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What's the diagnosis-skin rash
part 3
20
Health Care
Professional
05/06/2013

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Cards

Term
A 15-year old teen presents with numerous pimples on the face. On examination, there are many comedones, pustules and scarring on the face and upper back.
Definition
Acne Vulgaris
Term
A 67-year old fisherman presents with a non-healing ulcer for the past three months. On examination, there is a 1 cm wide ulcer on the side of his nose. There are no enlarged regional lymph nodes.
Definition
Basal Cell Carcinoma
Term
A 34-year old female presents with painless bumps on her knuckles and fatigue. On examination, there is a red-purple discoloration of her eyelids and Gottron’s papules. ANA is positive. Muscle biopsy shows the diagnostic inflammation.
Definition
Dermatomyositis
Term
A 2-year old infant presents with an itching rash on his face and arms. There is a history of hay fever and asthma in the family. On examination, there is a red, oozing rash on the cheeks and flexural aspects of the elbows and knees.
Definition
Eczema
Term
A 9-year old child presents with lesions on the face and a mild fever. On examination, there are honey-colored crusting lesions in the nasolabial folds.
Definition
Impetigo
Term
A 23-year old male immigrant from Thailand presents with a skin rash on the forearm. On examination, there are several round lesions on his forearm and back which have anesthetic centers. There is also loss of the outer third of the eyebrows.
Definition
Leprosy
Term
A 19-year old teen presents with a rash on the forearm with fever and fatigue. On examination, there is a targetoid rash on the forearm. ELISA for B. burgdorferi organisms is positive.
Definition
Lyme Disease
Term
A 23-year old female presents with a strange looking mole on her shoulder. On examination, the lesion has irregular borders and is very dark in color.
Definition
Malignant Melanoma
Term
A 5-year old unimmunized child presents with a high fever and running nose, followed by a rash which started on the trunk and is spreading. On examination, there are Koplik spots and a fine maculopapular erythematous rash.
Definition
Measles
Term
11-year old child with hyperpigmented lesions on the skin [café au lait spots], axillary and inguinal flecking, a few soft circumscribed swellings in the skin and mild scoliosis. There is a family history of similar skin lesions and swellings.
Definition
Neurofibromatosis
Term
A 24-year old male presents with an itching rash on his back. There was one patch that first appeared on his upper abdomen a few days before. On examination, the erythematous rash on his back appears to have a Christmas tree distribution.
Definition
Pityriasis Rosea
Term
A 23-year old female presents with a non-itching rash that seems to recur every summer. On examination, there are a number of hypopigmented and hyperpigmented scaly lesions mainly on the upper back. Examination of skin scraping treated with KOH under the microscope show the typical spaghetti and meatball appearance.
Definition
Pityriasis Versicolor
Term
A 35-year old overweight female presents with a skin rash. On examination, there are a number of silvery plaques on the back of her elbows and scalp.
Definition
Psoriasis
Term
An 11-year old child presents with an itching rash on the hands that is worse at night.
There are other children in the school with a similar skin condition.
On examination, there are several burrows and tracts between the fingers and along the side of the wrists.
Definition
Scabies
Term
A 3-year old child presents with a rash on both cheeks following a fever. On examination, there is a red rash on both cheeks as if the child was slapped.
Definition
Slapped Cheek Syndrome [erythema infectiosum]
Term
An 18-year old teen presents with an itching rash in the groin. On examination, the rash has a raised erythematous serpingous advancing border.
Definition
Tinea Corporis
Term
A 25-year old male presents with finger tips that were tight and painful. On examination, there is bluish discoloration of the hands and shiny, tight skin over his fingers. He also has crepitus related to the tendons in his forearm. ANA and Scl 70 antibodies are present.
Definition
Scleroderma
Term
A 73-year old male presents with a non-healing lesion on the cheek for 6 months. On examination, the rash is a red, scaly and raised plaque.
Definition
Squamous Cell Cancer
Term
A 19-year old black female presents with a rash on her face and joints pains. Her hands and right knee have been painful for the past three weeks. On examination, there is a malar rash with swollen PIP, MCP and knee joints. ANA and anti ds-DNA antibodies are present.
Definition
Systemic Lupus Erythematosus
Term
A 24-year old sexually active male presents with a sore on his penis. On examination, there is a firm, painless penile papule. VDRL is positive along with the FTA-abs test.
Definition
Syphilis
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