12 results
Pediatric Inflammatory Multisystem Syndrome Temporally associated with SARS-CoV-2 infection (PIMS-TS)
Clinical features
all: fever > 101.3 F
most: oxygen
with SARS-CoV-2 infection ... conjunctivitis, cough, rash ... throat, swollen hands ... PIMSTS #covid19 #sarscov2 ... diagnosis #Signs #Symptoms
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 ... biopsy preferred Differential ... #clinical #photo ... #hand
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Skin rash and malaise ... The signs and symptoms ... treatment, the infection ... the palms of the hands ... Diagnosis #Clinical #Photo
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
- Differential ... Irregular pustules on hands ... Generalized itchy rash ... SAPHO syndrome ( ... Sweet syndrome
Joint Disorders - Differential Diagnosis Algorithm
Monoarthritis
 • Septic
 • Crystalline
     - Gout
arthritis - (Reiter’s syndrome ... within 1 month of infection ... arthritis - with the skin ... should have other symptoms ... like “butterfly rash
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 ... Differential for ... systemic symptoms ... Vasculitis #LCV #Hand
Behçet's Syndrome
Systemic disease associated with inflammation of multiple organs, small-vessel vasculitis and large-vessel vasculopathy
Epidemiology:
 • Young
meningitis), MCC CNS symptoms ... +/- myocardial infarction ... Behcet disease) Differential ... inhibitors • Uveitis- Ophthalmology ... management #signs #symptoms
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
Vasculitis - Differential ... Presentation: Systemic Symptoms ... , mucositis • Rash ... • Progressive symptoms ... occasional oligoclonal bands
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
- Differential ... mucositis - Rash ... • Cogan Syndrome ... to exclude are infections ... Presentation - Systemic Symptoms
SLE (Systemic Lupus Erythematosus)

Suspect:
Clinical evidence of (fatigue, rash, photosensitivity, inflammatory arthritis, weight loss, and fever) and
3rd Decade Skin ... permanent alopecia Differential ... fibromyalgia) • Infections ... Seizures • Strokes Skin ... Induced Lupus: • Symptoms