9 results
Capnocytophaga Canimorsus Skin Rash

40 M presents w/ N, V, severe epigastric pain. SHx: smoker, drinks 18
Skin Rash 40 ... colonize human skin ... the key to the diagnosis ... difficult to culture and ... #clinical #photo
Lymphocutaneous Sporotrichiosis Infection

Landscaper w/ painless nodular rash of arm present for months wax and wane; diagnosis?
Lymphocutaneous
painless nodular rash ... wane; diagnosis ... trauma leads to skin ... #clinical #photo ... #hand
Vancomycin induced Leukocytoclastic Vasculitis (LCV) of the Hand
70 M vertebral osteomyelitis on vancomycin and cefepime for
Vasculitis (LCV) of the Hand ... diffuse palpable rash ... Diagnosis? ... atrial myxoma, Behcet ... Vasculitis #LCV #Hand
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
response to local skin ... +/- myocardial infarction ... test (this is a skin ... inhibitors • Uveitis- Ophthalmology ... #Syndrome #diagnosis
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... treatment, the infection ... the palms of the hands ... #Diagnosis #Clinical ... #Photo #Dermatology
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
- Differential Diagnosis ... Irregular pustules on hands ... Generalized itchy rash ... SAPHO syndrome ( ... Sweet syndrome
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
- Differential Diagnosis ... to exclude are infections ... , mucositis • Rash ... occasional oligoclonal bands ... vasculitis • Behcet
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential Diagnosis ... mucositis - Rash ... VASCULITIS: • Behçet ... • Cogan Syndrome ... to exclude are infections
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
- Differential Diagnosis ... Tenderness → Consider infectious ... ) • Anti-Mi2 (skin ... Symptoms: • Gottron rash ... • Mechanic's hands