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Dermatology

What caused this painful skin erosion?

Joe R. Monroe, PA-C, MPAS May 15, 2012

A woman was referred to dermatology for evaluation of striking changes to the skin of both ankles, including star-shaped scarring and skin erosion.

An aggressive necrotic skin lesion

Benjamin Kaska, Christopher P. Forest, MSHS, PA-C April 18, 2012

A chemical burn suffered more than 3 decades ago is the underlying cause of a multinodular mass with central erythema.

A widespread rash that  interfered with sleep

Joe R. Monroe, PA-C, MPAS April 06, 2012

An older man complains of a persistent pruritic rash that began in the summer heat and was exacerbated by sweating.

A facial lesion concerns an at-risk patient

Joe R. Monroe, PA-C, MPAS March 08, 2012

The lesion was asymptomatic, but the patient's history raised her own index of suspicion, not just the clinician's.

Lesions that continue to recur in the same place

Joe R. Monroe, PA-C, MPAS February 08, 2012

An elderly woman seeks evaluation for skin lesions that recur so consistently that they occupy the same location episode after episode.

Ask a Librarian!—January 2012

Jim Anderson, PA-C, ATC, Susan Klawansky, MLS, AHIP January 13, 2012

This month's topics include reliable sources for genetic conditions and counseling and where to find Web sites notable for their dermatology resources.

What is behind this postpartum puzzler?

Joe R. Monroe, PA-C, MPAS January 10, 2012

A young mother has a healthy baby boy—and a new-onset vesicular, bullous rash that developed very quickly after the birth.

Nodules that developed months after treatment

Khalid Al Aboud, MD, Daifullah Al Aboud, MD December 08, 2011

A travel history and biopsy results led to a quick diagnosis and successful treatment—until new lesions made their appearance.

How is this web space lesion best treated?

Joe R. Monroe, PA-C, MPAS November 09, 2011

Deciding the best approach to a hard-to-monitor lesion of unknown duration required judgment based on both objective and subjective input.

Is this edema and firming of the skin a severe sign?

Joe R. Monroe, PA-C, MPAS October 11, 2011

This female patient experiences a series of unusual changes on the skin of both her hands: edema, whitening and pain in the fingertips, and cyanosis.

Profuse left-sided epistaxis and spiderlike lesions on a 66-year-old male

Jason C. Fowler, MPAS, PA-C, Peter F. White, MD, FRCS September 28, 2011

A man with a history of bleeding experiences has a number of strange lesions on the fingers, cheek, and tongue.

What caused the rash  on this  high school  athlete?

Olga Saprygina Forman, PA-C, MPAS September 07, 2011

A high school athlete develops a number of multiplying pink and slightly translucent papules on the right and left sides of the neck.

What caused these itchy white bumps on the wrists?

Joe R. Monroe, PA-C, MPAS August 09, 2011

A 43-year-old man wishes to have a number of white, terribly pruritic papules and nodules on his wrists reevaluated.

Esophageal varices and dyshidrosis

Christin Giordano, MPAS, PA-C, Amy M. Klingler, MS, PA-C July 13, 2011

This entry explores the diagnosis and treatment of esophageal varices and dyshidrosis, presented in a quick review format and accompanied by sample questions.

What is this psoriasiform plaque?

Anya Stassiy, PA-C, Amor Khachemoune, MD, FAAD July 06, 2011

A male patient presents with an expanding, erythematous region on his right knee that had proved unresponsive to topical corticosteroids.

What is this slow-growing preauricular lesion?

Malveeka Sharma, MPH, Amor Khachemoune, MD, FAAD June 07, 2011

A 78-year-old white male presented for evaluation of a steadily growing, increasingly red, pruritic lesion on the right side of his neck below the ear.

Extreme swelling and unusual symptoms in an African woman's finger

Heather Carlson, MSPAP, PA-C May 25, 2011

A 28-year-old female presents with a markedly enlarged finger accompanied by excoriation and yellow discharge.

Addiction is a complex set of circumstances and behaviors—not a diagnosis

Jim Anderson, PA-C, ATC May 16, 2011

What caused this woman's addiction to steroids?

What caused this woman's addiction  to steroids?

Joe R. Monroe, PA-C, MPAS May 04, 2011

After a facial eruption persists for over 6 months and the patient experiences tingling after discontinuing a steroid cream, she presents for evaluation of the condition.