13 results
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
involve palms/soles ... - Differential diagnosis ... : secondary syphilis ... rosea #clinical #dermatology ... #photo #PhysicalExam
Secondary Syphilis - Rash on Palms and Soles 
41ys, seen in our ED b/c of 20
present in 80% of cases ... Rash #clinical #photo ... #dermatology #Palms ... #Soles #dermatology ... #physicalexam
Janeway Lesions in Endocarditis seen on Physical Exam 

Dr Supradip Ghosh
@dr_supradip

36 year old male with history
sister shared these photos ... could have been diagnosed ... #Endocarditis #PhysicalExam ... #clinical #photo ... #dermatology #soles
Papulosquamous Skin Rash - Differential Diagnosis Algorithm
Erythrematous or violaceous papules & plaques with overlying scale
 •
- Differential Diagnosis ... central clearing • Secondary ... plaques on palms and soles ... Papulosquamous #SkinRash #dermatology ... #Algorithm #causes
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Rash Secondary ... resembling rashes caused ... #Rash #Diagnosis ... #Clinical #Photo ... #Dermatology
The Stages of Syphilis 

Primary Syphilis 
- The chancre lesion is the hallmark of primary syphilis.
Secondary Syphilis ... Involves palms/soles ... in 50% of cases ... - Ocular syphilis ... Latent #Tertiary #Diagnosis
Causes of Petechial Rash - Differential Diagnosis Algorithm

Pinpoint areas (less than 2 mm) of hemorrhage, which
Causes of Petechial ... - Differential Diagnosis ... in primary or secondary ... #Algorithm #Causes ... #dermatology #physicalexam
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
Diagnosis? ... dermatophytes cause ... erythema around soles ... type #clinical #photo ... #foot #dermatology
Cryofibrinogenemia Summary

Cryofibrinogenemia Epidemiology:
 • 40-70 years with a modest female predominance

Cryofibrinogenemia:
 • The precipitation of a
pulmonary emboli, and ocular ... Cryofibrinogenemia Diagnosis ... cryoglobulins • Negative causes ... Cryofibrinogenemia #diagnosis ... #rheumatology #hematology
SAPHO Syndrome Summary

What?
SAPHO syndrome is a rare chronic inflammatory disorder of bone, joint, and skin characterized
the palms and soles ... • A clinical diagnosis ... Rule out other causes ... sites such as the collar ... #management #Dermatology