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Authors

Drs Tina Q. Tan and Rodney Rohde share final thoughts on addressing patient and parent concerns with COVID-19 vaccines.

Practice Pearls for Discussing COVID-19 Vaccines with Patients

Experts comment on the significance of mRNA (messenger RNA) technology in developing COVID-19 vaccines, as well as vaccines against other viral infections.

mRNA Technology in COVID-19 Vaccine Production

Rodney Rohde, PhD, MS, SM(ASCP)CM, shares his approach to initiating conversations around COVID-19 vaccination to patients and family members, highlighting the safety of administering multiple vaccines at during 1 visit.

Approaching Patient Education About COVID-19 Vaccination

Experts discuss the efficacy of the latest vaccines against currently circulating strains of COVID-19, commenting on how long immunity lasts from these vaccines.

Efficacy of Latest COVID-19 Vaccines

Drs Tina Q Tan and Rodney Rohde review the importance of vaccinating against COVID-19 to prevent long COVID, as well as highlight the current vaccination recommendations.

The Need for Vaccination Against COVID-19

Tina Q. Tan, MD and Rodney Rohde, PhD, MS, SM(ASCP)CM, provide an overview of long COVID and  describe the different symptoms patients may experience. 

Long COVID Overview

A 15-year-old boy presents with a friable, rapidly-growing skin lesion that bleeds easily. It has been present for approximately 3 weeks. Video provides a close-up during examination.

Video: The lesion bleeds easily and grows back quickly when "knocked off." 

Clinical Topics

A Friable Lesion on the Neck of a 15-year-old Boy: Dx?


These 2 patients presented with a swollen hand and rapidly proximally progressive edema secondary to a bite.

These 2 patients presented with a swollen hand and rapidly proximally progressive edema secondary to a bite. What creature did the biting?

Swollen Hands-What’s Biting?

A 9-year-old boy presented with a 1-week history of pruritus and rash on his elbows, knees, back, and legs. Several areas of excoriation were noted. He had recently run through a field of tall grass but denied any other exposure history.

A 9-year-old boy presented with a 1-week history of pruritus and rash on his elbows, knees, back, and legs. He had recently run through a field of tall grass but denied any other exposure history. Your Dx?

What Cause of This Itchy Rash?

A 5-year-old boy with a history of atopic dermatitis since 6 weeks of age, presents with a rash around his mouth that has been present for approximately 1 year. The patient’s mother reports that desonide topical cream was applied to the affected area for about 5 days, which initially resulted in improvement, however the rash returned after this medication was discontinued. The rash also recently improved after the patient took amoxicillin for an infection. She also notes that the patient has been licking his lips more frequently.

On examination there is an erythematous papulopustular eruption restricted to the perioral region, with sparing of the vermillion border. Mild hyperpigmentation is noted on the patient’s neck. There is no active involvement of other areas of the body.

The eruption has been present for 1 year and is restricted to the perioral region. What is included in your differential? 

Rash Around the Mouth of a 5-year-old Child

The patient, a 60-year-old black woman, presented with muscle weakness, Raynaud phenomenon, joint pain, and discoloration of her hands. She had proximal muscle weakness and mild synovitis in her metacarpophalangeal joints. Autoantibody tests were positive for ANA antibodies and anti-Jo1 antibodies and negative for anti–double-stranded DNA, anti-Smith, anti-U1-RNP, anti-SSA, anti-SSB, HIV, and hepatitis C virus antibodies.

(Photo credit: Michael Guma, DO and Daphne Macbruce, MD)
 

What condition is represented by inflammatory muscle disease, interstitial lung disease, Raynaud phenomenon, arthritis, and cutaneous manifestations, and in what rheumatologic diseases might you see it? 

Pigment Changes and Muscle Weakness 

A 13-year-old girl with known eczema presents with a vesicular rash on her palms that appeared after swimming in the ocean. Skin is tender; vesicles ooze clear liquid. Treated with triamcinolone w/o effect. Watch real-time examination on video.

A. Acute palmoplantar eczema (dyshidrotic eczema)

VIDEO: The child's hands are chronically dry but the skin has recently begun to crack; vesicular rash appeared after an ocean swim. Dx?

A 13-year-old Girl with a Vesicular Rash on Palms 

Rodney Rohde, PhD, MS, SM(ASCP)CM

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