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Moschella/Miller and Zembowicz Weekly Dermatology/Dermatopathology Conference at Lahey Clinic

Tue, 11/18/2008 - 11:12 — Site Admin

This is a weekly clinicopathological conference attended by Dr. Samuel Moschella, M.D. (Dermatology), Danielle Miller, M.D. (Dermatology), Dr. Artur Zembowicz, M.D. (Dermatopathology), Winnie W. Ooi, M.D. (Infectious Diseases), Harvard Medical School Dermatology Residents and Tufts Medical School Pathology Residents. Contributors to the conference include Members of Dermatology Department of Lahey Clinic including doctors Mollie MacCormack, Caroline Bovona, M.D., Nancy Burnside, M.D., Emily Fisher, M.D., Siobhan Mannion, M.D., Karen McKoy, M.D., Karen Mitchel, M.D., Suzanne Mosher, M.D., Suzanne Olbricht, M.D., Elizabeth Page, M.D., Pauline Reohr, M.D., Maisie Tam, M.D., Laurie Tolman, M.D..

4.666665
Peer Review: 4.7 (3 votes)

Cases associated with this conference:

  • 68 year old male with suspected psoriasis: a surprise!
    Author: Tobi Quinto MD, MPH
    Diagnosis: Scabies
    ScabiesScabiesScabiesScabiesScabiesscabies

  • Recurrent cutaneous T cell lymphoma (mycosis fungoides)
    Author: Elizabeth H Page MD
    Diagnosis: Cutaneous T cell lymphoma (mycosis fungoides)
    clinical
    image    		Cutaneous T cell lymphoma (mycosis fungoides)Cutaneous T cell lymphoma (mycosis fungoides)Cutaneous T cell lymphoma (mycosis fungoides)Cutaneous T cell lymphoma (mycosis fungoides)Cutaneous T cell lymphoma (mycosis fungoides)

  • Inverse psoriasis
    Author: DrSamuel L Moschella MD FACP
    Diagnosis: Inverse psoriasis
    clinical
    image    		clinical
    image    		clinical
    image    		clinical
    image    		clinical
    image

  • Bullous cellulitis
    Author: DrSamuel L Moschella MD FACP
    Diagnosis: Bullous celluliitis
    clinical
    image    		clinical
    image

  • Tinea
    Author: DrSamuel L Moschella MD FACP
    Diagnosis: Tinea
    clinical
    image    		clinical
    image    		clinical
    image

  • 55 year old female with generalized annular rash and strikingly perineural inflammatory infiltrate
    Author: DrSamuel L Moschella MD FACP
    Diagnosis: Possible Lyme disease
    Neurotropic dermatitisNeurotropic dermatitisNeurotropic dermatitisNeurotropic dermatitisNeurotropic dermatitisNeurotropic dermatitis

  • Chicken or the egg?
    Author:
    Diagnosis: Sarcoidosis
    SarcoidosisSarcoidosisSarcoidosisSarcoidosisSarcoidosisSarcoidosis

  • Classic pemphigus vulgaris in a 26 year old male.
    Author: DrSamuel L Moschella MD FACP
    Diagnosis: Pemphigus vulgaris
    clinical
    image    		clinical
    image    		Pemphigus vulgaris in a 26 year old.Pemphigus vulgaris in a 26 year old.Pemphigus vulgaris in a 26 year old.Pemphigus vulgaris in a 26 year old.

  • Fulminant cryptococcosis involving bacillary angiomatosis an AIDS patient
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Disseminated cryptococcosis.
    Disseminated cryptococcosis involving bacillary angiomatosisCryptococcosis involving bacillary angiomatosis in AIDS patientCryptococcosis involving bacillary angiomatosis in AIDS patientCryptococcosis involving bacillary angiomatosis in AIDS patientCryptococcosis involving bacillary angiomatosis in AIDS patientCryptococcosis involving bacillary angiomatosis in AIDS patient

  • Hibernian fever
    Author: Jessica Scanlon
    Diagnosis: Hibernian fever
    Hibernian feverHibernian feverHibernian feverHibernian fever

