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Skin Disorders

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 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.

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.

A chigger bite activates a dormant  infection in an outdoorsman

Tracy Earl, PA-C December 06, 2010

The patient attributed pain and swelling of two fingers to a chigger bite, but the real cause of his symptoms remained a mystery.

Unusual depressed areas on  the arm  and buttock

Anya Stassiy, PA-C, Amor Khachemoune, MD, FAAD November 01, 2010

A female patient presents for evaluation of two indentations and hypopigmented areas that had been present for the past 7 months.

What are these lesions that spread from the lips?

Joe R. Monroe, PA-C, MPAS October 12, 2010

A female patient presented with asymptomatic lesions on her lips, face, and arms that had persisted for the past 6 months.

Round, pitting lesions on  the lower leg

Holly Shalhoop September 07, 2010

A patient with diabetes mellitus presents with a pitting rash on the right lower leg that had persisted for a year.

Evolving purple lesions and nodules on the abdomen and forearm

Meera S. Kumar, MS, PA-C July 19, 2010

An elderly man complains of plum-colored lesions, some of which had worsened and some of which had spontaneously regressed.

Slight rash develops into a refractory lesion

Joe R. Monroe, PA-C, MPAS July 13, 2010

Constant itching and frequent scratching of a slight rash lead to a recalcitrant depigmented lesion that defies diagnosis.

Is urtication of this solitary bump a worrisome sign?

June 08, 2010

An infant presents with a single asymptomatic lesion that becomes raised and puffy with stroking.

A rare combination of uveitis, salivary gland swelling, and cranial nerve palsy in a febrile woman

Jason Evanchan, DO; Timothy J. Barreiro, DO, FCCP, FACOI; David Gemmel, PhD May 17, 2010

Bilateral swollen parotid glands trigger an evaluation and imaging studies that uncover ocular, neurologic, and pulmonary abnormalities.

Why won't this rash respond to treatment?

Joe R. Monroe, PA-C, MPAS May 07, 2010

Despite numerous therapeutic attempts, the rash continued to spread, involving more and more of the patient's groin.

Should this patient be more concerned about her cyst?

Joe R. Monroe, PA-C, MPAS April 09, 2010

Despite having a risk factor for skin cancer, this woman waited 5 years before having the cyst on her arm evaluated by a clinician.

Disfiguring and disabling growth is seen in an existing mass

Meredith Beaty, MS, RPA-C; Nicholas Martella, MS, RPA-C; Scott Baker, MHA, RPA-C; James O’Connor, MD March 23, 2010

A patient presents with a large cutaneous mass on her buttock. It was first noticed years earlier but had recently grown significantly.

Does this young girl have the same rash as her mother?

Joe R. Monroe, PA-C, MPAS March 05, 2010

The daughter of a woman with psoriasis vulgaris develops an alarming rash after exposure to several possible aggravating factors.

What approach should be used for a lesion on black skin?

Sandra Morris, PA-C, Mark Ling, MD, PhD February 05, 2010

The diagnosis and treatment of a skin disorder that is uncommon in black persons is reviewed.

What is the best way to manage this severe rash?

Joe R. Monroe, PA-C, MPAS January 08, 2010

This common skin disorder can be managed with simple hygiene practices and OTC products. Parental education is the most valuable tool.

Why won't this rash respond to treatment?

Joe R. Monroe, PA-C, MPAS December 04, 2009

This patient had chronic conditions she managed with a combination of clinical and self treatments. Is one of them perpetuating her rash?

Underarm rash worsens with OTC treatment

Denise Rizzolo, PA-C, PhD, Diana C. Saidac October 07, 2009

A patch of irritated skin on this patient's axilla developed into a pruritic rash that worsened with OTC treatment. Punch biopsy revealed the diagnosis.

Should this periocular lesion be biopsied?

Joe R. Monroe, PA-C, MPAS September 09, 2009

Choosing the appropriate biopsy—and getting the patient to agree to it—are crucial for diagnosing a facial lesion.

Best treatment of nonhealing and problematic wounds

Erich Fogg, PA-C, MMSc August 27, 2009

The latest wound-care modalities focus on stimulation of dermal growth and angiogenesis, new dressings, and specialized treatment centers.

Artist's rendition of hemangioma was not realistic

August 13, 2009

Infantile hemangioma: How to treat this benign neoplasm of childhood

Hairy plaque on an infant's back and extremities

Ingrid Mody, MMSC, PA-C; Melissa Shaw, PA-C July 08, 2009

The baby had good Apgar scores and demonstrated normal movement, but MRI suggested abnormalities in the amygdala of the right posterior temporal lobe.

Erythema infectiosum: Recognizing the many faces of fifth disease

Ellen D. Mandel, DMH, MPA, PA-C June 02, 2009

The multiple manifestations of this viral infection are described. Are you able to recognize these etiologies?

Is this small lingual lesion benign or threatening?

Denise Rizzolo, PA-C, PhD, Heather Kurdali; Thomas Chiodo, DDS May 07, 2009

A 40-year-old female found a small but growing red lump under her tongue. She did not smoke tobacco or drink alcohol, nor did she have a history of doing so.

Infantile hemangioma: How to treat this benign neoplasm of childhood

Kerry A. Schlosser, MPAS, PA-C May 05, 2009

Recognition of the lesion and reassurance to the parents are the keys to effective management of IH.

A rash that "traveled" over the top of the foot

Sandra Morris, MMSc, PA-C; Steven Marcet, MD January 01, 2009

A 47-year-old female presented to our dermatology clinic with a recent history of vacationing in Panama City, Florida. Three to four days after returning home, she developed small blisters, severe pruritus, erythema, and swelling on the right dorsal foot between the fourth and fifth toes. She noticed that the rash "moved," making a path across the top of her foot.