9 results
Secondary Syphilis Rash
Secondary syphilis is the most contagious of all the stages of this disease, and
Rash Secondary ... Skin rash and malaise ... The signs and symptoms ... the palms of the hands ... #Clinical #Photo
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 ... painless, no systemic signs ... #clinical #photo ... #hand
Pustular Skin Lesions - Differential Diagnosis Framework

What are pustules?
• Pustules < 5-10 mm + pus
• Material
Irregular pustules on hands ... Generalized itchy rash ... SAPHO syndrome ( ... Secondary syphilis ... Sweet syndrome
Sweet Syndrome

Acute febrile neutrophilic dermatosis (Sweets Syndrome) is a skin condition characterized by fever and inflamed
sudden onset of a rash ... - Rash: multiple ... Episcleritis Signs ... lymphoma, breast CA ... gastrointestinal infection
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
systemic sx + signs ... vasculitis vs infection ... variably: On one hand ... required due to skip ... required +/- prompt ophthalmology
Vasculitis - Differential Diagnosis Framework

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

When to Consider Vasculitis:
 • Purpura, ischemic skin lesions
 •
mucositis - Rash ... branches • GCA ... • Cogan Syndrome ... to exclude are infections ... purpura: strong sign
Terry's Nails

Patient of about 70 years, HIV positive, transplanted kidney donor cadaver in the previous 6
in addition to signs ... skin stretch marks ... this finding is secondary ... #Hands #PhysicalExam ... #Clinical #Photo
Autoimmune Myositis - Differential Diagnosis Framework

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