14 results
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 ... #clinical #photo ... #hand
Vibrio vulnificus Infection- At the time of presentation, hemorrhagic bullae measuring 3.5 by 4.5 cm had
palm of his left hand ... dorsum of the hand ... vulnificus can cause skin ... #clinical #photo ... #NEJM #vibrio #
Tinea Capitis in a Newborn- A 3-week-old male newborn was brought to the pediatrician with three
similar skin lesions ... fungal infection ... #clinical #photo ... #NEJM #tinea #capitis ... #ringworm #derm
Disseminated Cutaneous Blastomycosis- A fungal culture of skin tissue was negative; however, a skin biopsy showed
fungal culture of skin ... staining confirmed a diagnosis ... pyogranulomatous fungal infection ... #clinical #photo ... #derm #NEJM #cutaneous
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
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 ... treatment, the infection ... the palms of the hands ... #Clinical #Photo
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
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
Diagnosis = clinical ... systemic sx + signs ... vasculitis vs infection ... variably: On one hand ... required due to skip
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
association • M > F Clinical ... +/- myocardial infarction ... Behcet syndrome (Clinical ... disease, ulcerative colitis ... #management #signs
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... to exclude are infections ... purpura: Strong sign ... occasional oligoclonal bands ... pulmonary infiltrates/cavities