Dermatology

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Actinic Keratoses

A 56-year-old man is worried about a number of slowly growing facial bumps. There are several under each eye and one on each side of the nose. He is convinced that these are skin cancers.

“Nonspecific” intertrigo: the morphology (borders that aren’t sharp, absence of satellite lesions) is a key diagnostic clue.

Heterochromia iridis may be inherited or acquired. Acquired heterochromia may be caused by chronic uveitis, or (rarely) an underlying neuroblastoma. Here: a case in point.

Although this patient has been treated by several health care providers for this expanding lesion on his scalp, nothing has worked. The pathology is clearly outside the “normal” realm. What’s going on?

A 24-year-old woman presented with a chief complaint: “Check a funny mole.” Her boyfriend pointed out that a single mole on her back looked “different.”

A 27 year-old woman was petting her cat, when the animal suddenly bit her on the arm. She rinsed copiously with isopropyl alcohol and applied an over-the-counter antibiotic ointment. But, 12 hours later, a large, red, swollen and exquisitely tender plaque had developed around the bite site.

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.