Dermatology

Latest News


CME Content


Growing Pains?

Has this teen been abused? Cast your votes and see if you’ve answered this and the 4 other questions in this week’s quiz correctly.

Verucca-or Something Else?

The differential diagnosis consists of psoriasis, wart, eczema, squamous cell carcinoma in situ, and prurigo nodularis. What’s your diagnosis?

Multiple itchy red bumps on a man’s ankles; relative contraindications to lumbar puncture; stroke in an addict. . . 5 more questions for you to test the breadth of your clinical knowledge.

This long-standing papule has been slowly enlarging. Its pearly translucence suggests a skin cancer. What's your impression?

Conditions unique to women are relatively well known. But, are you familiar with the range of diseases that affect both sexes but are seen more often in women? This week’s photo quiz tests your knowledge of a variety of disorders you’ll find more often in your female patients.

Which of these GI and skin lesions should you worry about most? Is rhabdomyolysis usually the result of infection? See how well you do with this week’s questions. . .

These wounds occurred when this 77-year-old woman fell when chasing her dog. Such wounds-a combination of ecchymoses and erosion caused by blunt and sheering forces on fragile skin-are common in the elderly, even after relatively mild trauma. Simple interventions will promote healing.

These classic linear, wide-mouthed, red to purple, atrophic patches are classic for stretch marks (striae distensae). The patient was in the middle of his growth spurt.

Bed Bug Bites

The patient assumed that the itchy rash was due to insect bites. The shape, size, color, and presence of 6 legs of the insect he captured were consistent with bedbugs and bedbug bites.

The red patch on this woman's neck is lichenoid keratosis, a variant of seborrheic keratosis. Diagnostic contenders included Bowen disease and superficial basal cell carcinoma.

Both morphology and location favor the diagnosis of psoriasis. The presence of nail pitting, and a strongly positive family history for psoriasis, confirmed the diagnosis.

Insect Bites

These widely scattered, dome-shaped pruritic inflammatory papules suggest insect bites. A biopsy showed mixed dermal infiltrate consisting of lymphocytes and eosinophils, consistent with an arthropod assault.

Patients often present with skin lesions that are suggestive of skin cancer. Is it or isn’t it? This week’s photo quiz tests your knowledge of several possible cancerous presentations.

The differential diagnostic possibilities for this tender nodule included hypertrophic actinic keratosis, keratoacanthoma, squamous cell carcinoma, and verruca. The possibility of squamous cell carcinoma dictated removal with histologic examination.

A multiplicity of colors in a pigmented lesion usually dictates the need for a biopsy. In this woman with many nevi and a history of malignant melanoma, biopsy revealed an inflamed blue nevus and was also curative.

The development of eccentric pigmentation within a previously stable pigmented lesion may indicate malignant degeneration, as was the case here. Of all melanomas, lentigo maligna melanoma has the best overall prognosis.

Round plaques like this one, each composed of many small erythematous papules, are classic for granuloma annulare. Large numbers of these lesions and widespread distribution is often associated with diabetes mellitus.