Dr Rosen is Professor of Dermatology at Baylor College of Medicine and Chief of the Dermatology Service at the Veterans Affairs Medical Center, both in Houston, Texas.
WELCOME
Dermclinic features clinical cases with images submitted by pediatricians. These cases are chosen for their teaching value. We invite you to submit your own cases and share them with colleagues.
A 24 year-old woman presented with a chief complaint: “Check a funny mole.” Her boyfriend pointed out that a single mole on her back looked “different.”
A 27-year-old woman was petting her cat, when the animal suddenly bit her on the arm. She rinsed copiously with isopropyl alcohol and applied an over-the-counter antibiotic ointment. But, 12 hours later, a large, red, swollen, and exquisitely tender plaque had developed around the bite site.
During the past year, a 48-year-old man has had joint pain as well as this worsening rash on his hands. He is a construction worker, and he attributes the symptoms to his occupational exposure.
For several months, this 64-year-old man has had persistently dry lips despite frequent application of lip balm. He is otherwise healthy, and the lips are asymptomatic except for the dryness.
The mother of this 18-month-old boy brings him to your office for evaluation of a pigmented lesion of 2 months’ duration on the right anterior shoulder. When the lesion is rubbed, it becomes red and inflamed and occasionally a blister forms.
A 56-year-old man has had progressive, erythematous plaques across the forehead and temples for the past few weeks. He describes these areas as “a little itchy and a little tender.”
After 6 weeks of scratching a very itchy, worsening rash on his left leg, a 53-year-old man seeks medical evaluation. He has tried over-the-counter (OTC) topical remedies with no success.
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