The Case A 68-year-old woman with a past medical history of Charcot-Marie-Tooth presents with thickening of the skin on her trunk and extremities, which she has had for the past seven months (see Figures 1 and 2). Her symptoms first began with swelling of her bilateral upper and lower extremities. She is now having difficulty…
Patients with conditions that don’t resolve with topical steroids are signal for referral
Recommendations on diagnosing, treating health conditions that cross over both specialties
Test your diagnostic knowledge with this case of multiple erythematous, slightly hyperpigmented waxy papules coalescing into plaques without scale over both distal lower extremities
Foot rash on man with hypertension
Test your diagnostic knowledge with this case of foot rash on a patient with hypertension
A 64-year-old man with history of type-II diabetes (well controlled on sitagliptin/metformin), hypertension, and dyslipidemia presents with complaints of an increasingly painful left lower-extremity lesion present for two to three months.
A 64-year-old man with history of type-II diabetes (well controlled on sitagliptin/metformin), hypertension, and dyslipidemia presents with complaints of an increasingly painful left lower-extremity lesion present for two to three months.
A 33-year-old woman presents with somewhat pruritic, nodular lesions worsening over the past three months in the site of a newly placed tattoo. The nodules are restricted to certain portions of the tattoo only.
Figure 2: Hematoxylin and eosin stain from punch biopsy of lesional skin demonstrated sarcoidal granulomas, inflamed. Review the case… The correct answer is D) Sarcoidosis: This patient’s first presentation of sarcoidosis consisted of skin lesions that were sarcoidal granulomas localized to a single pigment color within her tattoo (note the red pigment areas only are affected)….