8 results
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
history of illicit drug ... sister shared these photos ... could have been diagnosed ... earlier in an IV drug ... #dermatology #soles
Symptoms Distinguishing Groups of Cutaneous Drug Reactions
IgE-mediated reactions:
 • Onset minutes to hours into treatment course
Groups of Cutaneous Drug ... lasts > 24h • Fine ... #Reactions #dermatology ... #clinical #comparison ... #classification
Purpura - Differential Diagnosis Framework

Non-blanchable, dark red to purple, hemorrhagic skin lesions that result from leakage
Purpura - Differential ... Diagnosis Framework ... hemorrhagic skin lesions ... • Bacterial endocarditis ... #Diagnosis #hematology
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
Pustular Skin Lesions ... - Differential ... Burrows between fingers ... illness • Drug ... Diagnosis #Dermatology
Scleroderma Like Conditions - Differential Diagnosis
Eosinophilic Fasciitis:
 - Orange peel induration (peau d'orange) of proximal extremities
Diagnosis Eosinophilic ... planus-like skin lesions ... immunocompromised host Drug ... #Diagnosis #comparison ... #table #dermatology
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
Vasculitides - Differential ... Diagnosis Framework ... ischemic skin lesions ... Ocular inflammatory lesions-interstitial ... #classification
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
Skin Disease Classification ... papulosquamous lesions ... permanent alopecia Differential ... • Libman-Sacks endocarditis ... extremities Drug
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
classic targetoid lesions ... malignancies, and drugs ... PrathitKulkarni #Erythemas #comparison ... #table #differential ... #diagnosis #dermatology