9 results
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
nodular rash of arm ... trauma leads to skin ... papulonodular lesions ... Infection #clinical #photo ... #hand
Janeway Lesion: Flat, painless, erythematous lesions seen on the palm of this patient's hand. While
frequently associated
this patient's hand ... this case, they are ... Photo credit, Josh ... Goldberg, M.D. - UCSD ... #Endocarditis #UCSDH
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
Pustular Skin Lesions ... sterile and are ... Irregular pustules on hands ... SAPHO syndrome ( ... Sweet syndrome
Cushing's Syndrome - Moon Facies, Buffalo Hump, Abdominal Striae, Thin Skin

A young man presents with rapid
Cushing's Syndrome ... Abdominal Striae, Thin Skin ... gain (license photo ... What findings are ... the patient's hand
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... heaped, wart-like lesions—Condyloma ... the palms of the hands ... faint that they are ... Diagnosis #Clinical #Photo
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
loss, arthralgia, arm ... bruits, asymmetric arm ... occasional oligoclonal bands ... vasculitis • Behcet syndrome ... vasculitis • Cogan syndrome
Ptosis - Differential Diagnosis Framework

Ptosis (Greek- to fall) Drooping of the upper eyelid that usually results
Horner’s syndrome ... - Supranuclear lesions ... orbital rooftop fracture ... Redundant eyelid skin ... Differential #Diagnosis #ophthalmology
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
Terry's nails are ... skin stretch marks ... such as nephrotic syndrome ... #Fingernails #Hands ... PhysicalExam #Clinical #Photo
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
) • Anti-Mi2 (skin ... lesions) • Anti-TIF1 ... Antisynthetase syndrome ... kinase levels are ... • Mechanic's hands