Dermatology Grand Round Cases 2006

Dermatology Grand Round Cases 2006 from American Osteopathic College of Dermatology

Itchy Patches
Patient is a 60 year old Latin male presenting for evaluation of itchy patches in his bilateral axillae, inguinal region, and gluteal folds. Patient states this eruption is ongoing for the previous three months and is progressively worsening. He feels as if it began after starting a new medication...


Lymphocutaneous Nocardiosis Caused by Nocardia brasiliensis
A 69 year-old, otherwise healthy woman was seen in our office for a painful, swollen left foot. She reported a two-week history of worsening symptoms after stepping on a sharp object while walking barefoot at home. The patient experienced pain at the base of her left first toe, but could not identify an obvious puncture wound or foreign body at the time of injury...


Dyspnea, Hemoptysis, and Rash
70 year old white male complaining of a sudden onset of dyspnea and cough with hemoptysis as well as a painful rash on face and legs....


Scleromyxedema: A Case Reoprt
Scleromyxedema is a chronic, disabling condition with little tendency for spontaneous remission. Systemic involvement can prove fatal. Cutaneous and extracutaneous manifestations can be associated with considerable disability. Due to the rarity of this condition, no studies have been preformed regarding therapeutic options for these patients. Only case reports exist describing success or failure of patients undergoing therapy.
A 39 year-old Caucasian female met specific criteria for the diagnosis of scleromyxedema including a generalized papular and sclerodermoid eruption of the skin; and histologic evidence of mucin deposition, fibroblast proliferation, and fibrosis; and a monoclonal gammopathy; 1.


Progressive Worsening Rash
1.5 year history of a progressively worsening rash on the face, trunk, and upper and lower extremities, including the palms and soles. This was previously diagnosed as vitiligo and eczema....