  • Untreated variant of leprosy
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Histioid leprosy
    clinical
    image    		clinical
    image    		Histioid leprosyHistioid leprosyHistioid leprosyHistioid leprosy, Fite stain

  • Did you know that silver methamine stain is great for diagnosis of leprosy?
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Lepromatous leprosy
    clinical
    image    		lepromatous leprosylepromatous leprosy 2lepromatous leprosy 3lepromatous leprosy oillepromatous leprosy Fite

  • Dermatofibroma with pigmented epidermal hyperplasia - dermoscopic pattern
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Dermatofibroma
    Dermatofibroma with pigmented epidermal hyperplasia - dermoscopic pattern_1Dermatofibroma with pigmented epidermal hyperplasia - dermoscopic pattern_2Dermatofibroma with pigmented epidermal hyperplasia - dermoscopic pattern_3Dermatofibroma with pigmented epidermal hyperplasia - dermoscopic pattern_4Dermatofibroma with pigmented epidermal hyperplasia - dermoscopic pattern_5

  • Recurrent rash in a patient with known pemphigus foliaceous
    Author: DrSamuel L Moschella MD FACP
    Diagnosis: Pemphigus foliaceous
    clinical
    image    		clinical
    image    		clinical
    image    		clinical
    image    		Pemphigus foliaceousPemphigus foliaceous

  • Natural history of clonal seborrheic keratosis
    Author: Emily J Fisher MD
    Diagnosis: Clonal seborrheic keratosis
    Clonal seborrheic keratosisClonal seborrheic keratosisClonal seborrheic keratosisclinical
    image    		Clonal seborrheic keratosisClonal seborrheic keratosis

  • Bullous pemphigoid, urticarial type with one bulla
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Bullous pemphigoid
    clinical
    image    		clinical
    image    		clinical
    image    		clinical
    image    		clinical
    image    		Bullous pemphigoid

  • Nevus Sebasceous
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Pending
    clinical
    image    		Nevus sebaceousNevus sebaceousNevus sebaceousNevus sebaceousNevus sebaceous

  • Inflammed keratosis, but what type?
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Inflammed keraotsis
    clinical
    image    		clinical
    image    		right shoulderInflamed keratosisInflamed keratosisInflamed keratosis

  • Livedoid blanching rash with focal arteriolar thrombi
    Author: DrSamuel L Moschella MD FACP
    Diagnosis: Pending
    clinical
    image    		clinical
    image    		HistologicalHistological2Histological3PASD

  • Lentiginous melanoma in situ
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Lentiginous melanoma in situ
    clinical
    image    		Left ShoulderLentiginous melanoma in situLentiginous melanoma in situLentiginous melanoma in situLentiginous melanoma in situ

  • Painful non-healing ulcerations
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Subcutaneous thrombotic vasculopathy or early calciphylaxis?
    clinical
    image    		clinical
    image    		clinical
    image    		Subcutaneous thrombotic vasculopathySubcutaneous thrombotic vasculopathySubcutaneous thrombotic vasculopathy

    Research Project :Subcutaneous thrombotic vasculopathy/early calciphylaxis?
  • Erythema nodosum leprosum as the initial presentation of Hansen's disease
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Borderline lepromatous leprosy w ith acute (erythema nodosum leprosum-like) reaction
    Borderline lepromatous leprosy-2Borderline lepromatous leprosy-3Borderline lepromatous leprosy-4Borderline lepromatous leprosy-5Borderline lepromatous leprosy-6Borderline lepromatous leprosy-7

  • Borderline lepromatous leprosy
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Borderline lepromatous leprosy
    clinical
    image    		clinical
    image    		Lepromatous leprosyLepromatous leprosyLepromatous leprosyLepromatous leprosy

  • Subcutanous thrombotic vasculopathy
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Subcutaneous thrombotic vasculopathy
    clinical
    image    		He1He2he3he4He5

