9 results
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
similar skin lesions ... ringworm, was diagnosed ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... variably: On one hand ... required due to skip ... #Temporal #Signs
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
wane; diagnosis ... trauma leads to skin ... painless, no systemic signs ... Sporotrichiosis #Infection #clinical ... #photo #hand
Cushing's Syndrome - Moon Facies, Buffalo Hump, Abdominal Striae, Thin Skin

A young man presents with rapid
Abdominal Striae, Thin Skin ... the patient's hand ... Cushings #Syndrome #Signs ... BuffaloHump #Striae #Clinical ... #Photo
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
fungal culture of skin ... negative; however, a skin ... staining confirmed a diagnosis ... #clinical #photo ... #derm #NEJM #cutaneous
Pyoderma Gangrenosum in Ulcerative Colitis- ...left chest (Panel A) and leg (Panel B). The physical examination
examination revealed skin ... A diagnosis of pyoderma ... #clinical #photo ... #NEJM #pyoderma ... #derm
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... The signs and symptoms ... the palms of the hands ... Syphilis #Rash #Diagnosis ... #Clinical #Photo
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... purpura: Strong sign ... CRP GCA (Giant ... occasional oligoclonal bands ... pulmonary infiltrates/cavities
Lichen Planus- ...On examination, numerous purple papules were noted on the anterior surface of the forearms
surface of the hands ... confirming the diagnosis ... #NEJM #clinical ... #photo #lichen # ... planus #derm #wickhams