8 results
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 ... papulonodular lesions ... #clinical #photo ... #hand
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
centrifugum • A chronic skin ... on the back of hands ... gyratum repens • A skin ... and autoimmune ... classic targetoid lesions
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... treatment, the infection ... heaped, wart-like lesions—Condyloma ... the palms of the hands ... Diagnosis #Clinical #Photo
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
Pustular Skin Lesions ... Irregular pustules on hands ... Generalized itchy rash ... SAPHO syndrome ( ... Sweet syndrome
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 ... , foods, autoimmune ... Vasculitis #LCV #Hand ... dermatology #clinical #photo
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
to exclude are infections ... , mucositis • Rash ... occasional oligoclonal bands ... , recent viral infection ... vasculitis • Cogan syndrome
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
3rd Decade Skin ... papulosquamous lesions ... disease • Non-autoimmune ... fibromyalgia) • Infections ... deficiencies • Autoimmune
Autoimmune Myositis - Differential Diagnosis Framework

Inflammatory Myopathies: Commonly symmetric proximal muscle weakness, no substantial muscle pain
Tenderness → Consider infectious ... ) • Anti-Mi2 (skin ... lesions) • Anti-TIF1 ... Symptoms: • Gottron rash ... • Mechanic's hands