11 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
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 ... coronavirus #diagnosis #Signs
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
Sweet Syndrome

Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
and mucosal lesions ... sudden onset of a rash ... - Rash: multiple ... Episcleritis Signs ... gastrointestinal infection
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
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 ... diagnosis #management #signs
Vasculitis - Differential Diagnosis Framework

When to Consider Vasculitis:
• Purpura, ischemic skin lesions
• Mononeuritis multiplex
• Hematuria, proteinuria,
to exclude are infections ... purpura: Strong sign ... , mucositis • Rash ... occasional oligoclonal bands ... , recent viral infection
Vasculitis and Vasculitides - Differential Diagnosis Framework

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
lesions • Mononeuritis ... mucositis - Rash ... Ocular inflammatory lesions-interstitial ... to exclude are infections ... purpura: strong sign
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
vasculitis vs infection ... variably: On one hand ... required due to skip ... lesions. ... required +/- prompt ophthalmology
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
complicated with urinary infections ... in addition to signs ... skin stretch marks ... such as nephrotic syndrome ... #Fingernails #Hands