Man With Pruritic, Edematous Eruption of the Upper and Lower Eyelids
May 31st 2012A 53-year-old man presented for medical attention after he had used his wife’s eye drops for 3 days for his itchy eyes. The eye drops contained a mixture of neomycin, polymyxin-B, and hydrocortisone. What do you suspect is going on? More details here...
Diabetes Quiz: A 79-Year-Old With Elevated AlC Who Has Had a Stroke: How Would You Treat?
May 1st 2012The elderly patient has had type 2 diabetes for 15 years is now home bound after a stroke. Her HbA1c is 9.6 and she takes only metformin. Review the rest of her laboratory results and propose a management plan.
Chondrodermatitis Nodularis Helicis and Verruca Vulgaris
March 28th 2012Skin lesions in the outer ear-the pinna, the concha, and the external auditory meatus-may be trivial or potentially malignant. Here we consider a flesh-colored swelling with a central white spicule; a tan papillary lesion; a fluctuant swelling; a red berry-like papule; an elevated pink lesion.
Cutaneous Lymphoma-Or Something Else?
February 14th 2012A 31-year-old woman presents for evaluation of an asymptomatic, firm plaque on the forehead. Lesions of similar size and consistency were present at the nape of the neck and on the chest. The patient was in overall good health. A biopsy performed to rule out cutaneous lymphoma revealed almost pure sheets of plasma cells in the dermis. What are your diagnostic suspicions and what would your next step be? Please click here and add your comments.
Onychomycosis-or Something Else?
February 7th 2012A 33-year-old man seeks attention for his abnormal toenails, having already failed full treatment courses of both terbinafine and itraconazole. Review of systems reveals complaints of painful “eye irritation” as well as chronic low back pain severe enough to warrant daily ingestion of aspirin. What diagnoses in addition to onychomycosis would you consider given this picture? Please click here and add your comments.
White Tongue Lesions: Candida, Contact Stomatitis, Oral Lichen Planus?
December 29th 2011Contact stomatitis can occur as a result of cinnamon exposure. The condition can easily be managed by withdrawal of the antigen. A short course of systemic corticosteroid can produce dramatic improvement if symptoms are severe.