58 results
Christmas Tree Rash of Pityriasis rosea
 - small oval scaling patches
 - Christmas tree pattern
 -
- long axis of lesion ... parallel to lines of skin ... palms/soles - Differential ... diagnosis: secondary syphilis ... #dermatology #photo
Ulcerative Blastomycosis Skin Lesion
57 asymptomatic M from Indiana nonpruritic, painless, progressive skin lesion lower back x
Blastomycosis Skin ... painless, progressive skin ... Blastomycosis- 2 types of skin ... Blastomycosis #SkinRash ... dermatology #clinical #photo
Cutaneous manifestations associated with myelodysplastic syndrome
 • Myeloid hemopathy with the most frequent skin lesions (20%)
myelodysplastic syndrome ... most frequent skin ... Infectious manifestations ... #differential # ... oncology #clinical #skin
Stages of Syphilis
Early Primary:
 • Painless chancre
 • Regional lymphadenopathy
Early Secondary:
 • Fever, malaise
 • Rash
Stages of Syphilis ... Fever, malaise • Rash ... Gummatous • Nodular lesions ... in bone, skin, ... Stages #symptoms #signs
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless nodular rash ... trauma leads to skin ... painless, no systemic signs ... papulonodular lesions ... #clinical #photo
Reactive Skin Rash - Differential Diagnosis Algorithm
Reactive erythematous with various morphology
 • Urticaria - Firm /
Reactive Skin Rash ... - Differential ... red nodules on shins ... Multiforme - Target lesions ... #Reactive #SkinRash
Skin Conditions Associated with Joint Pain

Rash
	• Human parvovirus B19 infection

Malar rash
	• SLE
	• Human parvovirus B19 infection
	•
Skin Conditions ... Scleroderma Thickened skin ... arthritis Discoid skin ... lesions • Discoid ... #joint #pain #skin
Genital Skin Ulcers - Differential Diagnosis Algorithm
Painful:
 • Herpes simplex
 • Haemophilus ducreyi (chancroid)
 • Behcet's
Genital Skin Ulcers ... - Differential ... ) • Behcet's syndrome ... Painless: • Primary syphilis ... Ulcers #ulcerative #skinrash
CNS Ring-Enhancing Lesions - Immunocompromised vs Immunocompetent
Multiple Ring-Enhancing Lesions:
 • Toxoplasmosis (CD4 < 100)
 • Other
Diagnosis- Compatible syndrome ... , may also see skin ... Infectious: ... Tuberculosis • Syphilis ... #Brain #differential
Staphylococcal Scalded Skin Syndrome (SSSS)

A 5-year-old girl presents to the ED with a rash that started
Staphylococcal Scalded Skin ... Syndrome (SSSS) ... upper respiratory infection ... Staphylococcal #Scalded #Skin ... #Clinical #Photo