” at the corner of her mouth. Recent complete blood count, biochemistry panel, urinalysis, chest film, and pap smear were negative or normal with the exception of an elevated fasting blood glucose (200 mg/dL).

A 67-year-old woman noted the appearance of several non-tender, rock-hard, purple-colored nodules on her legs. Her past medical history was significant for distant non-Hodgkin’s lymphoma.

A 40-year-old man sought advice regarding therapeutic options for an asymptomatic, “red spot” on the flank. Review of systems was entirely negative.

A 56-year-old woman noted the abrupt onset of several, very painful, ulcerations located on her back. The patient had known (and active) Crohn’s disease, clinical depression requiring ongoing psychiatric care, and borderline diabetes mellitus

A 32-year-old woman presents with a swollen, painful fourth digit on the right hand. While housecleaning, a traumatic erosion developed on the ipsilateral hyponychium.

A 78-year-old man sought medical attention after noting a non-tender, subtle “hole” in his forehead. The firm lesion was asymptomatic.

A 63-year-old woman presented for medical attention relating to the acute onset of an intensely pruritic, oozing eruption along the hairline, behind the ears and on the upper face. This eruption followed the first use of a new shampoo product.

A 56-year-old woman insisted on an “emergency” appointment due to the relentless appearance of pruritic skin “lesions” on the arms and legs. She admitted to manipulating the skin (scratching, picking, gouging) in an attempt to lessen associated itching.

A 59-year-old woman presents for evaluation of a painful, draining neck lesion. She is a native of India and returns to her home country yearly to visit relatives.

A 45-year-old woman noted painless, red, crusted papules on the hand. This was followed by the appearance of deep, slightly tender red nodules on the arm and ipsilateral axillary adenopathy.

A 57-year-old obese woman with known and poorly controlled type 2 diabetes presented with the sudden onset of “yellow bumps all over.” Representative lesions on the back and elbows are shown.

A 26-year-old African-American woman presents for help with “pimples” on both sides of the nose. She is ostensibly healthy and takes no medications.

A 26-year-old woman notes the insidious onset of an abnormal nail. The nail plate gradually grew away from the underlying nail bed and then began to elevate in a tented fashion.