Dermatology

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This 29-year-old man came in for a wellness evaluation but notes having had this rash for 8 years. Occasionally it itches, but otherwise is asymptomatic and he has had no treatment for it to date. He does not take any medications and has no significant past medical history.

This 3-day-old boy was noted to have this left buttock lesion. He was born by cesarean section at 35 weeks due to a transverse lie on presentation with premature rupture of membranes. There was no prenatal care, and routine maternal labs on admission were significant for a positive gonorrhea screen.

Approximately 20% of women develop leiomyomas during their childbearing years. When these uterine fibroids cause excessive bleeding, pelvic pain, cramping, or painful intercourse, surgery is indicated. Hysterectomy is an appropriate choice for women who are done with childbearing, but for women with childbearing plans for the future, myomectomy is an option. However, hemorrhage is a common complication during myomectomy.

This 71-year-old woman presented with an itchy raised erythematous leg lesion that had been present for 10 months. She has a history of significant sun exposure in the past and was prescribed topical triamcinolone 4 months ago which she believes has made it slightly smaller and less itchy.

This newborn was found to have these fragile white lesions on the scrotum and extremities along with dark macules on the face. The child was otherwise asymptomatic and the pregnancy was uncomplicated, with no significant medication exposures and no family history of similar lesions.

Atopic dermatitis is the most common inflammatory pediatric skin disorder, with reported incidences ranging from 10% to 20%. The principles of effect care include fixing the skin barrier, short-circuiting inflammation, decreasing itching, treating infections, and striving for prevention by addressing the triggers.

This 23-year-old man developed these lesions on his feet during a 10-month stay in Nicaragua. Initially he had itching and burning. He has been treated with 3 courses of topical antifungal preparations and there is no significant past medical history other than sweaty feet.

This 70-year-old woman was referred for this waxing and waning erythematous facial rash of two years duration. She has tried topical metronidazole and clindamycin without improvement. Her past medical history is significant for hypertension and hypothyroidism, otherwise she is in good health and a review of systems is negative except for the itching facial rash.

For more than 70 years methotrexate has been a popular tool in the prescription toolkit of doctors around the world. However, a recent case report by a team from the United Kingdom showed how important it is for prescribing doctors to also keep a close eye on some of the well-known adverse events associated with the medication.

This newborn infant was noted to have a congenital skin malformation on both sides of his face. However, the pregnancy was uncomplicated, he is feeding well, and no other abnormalities were seen on examination.

A 36-year-old pregnant woman at 27 weeks gestation presented to the obstetrical triage for evaluation of possible abscess due to a lesion on her buttock that first appeared 1 week ago. Since that time, it has become increasingly painful and itchy. Although she denies any systemic symptoms, her pregnancy is complicated by gestational diabetes and obesity. However, she is HIV negative and her other prenatal labs were unremarkable.