    Research Project :Subcutaneous thrombotic vasculopathy/early calciphylaxis?
  • 53 year old man with a painful single lesion on the back
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Possible fixed drug eruption.
    clinical
    image    		PunchPunch2Punch3Punch3Punch5

  • Staphylococcal pyoderma
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Staphylococcal pyoderma
    clinical
    image    		clinical
    image    		Staphylococcal pyodermaBlastomycosis-like pyodermaBlastomycosis-like pyodermaBlastomycosis-like pyoderma

  • Annular elastolytic granuloma (O'Brien)
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Annular elastolytic granuloma (O'Brien)
    clinical
    image    		Annular elastolytic granuloma (O'Brien)Annular elastolytic granuloma (O'Brien)Annular elastolytic granuloma (O'Brien)Annular elastolytic granuloma (O'Brien)

  • Lichen planopilaris
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Lichen planopilaris
    clinical
    image

  • Gout
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Gout
    clinical
    image    		Gout

  • Pigmented basal carcinoma
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Pigmented basal cell carcinoma
    clinical
    image    		Basal Cell Carcinoma, Pigmented

  • A long-standing "rash" treated as tinea versicolor for 10 years
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Patch stage mycosis fungoides
    clinical
    image    		clinical
    image    		clinical
    image    		Left anterior thigh 1Left anterior thigh 2Left anterior thigh 3

  • New scalp lesion in an older gentleman with history of squamous cell carcinomas and radiation treatment
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Angiosarcoma
    clinical
    image    		clinical
    image    		Angiosarcomahe1he2He5

  • Perineural dermatitis, possible borderline tuberculoid leprosy
    Author: DrSamuel L Moschella MD FACP
    Diagnosis: Possible borderline tuberculoid leprosy
    clinical
    image    		he1he2He3he4He5

  • Critical clinicopathological correlation necessary for diagnosis
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Borderline tuberuloid leprosy
    clinical
    image    		clinical
    image    		Biopsy1Biopsy2Biopsy3Biopsy4

  • Superficial spreading melanoma with dermoscopic features
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Superficial spreading melanoma (Clark's level II) with adnexal involvment.
    clinical
    image    		Melanoma, invasiveHE_1he_2he_3he_4

  • 61 year-old male with skin hemorrhages and twisted hair
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Vitamin C deficiency (scurvy)
    he_1he_2he_3he_4he_5he_6

  • 59 year-old diabetic woman with 6 month history of violaceous painful ulcerating nodules on inner thighs
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Subcutaneous thrombotic vasculopathy, possible localized calciphylaxis
    clinical
    image    		clinical
    image    		he_1he_2he_3he_4

    Research Project :Subcutaneous thrombotic vasculopathy/early calciphylaxis?
  • 71 year old female with chronic atopic dermatitis and papules and vesicles
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Eczema herpeticum
    HE_1HE_2HE_3HE_4HE_5HE_7

  • 28 year old diabetic male with erosions and history of skin fragiligy
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Porphyria or pseudoporphyria, pending laboratory studies.
    HE_1HE_2HE_3HE_4PASDIf_IgG

  • Classic pernio
    Author: Dr. Danielle M Miller Ph.D., M.D., D.T.M.&H.
    Diagnosis: Pernio
    clinical
    image    		HE_1HE_2HE_4HE_4HE_6

  • Classic pityriasis lichenoides and varioliformis acuta (PLEVA)
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pityriasis lichenoid and varioliformis acuta (PLEVA)
    clinical
    image    		HE_1HE_2HE_3HE_4HE_5

  • Eythematous papule with incidental wood splinter with dematiaceous fungus
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Pending
    Skin biopsy 1Dematiaceous fungus associated with wood splinterDematiaceous fungus associated with wood splinter PASD stain

  • Cellular dermatofibroma mimicking dermatofibrosarcoma protuberans
    Author: Artur Zembowicz M.D. Ph.D.
    Diagnosis: Cellular dermatofibroma
    HE_1Factor XIIISmooth muscle actinCD68HE_9HE_8