Skin Diseases

Vascular warts can be messy to remove. Luckily, and old-fashioned trick can make wart removal easier.

Tinea corporis typically presents as an annular erythematous plaque with a raised leading edge and scale. Granuloma annulare classically presents with 1 or more indurated, erythematous or violaceous annular plaques on the extremities. Here, more on diagnosis and treatment.

Primary cutaneous squamous cell carcinoma: the appearance of this lesion alone suggests the proper diagnosis.

Are these lesions skin cancers, as this patient believes?

Here: Ted Rosen, MD, presents 5 tips about 5 skin disorders that you might not know.

A 38-year-old openly homosexual man presented with cough and multiple asymptomatic skin lesions on his face.

A 42-year-old homemaker noticed a discoloration on her palm. There were no symptoms, but she was greatly perturbed by her inability to wash this “dirt” off her skin . . .

Here: Dr Rosen presents 5 tips about 5 skin disorders that you might not know.

Here: Dr Rosen presents 5 tips about 5 skin disorders that you might not know.

This 66-year-old black woman presented with a 2-year history of a painless skin eruption. She stated that her skin had “changed overnight” while she was caring for her mother who had been hospitalized.

Here: Ted Rosen, MD, presents 5 tips about 5 skin disorders that you might not know.

Here: Ted Rosen, MD, presents 5 tips about 5 skin disorders that you might not know.

Here: Ted Rosen, MD, presents 5 tips about 5 skin disorders that you might not know.

Following his routine rosacea follow-up visit, this 58-year-old man incidentally asked about a lesion on his left third digit. He pointed out a dime-sized, red, scaly patch on the dorsal aspect of the distal portion of the knuckle that extended toward the end of the finger.

An 8-year-old child has intensely pruritic lesions on the thumbs, adjacent dorsum of the hand, soles of the feet, and navel. Vital signs are normal. The patient is otherwise healthy and has no recent history of exposure to poison ivy.

Acanthosis nigricans is a nonspecific increase of the thickness of the prickle cell layer of the skin and most commonly seen in obese persons.

Match each picture with the phrase below that best describes it. The pathogenic organisms in these picturesmight be microscopic or macroscopic, and they can be recovered from skin lesions or clothing by the patientand/or clinician. Answers and discussion appear on the following page.

Here: a succinct review of the diagnosis and treatment of pemphigus vulgaris, dermatomyositis, cicatricial pemphigoid, linear IgA bullous disease, coma bullae, and stasis bullae.

Certain papulosquamous and bullous diseases are more common in older adults than in younger persons. For example, bullous pemphigoid typically affects those in the fifth through seventh decades of life. Grover disease, or transient acantholytic dyskeratosis, is most common in white men older than 65.

Two skin carcinomas that are in close proximity can be removed in a single excision.

A 54-year-old woman presents for an initial consultation. She has multiple chronic disorders, including type 2 diabetes mellitus and hypertension, for which she takes various medications-none of which are new.

The mother of a 10-year-old boy brings him in for evaluation of his moles (which are all benign). During the visit, the mother asks about the lesions on the first 2 knuckles of his right hand; she initially noticed them several months earlier.

A 26-year-old white male aviator presents to his primary care physician for his annual military physical examination. The patient is healthy, takes no medications, and has no history of serious medical disorders. Genital examination reveals multifocal, confluent, slightly variegated, hyperpigmented macules with irregular borders located in a circumferential distribution on the penile shaft and glans.

A 37-year-old man presented to the emergency department with painful, burning, blistering skin lesions. The lesions started 3 days earlier on the face and spread to the trunk and extremities. Ten days before presentation, the patient had received a diagnosis of AIDS.

Men who have undergone localprocedures in the genital or analarea (eg, abscess drainage) find itdifficult to get a bandage to adhereto the skin because of the pubichair.

For 5 days, a 68-year-old woman has been bothered by a painful swelling on her left cheek. There is no history of trauma or bite. She takes a diuretic for mild hypertension. Amoxicillin/clavulanate was started 2 days earlier pending the results of a bacterial culture.What is the likely diagnosis?

Eczema is confined to the dorsum of a 37-year-oldwoman’s hands. She had been applying an over-thecounter,topical antifungal cream but noted no changein the rash. The patient is a hairdresser and enjoyskickboxing.